Page Status: updated 2023-03-02

MedicationRequest

Page index

Introduction
Overview
- Contained resources
Details
Supported operations

Introduction

In the Swedish National Medication List, the MedicationRequest resource, shown in the profile NLLMedicationRequest, represents a prescription. This resource is used when prescribing medicinal products and medical consumables.

The profile is used for both ordinary packaged prescriptions (sv helförpackningsförskrivning) and for dose dispensed prescriptions (sv: dosdipenserad förskrivning).

A prescription can be issued to a patient identified with a Swedish personal identity number or by name and birth date.

When the patient has a Swedish personal identity number (sv: personnummer) the "subject" element is a literal reference to the Patient. If the perscription is issued to a patient identified by name and birthdate, the "subject" element is an inline reference to a Patient, i.e. a contained Patient, and the prescription must be adressed to a specific pharmacy (by the element nllReceivingPharmacy).

The prescriber (the "requester" element) is always handled as a contained Practitioner.

When a prescription is renewed (sv: förnyad), replaced (sv: ersatt) or when a new parallell prescrioption is registered (sv: registrera), the new prescription is linked to the preceeding prescription in a prescription chain. (More information about parallell prescriptions is available in this section below: Parallell prescriptions in a prescription chain).
All prescriptions in a prescription chain have the same prescription chain-id (in the element nllPrescriptionChain).

For every change in a patient's medication list (medication requests, medication dispenses, multi dose dispenses, multi dose consents) meta data about the change is saved as a Provenance.

Overview

MedicationRequest	I		MedicationRequest	Element Id MedicationRequest Short description A prescription for a patient Alternate names Prescription, Order Definition MedicationRequest in the National Swedish Medication List is used for prescriptions for a patient. A prescription can be made for either a medicine package or for a reimbursed consumable. Data Type MedicationRequest Constraints dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()` dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource `contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()` dom-6:A resource should have narrative for robust management text.`div`.exists() dom-5:If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` Mappings rim:Entity. Role, or Act workflow:Request script10.6:Message/Body/NewRx rim:CombinedMedicationRequest
id	S Σ	0..1	System.String	Element Id MedicationRequest.id Short description Logical id of this artifact Definition The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments The only time that a resource does not have an id is when it is being submitted to the server using a create operation. This id is identified by the URI http://electronichealth.se/identifier/nllmedicationrequestid in documentation and external systems. Data Type System.String Mappings EHM:Förskrivnings-id
meta	S Σ	0..1	Meta	There are no (further) constraints on this element Element Id MedicationRequest.meta Short description Metadata about the resource Definition The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. Data Type Meta Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
versionId	S Σ	0..1	id	Element Id MedicationRequest.meta.versionId Short description Version specific identifier Definition The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. Comments The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes. Data Type id Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a EHM:Förskrivningsversion
lastUpdated	Σ	0..1	instant	There are no (further) constraints on this element Element Id MedicationRequest.meta.lastUpdated Short description When the resource version last changed Definition When the resource last changed - e.g. when the version changed. Comments This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction. Data Type instant Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
source	Σ	0..1	uri	There are no (further) constraints on this element Element Id MedicationRequest.meta.source Short description Identifies where the resource comes from Definition A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. Comments In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
profile	Σ	0..*	canonical(StructureDefinition)	There are no (further) constraints on this element Element Id MedicationRequest.meta.profile Short description Profiles this resource claims to conform to Definition A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. Comments It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. Data Type canonical(StructureDefinition) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a
security	Σ	0..*	CodingBinding	There are no (further) constraints on this element Element Id MedicationRequest.meta.security Short description Security Labels applied to this resource Definition Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. Comments The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Data Type Coding Binding Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding
tag	Σ	0..*	Coding	There are no (further) constraints on this element Element Id MedicationRequest.meta.tag Short description Tags applied to this resource Definition Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. Comments The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Data Type Coding Binding Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding
extension	I	2..*	Extension	Element Id MedicationRequest.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments 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. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
nllPatientTreatmentReason	S I	0..1	Extension(string)	Element Id MedicationRequest.extension:nllPatientTreatmentReason Short description The treatment reason described for the patient Alternate names extensions, user content Definition The reason for the treatment described in a way that is understood by the patient (behandlingsändamål). A text can be selected from "Nationell källa för ordinationsorsak" (NKOO). It is also possible to enter free text. NKOO is a code system that is defined by the Swedish National Board of Health and Welfare (Socialstyrelsen). The code system consists of SnomedCT codes for reasons (behandlingsorsak). Each medical product has a selection of valid SnomedCT reason codes, and in connection with the codes are the available patient reasons. The corresponding patient text could be entered here in "nllPatientTreatmentReason", and the SnomedCT reason code (behandlingsorsak) should be entered in "reasonCode". Comments Maximum string length: 256 Data Type Extension(string) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLPatientTreatmentReason Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Behandlingsändamål
nllPrescriptionChain	S I	0..1	Extension(uuid)	Element Id MedicationRequest.extension:nllPrescriptionChain Short description Prescription chain id Alternate names extensions, user content Definition Id used to identify all prescriptions in one prescription chain. A prescription chain is a set of prescriptions that are linked together in chronological order (The attribute priorPrescription is used to find the previos prescription.) A prescription chain is created ie when a prescription is renewed or replaced. The purpose is to be able to provide a grouping of related prescriptions. Comments 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. Data Type Extension(uuid) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLPrescriptionChain Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Förskrivningskedje-id
nllPrescriptionFormat	S I	1..1	Extension(code)Binding	Element Id MedicationRequest.extension:nllPrescriptionFormat Short description Current prescription format Alternate names extensions, user content Definition Current prescription format can be either "electronic" (Elektroniskt) or "paper" (Papper). If the prescription has been printed out on paper, i.e. the format is "paper" , then the patient needs to bring the print-out with him to the pharmacy to be able to get a dispense. Comments 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. Data Type Extension(code) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLPrescriptionFormat Binding Aktuellt format (prescription-formats) (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Aktuellt format
nllTreatmentDates	S I	0..1	Extension(Complex)	Element Id MedicationRequest.extension:nllTreatmentDates Short description Treatment dates Alternate names extensions, user content Definition Treatment dates as defined by the Swedish law "Lag (2018:1212) om nationell läkemedelslista", chapter 3, 8§, section 5. The latest date when the medical treatment should be either reviewed or ended. Comments 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. Data Type Extension(Complex) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLTreatmentDates Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
extension	I	0..*	Extension	Element Id MedicationRequest.extension:nllTreatmentDates.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments 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. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
treatmentReviewDate	S I	0..1	Extension	Element Id MedicationRequest.extension:nllTreatmentDates.extension:treatmentReviewDate Short description Treatment review date Alternate names extensions, user content Definition The latest date at which a review of the ongoing treatment must be made. Comments 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. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Senaste datum för uppföljning av behandling
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id MedicationRequest.extension:nllTreatmentDates.extension:treatmentReviewDate.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments 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. Data Type System.String Fixed Value treatmentReviewDate Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id MedicationRequest.extension:nllTreatmentDates.extension:treatmentReviewDate.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueDate			date	There are no (further) constraints on this element Data Type date
treatmentEndDate	S I	0..1	Extension	Element Id MedicationRequest.extension:nllTreatmentDates.extension:treatmentEndDate Short description Treatment end date Alternate names extensions, user content Definition The latest date at which the prescriber orders that the treatment must end. Comments 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. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Senaste datum för avslut av behandling
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id MedicationRequest.extension:nllTreatmentDates.extension:treatmentEndDate.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments 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. Data Type System.String Fixed Value treatmentEndDate Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id MedicationRequest.extension:nllTreatmentDates.extension:treatmentEndDate.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueDate			date	There are no (further) constraints on this element Data Type date
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id MedicationRequest.extension:nllTreatmentDates.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments 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. Data Type System.String Fixed Value http://electronichealth.se/fhir/StructureDefinition/NLLTreatmentDates Mappings rim:N/A
value[x]		0..0		There are no (further) constraints on this element Element Id MedicationRequest.extension:nllTreatmentDates.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
nllRegistrationBasis	S I	1..1	Extension(code)Binding	Element Id MedicationRequest.extension:nllRegistrationBasis Short description Format when the prescription was registered Alternate names extensions, user content Definition The format of the basis for the registration of the prescription. A prescriber can only register prescriptions in electronic format in the Swedish National Medication List. A pharmacy can also register a prescription based on paper prescription, or based on a phone call from a prescriber. This value is entered when creating the prescription, and is never updated. Comments 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. Data Type Extension(code) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLRegistrationBasis Binding Typ av registreringsunderlag (registration-basis) (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Typ av registreringsunderlag
nllUsageDates	S I	0..1	Extension(Complex)	Element Id MedicationRequest.extension:nllUsageDates Short description Usage dates Alternate names extensions, user content Definition Dates that are used for scheduling the use of the prescribed article. Comments 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. Data Type Extension(Complex) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLUsageDates Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
extension	I	0..*	Extension	Element Id MedicationRequest.extension:nllUsageDates.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments 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. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
usageStartDate	S I	0..1	Extension	Element Id MedicationRequest.extension:nllUsageDates.extension:usageStartDate Short description When the patient should start using the medication. Alternate names extensions, user content Definition The date when the patient should start administering the medication according to the prescription. Comments 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. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Första doseringsdag
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id MedicationRequest.extension:nllUsageDates.extension:usageStartDate.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments 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. Data Type System.String Fixed Value usageStartDate Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id MedicationRequest.extension:nllUsageDates.extension:usageStartDate.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueDate			date	There are no (further) constraints on this element Data Type date
usageEndDate	S I	0..1	Extension	Element Id MedicationRequest.extension:nllUsageDates.extension:usageEndDate Short description When the patient should stop using the medication. Alternate names extensions, user content Definition The date when the patient should stop administering the medication according to current prescription. Comments 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. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Sista doseringsdag
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id MedicationRequest.extension:nllUsageDates.extension:usageEndDate.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments 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. Data Type System.String Fixed Value usageEndDate Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id MedicationRequest.extension:nllUsageDates.extension:usageEndDate.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueDate			date	There are no (further) constraints on this element Data Type date
scheduleStartDate	S I	0..1	Extension	Element Id MedicationRequest.extension:nllUsageDates.extension:scheduleStartDate Short description Dosage schedule start date Alternate names extensions, user content Definition Set by the Swedish eHealth Agency. Date used in renewed prescriptions whith repeating dosages for calculating the current day in the schedule. Used for repeating dosages with "time of day" or "when" (sv tillfällesdosering) and a UsageStartDate (första doseringsdag). Comments Schedule Start Date is a mechanism for calculating the current day in the schedule when a prescription with a repeating schedule has been renewed once or several times. Schedule Start Date is the original Usage Start Date form the first prescription when the schedule was defined. Example: The first prescription had a Usage Start Date which was 2020-08-23 and the schedule repeats every second day ("Take every second day"). Then the Schedule Start Date will be set to 2020-08-23 and togehter with the instructions of the schedule it is possible calculate which day of the schedule any given date will correspond to, ie a day when the patient should take the medication or a day when no medication should be administered. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Schemastartdag
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id MedicationRequest.extension:nllUsageDates.extension:scheduleStartDate.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments 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. Data Type System.String Fixed Value scheduleStartDate Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id MedicationRequest.extension:nllUsageDates.extension:scheduleStartDate.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueDate			date	There are no (further) constraints on this element Data Type date
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id MedicationRequest.extension:nllUsageDates.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments 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. Data Type System.String Fixed Value http://electronichealth.se/fhir/StructureDefinition/NLLUsageDates Mappings rim:N/A
value[x]		0..0		There are no (further) constraints on this element Element Id MedicationRequest.extension:nllUsageDates.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
nllCompletePrescriptionChoice	S I	0..1	Extension(code)Binding	Element Id MedicationRequest.extension:nllCompletePrescriptionChoice Short description Prescription completion descision Alternate names extensions, user content Definition Only used for input. When 12% or less of the total quantity of the prescribed medication is left, the prescription will automatically be set to status "Completed". A pharmacist can make a descision to overrule the automatic rules by either choosing to set the prescription status to "Completed" or to keep the status "Active". Comments 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. Data Type Extension(code) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLCompletePrescriptionChoice Binding Beslut slutexpediering (complete-prescription-choices) (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Beslut slutexpediering
nllOrdinationsId	S I	0..1	Extension(decimal)	Element Id MedicationRequest.extension:nllOrdinationsId Short description OrdinationsId from OR (Receptdepå human) Alternate names extensions, user content Definition Calculated by the Swedish eHealth Agency. Not used for input. Legacy id used for identifying prescriptions which is used in the OR (Receptdepå human) API. In OR this corresponds to ordinationsId, which is unique for each version of the prescription. This attribute will be removed after the end of the transition period. Comments 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. Data Type Extension(decimal) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLOrdinationsId Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:OR-OrdinationsId
nllTidigareOrdinationsid	S I	0..1	Extension(decimal)	Element Id MedicationRequest.extension:nllTidigareOrdinationsid Short description Tidigare OrdinationsId OR (Receptdepå human) Alternate names extensions, user content Definition Calculated by the Swedish eHealth Agency. Not used for input. Legacy id used for identifying prescriptions which is used in the OR (Receptdepå human) API. "Tidigare OrdinationsId" is used for identifying a prior prescription originally created in OR (Receptdepå Human) . In OR this corresponds to tidigareOrdinationsId. This attribute will be removed after the end of the transition period. Comments 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. Data Type Extension(decimal) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLTidigareOrdinationsid Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Referens till tidigare OR-ordinations-id
identifier	S	0..*	Identifier	Element Id MedicationRequest.identifier Short description External ids for this request Definition 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. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server. Comments This is a business identifier, not a resource identifier. Data Type Identifier Sliced: Unordered, Open, by system(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier workflow:Request.identifier script10.6:Message/Header/PrescriberOrderNumber w5:FiveWs.identifier v2:ORC-2-Placer Order Number / ORC-3-Filler Order Number rim:.id
NEF	S	0..1	Identifier	Element Id MedicationRequest.identifier:NEF Short description Legacy ids used in NEF and OR Definition Ids used for identifying prescriptions originally created in NEF or OR. In OR this corresponds to originalOrdinationsId, which is the same as PrescriptionSetId in NEF. In OR a originalOrdinationsId/PrescriptionSetId always correspons to one unique prescription. In NEF the combination of PrescriptionSetId-PrescriptionItemId corresponds to one unique prescription. PrescriptionItemId is made up from RowId-ProductRowId. originalOrdinationsId/PrescriptionSetId is in the form of a UUID. RowId and ProductRowId are counters. These attributes will be removed after the end of the transition period. Comments This is a business identifier, not a resource identifier. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier workflow:Request.identifier script10.6:Message/Header/PrescriberOrderNumber w5:FiveWs.identifier v2:ORC-2-Placer Order Number / ORC-3-Filler Order Number rim:.id
extension	I	0..*	Extension	Element Id MedicationRequest.identifier:NEF.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments 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. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
NEFIdParts	S I	0..1	Extension(Complex)	Element Id MedicationRequest.identifier:NEF.extension:NEFIdParts Short description Legacy id NEF and OR Alternate names extensions, user content Definition IDs used by the old e-prescription format NEF, Nationell E-receptförvaltning and OR, Receptdepå Human. Comments 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. Data Type Extension(Complex) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLNEFId Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
extension	I	1..*	Extension	Element Id MedicationRequest.identifier:NEF.extension:NEFIdParts.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments 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. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
PrescriptionSetId	S I	1..1	Extension	Element Id MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:PrescriptionSetId Short description PrescriptionSetId / Originalordinationsid Alternate names extensions, user content Definition NEF: PrescriptionSetId, OR: Originalordinationsid is a legacy identifier used by NEF/PIRR and OR. Every prescription created by systems connected before Swedish National Medication List will have a PrescriptionSetId/orignalordinationsid. However, it does not allways identify a unique prescription. To search for a unique prescriptions the RowId/radnummer and ProductRowId/produktradnummer may be needed as well. Comments Maximum string length: 36 Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Originalordinations-id
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:PrescriptionSetId.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments 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. Data Type System.String Fixed Value PrescriptionSetId Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:PrescriptionSetId.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Maximum string length 36 Mappings rim:n/a rim:N/A
valueString			string	There are no (further) constraints on this element Data Type string
RowId	S I	0..1	Extension	Element Id MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:RowId Short description NEF: PrescriptionItemId first part Alternate names extensions, user content Definition NEF: PrescriptionItemId the first part of ReceptradId that corresponds to sekvensnummer/radnummer. Comments 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. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Radnummer
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:RowId.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments 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. Data Type System.String Fixed Value RowId Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:RowId.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valuePositiveInt			positiveInt	There are no (further) constraints on this element Data Type positiveInt
ProductRowId	S I	0..1	Extension	Element Id MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:ProductRowId Short description NEF: PrescriptionItemId second part Alternate names extensions, user content Definition NEF: PrescriptionItemId the second part of ReceptradId that corresponds to löpnummer/produktradnummer. Comments 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. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Produktradnummer
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:ProductRowId.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments 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. Data Type System.String Fixed Value ProductRowId Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id MedicationRequest.identifier:NEF.extension:NEFIdParts.extension:ProductRowId.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valuePositiveInt			positiveInt	There are no (further) constraints on this element Data Type positiveInt
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id MedicationRequest.identifier:NEF.extension:NEFIdParts.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments 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. Data Type System.String Fixed Value http://electronichealth.se/fhir/StructureDefinition/NLLNEFId Mappings rim:N/A
value[x]		0..0		There are no (further) constraints on this element Element Id MedicationRequest.identifier:NEF.extension:NEFIdParts.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id MedicationRequest.identifier:NEF.use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data Type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id MedicationRequest.identifier:NEF.type Short description Description of identifier Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments 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. Data Type CodeableConcept Binding 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 ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:CX.5 rim:Role.code or implied by context
system	S Σ	1..1	uriFixed Value	Element Id MedicationRequest.identifier:NEF.system Short description The namespace for the identifier value Definition Establishes the namespace for the value - that is, a URL that describes a set values that are unique. Requirements 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. Comments Identifier.system is always case sensitive. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value http://electronichealth.se/fhir/NamingSystem/NEFId Mappings rim:n/a v2:CX.4 / EI-2-4 rim:II.root or Role.id.root servd:./IdentifierType
value	S Σ	0..1	string	Element Id MedicationRequest.identifier:NEF.value Short description The complete NEFid Definition Calculated by the Swedish eHealth Agency. The complete NEFid for the specific prescribed article, i.e. a combination of PrescriptionSetId and PrescriptionItemId where applicable. PrescriptionItemId is made up from RowId-ProductRowId. In OR only PrescriptionSetId/originalOrdinationsId is used. originalOrdinationsId/PrescriptionSetId is in the form of a UUID. RowId and ProductRowId are counters. The format is "PrescriptionSetId/Originalordinationsid - PrescriptionItemid/RadnummerNEF", i.e. UUID-x-y. Example 123e4567-e89b-12d3-a456-426655440000-2-1, where the ending "2-1" are RowId-ProductRowId. Comments 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. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Examples General 123456 Mappings rim:n/a v2:CX.1 / EI.1 rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd:./Value EHM:Kombinerat NEF-id
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id MedicationRequest.identifier:NEF.period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments 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"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:CX.7 + CX.8 rim:Role.effectiveTime or implied by context servd:./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id MedicationRequest.identifier:NEF.assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments 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. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:CX.4 / (CX.4,CX.9,CX.10) rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd:./IdentifierIssuingAuthority
status	S Σ ?!	1..1	codeBinding	Element Id MedicationRequest.status Short description active \| on-hold \| cancelled \| completed \| stopped Definition The status of the prescription. The following statuses will be used: active, cancelled, on-hold (suspended), completed and stopped. The following statuses will not be used: entered-in-error, draft and unknown. Comments This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. Data Type code Binding A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Förskrivningsstatus (medication-request-status) (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.status script10.6:no mapping w5:FiveWs.status rim:.statusCode EHM:Förskrivningsstatus
statusReason	S	0..1	CodeableConceptBinding	Element Id MedicationRequest.statusReason Short description Reason for current status Definition Set by the Swedish E-health Agency. Reason for the current status of the prescription. Comments This is generally only used for "exception" statuses such as "suspended" or "cancelled". The reason why the MedicationRequest was created at all is captured in reasonCode, not here. Data Type CodeableConcept Binding Identifies the reasons for a given status. Förskrivningsstatusorsak (medication-request-status-reasons) (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD workflow:Request.statusReason rim:.inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde EHM:Förskrivningsstatusorsak
coding	S Σ	0..1	Coding	There are no (further) constraints on this element Element Id MedicationRequest.statusReason.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	S Σ	1..1	uri	There are no (further) constraints on this element Element Id MedicationRequest.statusReason.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments 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 reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	S Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.statusReason.coding.version Short description Version of the system - if relevant Definition The 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. Comments 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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element Id MedicationRequest.statusReason.coding.code Short description Symbol in syntax defined by the system Definition A 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). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.statusReason.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id MedicationRequest.statusReason.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements 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. Comments 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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.statusReason.text Short description Plain text representation of the concept Definition A 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. Requirements 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. Comments Very often the text is the same as a displayName of one of the codings. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
intent	S Σ ?!	1..1	codeBindingFixed Value	Element Id MedicationRequest.intent Short description order Definition A prescription is always an order. Comments 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. Data Type code Binding The kind of medication order. medicationRequest Intent (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value order Mappings rim:n/a workflow:Request.intent w5:FiveWs.class rim:.moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)
category		0..*	CodeableConcept	There are no (further) constraints on this element Element Id MedicationRequest.category Short description Type of medication usage Definition Indicates the type of medication request (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)). Comments The category can be used to include where the medication is expected to be consumed or other types of requests. Data Type CodeableConcept Binding A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. medicationRequest Category Codes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD script10.6:Message/Body/NewRx/MedicationPrescribed/Directions or Message/Body/NewRx/MedicationPrescribed/StructuredSIG w5:FiveWs.class rim:.inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication usage"].value
priority	S Σ	0..1	codeBinding	Element Id MedicationRequest.priority Short description urgent Definition Shall only be used for dose dispensed prescriptions. Indicates that actions may need to be taken before next ordinary production date. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Binding Identifies the level of importance to be assigned to actioning the request. Förskrivning akutflagga (medication-request-priority) (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.priority w5:FiveWs.grade rim:.priorityCode EHM:Akut förändring
doNotPerform	Σ ?!	0..1	boolean	There are no (further) constraints on this element Element Id MedicationRequest.doNotPerform Short description True if request is prohibiting action Definition If true indicates that the provider is asking for the medication request not to occur. Comments If do not perform is not specified, the request is a positive request e.g. "do perform". Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:SubstanceAdministration.actionNegationInd
reported[x]	Σ	0..1		There are no (further) constraints on this element Element Id MedicationRequest.reported[x] Short description Reported rather than primary record Definition Indicates if this record was captured as a secondary 'reported' record rather than as an original primary source-of-truth record. It may also indicate the source of the report. Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.participation[typeCode=INF].role
reportedBoolean			boolean	There are no (further) constraints on this element Data Type boolean
reportedReference			Reference(Patient \| Practitioner \| PractitionerRole \| RelatedPerson \| Organization)	There are no (further) constraints on this element Data Type Reference(Patient \| Practitioner \| PractitionerRole \| RelatedPerson \| Organization)
medication[x]	S Σ	1..1		Element Id MedicationRequest.medication[x] Short description Prescribed article Definition Identifies the medical product or medical consumable being prescribed. Medical products are prescribed using both NPL-id (medical product) and NPL-pack-id (packaged medical product). Medical consumables are prescribed using item number (sv varunummer). Comments 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. Binding A coded concept identifying substance or product that can be ordered. SNOMEDCTMedicationCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.code script10.6:Message/Body/NewRx/MedicationPrescribed Medication.code.coding.code = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCode Medication.code.coding.system = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCodeQualifier Medication.code.coding.display = Message/Body/NewRx/MedicationPrescribed/DrugDescription w5:FiveWs.what[x] v2:RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code rim:consumable.administrableMedication EHM:Artikel
medicationCodeableConcept			CodeableConcept	Data Type CodeableConcept
coding	S Σ	1..*	Coding	Element Id MedicationRequest.medication[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data Type Coding Sliced: Unordered, Open, by system(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
nplid	S Σ	0..1	Coding	Element Id MedicationRequest.medication[x].coding:nplid Short description NPL-id Definition A unique identifier of a medical product according to "Nationellt produktregister för läkemedel" provided by the Swedish Medical Products Agency (sv Läkemedelsverket) Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments The naming system http://electronichealth.se/fhir/NamingSystem/nplid includes both NPL ID defined by Läkemedelsverket and SB ID defined by E-hälsomyndigheten Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding EHM:NPL-id
system	S Σ	1..1	uriFixed Value	Element Id MedicationRequest.medication[x].coding:nplid.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments 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 reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value http://electronichealth.se/fhir/NamingSystem/nplid Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.medication[x].coding:nplid.version Short description Version of the system - if relevant Definition The 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. Comments 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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	Element Id MedicationRequest.medication[x].coding:nplid.code Short description Symbol in syntax defined by the system Definition A 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). Requirements Need to refer to a particular code in the system. Comments Maximum string length: 14 Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.medication[x].coding:nplid.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id MedicationRequest.medication[x].coding:nplid.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements 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. Comments 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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
nplpackid	S Σ	0..1	Coding	Element Id MedicationRequest.medication[x].coding:nplpackid Short description NPL-pack-id Definition A unique identifier of a medical product package according to "Nationellt produktregister för läkemedel" provided by the Swedish Medical Products Agency (sv Läkemedelsverket) Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments The naming system http://electronichealth.se/fhir/NamingSystem/nplpackid includes both NPL-Pack ID defined by Läkemedelsverket and SB-Pack ID defined by E-hälsomyndigheten Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding EHM:NPL-pack-id
system	S Σ	1..1	uriFixed Value	Element Id MedicationRequest.medication[x].coding:nplpackid.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments 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 reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value http://electronichealth.se/fhir/NamingSystem/nplpackid Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.medication[x].coding:nplpackid.version Short description Version of the system - if relevant Definition The 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. Comments 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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	Element Id MedicationRequest.medication[x].coding:nplpackid.code Short description Symbol in syntax defined by the system Definition A 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). Requirements Need to refer to a particular code in the system. Comments Maximum string length: 14 Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.medication[x].coding:nplpackid.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id MedicationRequest.medication[x].coding:nplpackid.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements 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. Comments 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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
varunr	S Σ	0..1	Coding	Element Id MedicationRequest.medication[x].coding:varunr Short description Varunummer Definition A unique identifier of a medical consumable according to "Nationellt produktregister för läkemedel" provided by the Swedish Medical Products Agency (sv Läkemedelsverket) Also a non-unique identifier of a medical product package. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding EHM:Varunummer
system	S Σ	1..1	uriFixed Value	Element Id MedicationRequest.medication[x].coding:varunr.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments 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 reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value http://electronichealth.se/fhir/NamingSystem/varunr Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.medication[x].coding:varunr.version Short description Version of the system - if relevant Definition The 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. Comments 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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	Element Id MedicationRequest.medication[x].coding:varunr.code Short description Symbol in syntax defined by the system Definition A 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). Requirements Need to refer to a particular code in the system. Comments Minimum string length: 6 Maximum string length: 6 Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.medication[x].coding:varunr.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id MedicationRequest.medication[x].coding:varunr.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements 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. Comments 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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	S Σ	0..1	string	Element Id MedicationRequest.medication[x].text Short description Information about the prescribed article Definition FOR FUTURE USE, SHOULD NOT BE USED! Used to provide information about the prescribed article when a specified article isn´t available. For example when prescribing extemporaneous preparations. Requirements 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. Comments Max length: 255 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Maximum string length 255 Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText EHM:Beskrivning artikel
subject	S Σ I	1..1	Reference(NLLPatient)	Element Id MedicationRequest.subject Short description Who the prescription is for Definition Patient resource representing the person to whom the medical product will be given. When the patient has a Swedish personal identity number (personnummer) the patient shall be provided as a referenced Patient resorce. If the patient does not have a Swedish personal identity number the Patient resource should be contained in the MedicationRequest resource. Comments 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. Data Type Reference(NLLPatient) Allowed aggregation: contained, referenced Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.subject script10.6:Message/Body/NewRx/Patient (need detail to link to specific patient … Patient.Identification in SCRIPT) w5:FiveWs.subject[x] v2:PID-3-Patient ID List rim:.participation[typeCode=AUT].role w5:FiveWs.subject EHM:Patientreferens
encounter	I	0..1	Reference(Encounter)	There are no (further) constraints on this element Element Id MedicationRequest.encounter Short description Encounter created as part of encounter/admission/stay Definition The Encounter during which this [x] was created or to which the creation of this record is tightly associated. Comments This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter." If there is a need to link to episodes of care they will be handled with an extension. Data Type Reference(Encounter) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.context script10.6:no mapping w5:FiveWs.context v2:PV1-19-Visit Number rim:.inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code="type of encounter or episode"]
supportingInformation	I	0..*	Reference(Resource)	There are no (further) constraints on this element Element Id MedicationRequest.supportingInformation Short description Information to support ordering of the medication Definition Include additional information (for example, patient height and weight) that supports the ordering of the medication. Comments 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. Data Type Reference(Resource) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.supportingInfo w5:FiveWs.context rim:.outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]
authoredOn	S Σ	1..1	dateTime	Element Id MedicationRequest.authoredOn Short description When prescription was initially authored Definition The date and time when the prescription was authored. Comments The time part is not mandatory, only a date may be provided. Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.authoredOn script10.6:Message/Body/NewRx/MedicationPrescribed/WrittenDate w5:FiveWs.recorded v2:RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction rim:author.time EHM:Utfärdandedatum
requester	S Σ I	1..1	Reference(NLLPractitioner)	Element Id MedicationRequest.requester Short description The practitioner who prescribed the article Definition The practitioner who prescribed the article Comments 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. Data Type Reference(NLLPractitioner) Allowed aggregation: contained Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.requester w5:FiveWs.author rim:.participation[typeCode=AUT].role EHM:Utfärdande förskrivare
performer	I	0..1	Reference(Practitioner \| PractitionerRole \| Organization \| Patient \| Device \| RelatedPerson \| CareTeam)	There are no (further) constraints on this element Element Id MedicationRequest.performer Short description Intended performer of administration Definition The specified desired performer of the medication treatment (e.g. the performer of the medication administration). Comments 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. Data Type Reference(Practitioner \| PractitionerRole \| Organization \| Patient \| Device \| RelatedPerson \| CareTeam) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.performer w5:FiveWs.actor rim:.participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
performerType	Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element Id MedicationRequest.performerType Short description Desired kind of performer of the medication administration Definition Indicates the type of performer of the administration of the medication. Comments If specified without indicating a performer, this indicates that the performer must be of the specified type. If specified with a performer then it indicates the requirements of the performer if the designated performer is not available. Data Type CodeableConcept Binding Identifies the type of individual that is desired to administer the medication. ProcedurePerformerRoleCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD workflow:Request.performerType rim:.participation[typeCode=PRF].role[scoper.determinerCode=KIND].code
recorder	I	0..1	Reference(Practitioner \| PractitionerRole)	There are no (further) constraints on this element Element Id MedicationRequest.recorder Short description Person who entered the request Definition The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order. Comments 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. Data Type Reference(Practitioner \| PractitionerRole) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.who rim:.participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType)
reasonCode	S	0..*	CodeableConceptBinding	Element Id MedicationRequest.reasonCode Short description Reason for the treatment Definition The reason stated by the practitioner for ordering a medical product (behandlingsorsak). A code from "Nationell källa för ordinationsorsak" which is a code system that is defined by the Swedish National Board of Health and Welfare (Socialstyrelsen). The code system consists of SnomedCT codes for reasons. Each medical product has of a selection of valid SnomedCT reason codes. The reason shall also be expressed in a way that can be easily understood by the patient (behandlingsändamål). This should be entered in nllPatientTreatmentReason. If there is no available code that describes the reason, then the code "OTH" (Other) shall be used. In that case a text describing the reason must be provided in reasonCode.text. Comments _ Data Type CodeableConcept Binding A coded concept indicating why the medication was ordered. Behandlingsorsak (nll-snomed-behandlingsorsak) (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD workflow:Request.reasonCode script10.6:Message/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value w5:FiveWs.why[x] v2:ORC-16-Order Control Code Reason /RXE-27-Give Indication/RXO-20-Indication / RXD-21-Indication / RXG-22-Indication / RXA-19-Indication rim:reason.observation.reasonCode EHM:Behandlingsorsak
coding	S Σ	1..1	Coding	There are no (further) constraints on this element Element Id MedicationRequest.reasonCode.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	S Σ	0..1	uri	There are no (further) constraints on this element Element Id MedicationRequest.reasonCode.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments 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 reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	S Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.reasonCode.coding.version Short description Version of the system - if relevant Definition The 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. Comments 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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element Id MedicationRequest.reasonCode.coding.code Short description Symbol in syntax defined by the system Definition A 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). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.reasonCode.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id MedicationRequest.reasonCode.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements 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. Comments 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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	S Σ	0..1	string	Element Id MedicationRequest.reasonCode.text Short description Other reason Definition If no code could be chosen from "Nationell källa för ordinationsorsak" an other reason may be entered here. Requirements 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. Comments Maximum string length: 255 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText EHM:Beskrivning annan behandlingsorsak
reasonReference	I	0..*	Reference(Condition \| Observation)	There are no (further) constraints on this element Element Id MedicationRequest.reasonReference Short description Condition or observation that supports why the prescription is being written Definition Condition or observation that supports why the medication was ordered. Comments This is a reference to a condition or observation that is the reason for the medication order. If only a code exists, use reasonCode. Data Type Reference(Condition \| Observation) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.reasonReference script10.6:no mapping w5:FiveWs.why[x] rim:reason.observation[code=ASSERTION].value
instantiatesCanonical	Σ	0..*	canonical()	There are no (further) constraints on this element Element Id MedicationRequest.instantiatesCanonical Short description Instantiates FHIR protocol or definition Definition The URL pointing to a protocol, guideline, orderset, or other definition that is adhered to in whole or in part by this MedicationRequest. Comments see Canonical References Data Type canonical() Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a workflow:Request.instantiates rim:.outboundRelationship[typeCode=DEFN].target
instantiatesUri	Σ	0..*	uri	There are no (further) constraints on this element Element Id MedicationRequest.instantiatesUri Short description Instantiates external protocol or definition Definition The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this MedicationRequest. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.outboundRelationship[typeCode=DEFN].target
basedOn	Σ I	0..*	Reference(CarePlan \| MedicationRequest \| ServiceRequest \| ImmunizationRecommendation)	There are no (further) constraints on this element Element Id MedicationRequest.basedOn Short description What request fulfills Definition A plan or request that is fulfilled in whole or in part by this medication request. Comments 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. Data Type Reference(CarePlan \| MedicationRequest \| ServiceRequest \| ImmunizationRecommendation) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.basedOn rim:.outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]
groupIdentifier	Σ	0..1	Identifier	There are no (further) constraints on this element Element Id MedicationRequest.groupIdentifier Short description Composite request this is part of Definition A 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. Requirements 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. Data Type Identifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CX / EI (occasionally, more often EI maps to a resource id or a URL) rim:II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] servd:Identifier workflow:Request.groupIdentifier rim:.outboundRelationship(typeCode=COMP].target[classCode=SBADM, moodCode=INT].id
courseOfTherapyType		0..1	CodeableConcept	There are no (further) constraints on this element Element Id MedicationRequest.courseOfTherapyType Short description Overall pattern of medication administration Definition The description of the overall patte3rn of the administration of the medication to the patient. Comments This attribute should not be confused with the protocol of the medication. Data Type CodeableConcept Binding Identifies the overall pattern of medication administratio. medicationRequest Course of Therapy Codes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:Act.code where classCode = LIST and moodCode = EVN
insurance	I	0..*	Reference(Coverage \| ClaimResponse)	There are no (further) constraints on this element Element Id MedicationRequest.insurance Short description Associated insurance coverage Definition Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service. Comments 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. Data Type Reference(Coverage \| ClaimResponse) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.insurance rim:.outboundRelationship[typeCode=COVBY].target
note	S	0..4	NLLAnnotation	Element Id MedicationRequest.note Short description Text node with attribution Definition Prescriptions in the Swedish National Medication List can contain 4 different kinds of notes: pre=Prescribers comment (Förskrivarens kommentar, read/write) pha=Pharmacists comment (Apotekets kommentar, read/write) not=Prescribers note (Notat förskrivare, read only, will be deprecated) dli=Delivery message (Leveransmeddelande, read only, will be deprecated) Comments 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). Data Type NLLAnnotation Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Act workflow:Request.note script10.6:Message/Body/NewRx/MedicationPrescribed/Note rim:.inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].value EHM:Apotekets kommentar, Förskrivarens kommentar, Leveransmeddelande, Notat förskrivare
extension	I	1..*	Extension	Element Id MedicationRequest.note.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments 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. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
nllMedReqNoteType	S I	1..1	Extension(code)	Element Id MedicationRequest.note.extension:nllMedReqNoteType Short description Type of note Alternate names extensions, user content Definition Optional Extension Element - found in all resources. Comments 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. Data Type Extension(code) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLMedReqNoteType Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id MedicationRequest.note.extension:nllMedReqNoteType.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments 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. Data Type System.String Fixed Value http://electronichealth.se/fhir/StructureDefinition/NLLMedReqNoteType Mappings rim:N/A
value[x]	S	1..1	Binding	There are no (further) constraints on this element Element Id MedicationRequest.note.extension:nllMedReqNoteType.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Binding Typ av förskrivningsnotering (medreq-note-types) (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCode			code	There are no (further) constraints on this element Data Type code
author[x]	Σ	0..1		There are no (further) constraints on this element Element Id MedicationRequest.note.author[x] Short description Individual responsible for the annotation Definition The individual responsible for making the annotation. Comments Organization is used when there's no need for specific attribution as to who made the comment. Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Act.participant[typeCode=AUT].role
authorString			string	There are no (further) constraints on this element Data Type string
authorReference			Reference(Practitioner \| Patient \| RelatedPerson \| Organization)	There are no (further) constraints on this element Data Type Reference(Practitioner \| Patient \| RelatedPerson \| Organization)
time	Σ	0..1	dateTime	There are no (further) constraints on this element Element Id MedicationRequest.note.time Short description When the annotation was made Definition Indicates when this particular annotation was made. Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Act.effectiveTime
text	S Σ	1..1	markdown	Element Id MedicationRequest.note.text Short description The annotation - text content (as markdown) Definition The text of the annotation in markdown format. Comments Maximum string length prescribers comment (Förskrivarens kommentar): 35 Maximum string length pharmacists comment (Apotekets kommentar): 512 Maximum string length prescribers note (Notat förskrivare): 255 Maximum string length delivery message (Leveransmeddelande): 35 Data Type markdown Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Act.text
dosageInstruction	S	0..*	NLLDosage	Element Id MedicationRequest.dosageInstruction Short description How the medication should be taken Definition Mandatory for medications and technical spirit Comments 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. Data Type NLLDosage Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:.outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT] workflow:Request.occurrence[x] rim:see dosageInstruction mapping
extension	I	0..*	Extension	Element Id MedicationRequest.dosageInstruction.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments 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. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
nllObservandumDose	S I	0..1	Extension(boolean)	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.extension:nllObservandumDose Short description Dose exceeds recommended dose Alternate names extensions, user content Definition Indicates that the prescriber has made a conscious choice where the dose exceeds what is recommended for the prescribed medication. Comments NB! The same value must be provided in this element on each sequence / subsequence. Data Type Extension(boolean) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLObservandumDose Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Obs. överstiger rekommenderad dos
nllAdministeringInstruction	S I	0..1	Extension(string)	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.extension:nllAdministeringInstruction Short description Patient oriented administration instructions Alternate names extensions, user content Definition Administration instructions put in terms that are comprehensible to the patient. This shall be generated from the structured administration information attributes. Comments Maximum string length: 512 NB! The same value must be provided in this element on each sequence / subsequence. Data Type Extension(string) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLAdministeringInstruction Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Administreringsinstruktion
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.extension:nllAdministeringInstruction.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments 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. Data Type System.String Fixed Value http://electronichealth.se/fhir/StructureDefinition/NLLAdministeringInstruction Mappings rim:N/A
value[x]	S	0..1		Element Id MedicationRequest.dosageInstruction.extension:nllAdministeringInstruction.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Maximum string length 512 Mappings rim:n/a rim:N/A EHM:Administreringsinstruktion
valueString			string	There are no (further) constraints on this element Data Type string
nllMedicalDevice	S I	0..1	Extension(CodeableConcept)	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.extension:nllMedicalDevice Short description Medical device to use for administration. Alternate names extensions, user content Definition Medical device to use for administration. Requirements If there is no appropriate coded value, then the code OTH=Other should be used together with the free text element "text” Comments NB! The same value must be provided in this element on each sequence / subsequence. Data Type Extension(CodeableConcept) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLMedicalDevice Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Medicinteknisk produkt vid läkemedelsadministrering
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.extension:nllMedicalDevice.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments 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. Data Type System.String Fixed Value http://electronichealth.se/fhir/StructureDefinition/NLLMedicalDevice Mappings rim:N/A
value[x]	S	1..1		There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
coding	S Σ	0..1	CodingBinding	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data Type Coding Binding Medicinteknisk produkt vid läkemedelsadministrering (nll-snomed-medical-device) (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	S Σ	0..1	uri	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments 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 reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	S Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x].coding.version Short description Version of the system - if relevant Definition The 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. Comments 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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x].coding.code Short description Symbol in syntax defined by the system Definition A 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). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x].coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements 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. Comments 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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	S Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.extension:nllMedicalDevice.value[x].text Short description Plain text representation of the concept Definition A 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. Requirements 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. Comments Maximum string length: 256 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Maximum string length 256 Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText EHM:Beskrivning annan medicinteknisk produkt
nllSubSequence	S I	0..1	Extension(integer)	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.extension:nllSubSequence Short description Subsequence Alternate names extensions, user content Definition Indicates the order of subqeuences within a sequence. Requirements Only used in dosage type "tillfällesdosering”, using "timeOfDay" or "when" Comments The purpose of a subsequence is to provide a repeating mechanism within a sequence. Subsequences enable communication of irregular dosage schedules that should be repeated within a sequence. NB! There are a number of elements that must contain the same values on each sequence and subsequence. For example the dose unit and dose rate unit, the site, route and method and the asNeeded-attribute. Data Type Extension(integer) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLSubSequence Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Subsekvens
nllDosageType	S I	0..1	Extension(code)	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.extension:nllDosageType Short description Dosage type Alternate names extensions, user content Definition Calculated by the Swedish eHealth Agency. The dosage type that matches the provided set of dosage data. Comments _ Data Type Extension(code) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLDosageType Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Doseringstyp
nllSiteQualifier	S I	0..1	Extension(CodeableConcept)	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.extension:nllSiteQualifier Short description More precise administration site Alternate names extensions, user content Definition Qualified adminsitration site is used when more exact information about the site is needed. Requirements To be used only when combinated with MedicationRequest.dosageInstruction.site.coding If there is no appropriate coded value, then the code OTH=Other must be used in combination the free text attribute "text". Comments NB! The same value must be provided in this element on each sequence / subsequence. Data Type Extension(CodeableConcept) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLSiteQualifier Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Precisering av administreringsställe
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.extension:nllSiteQualifier.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments 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. Data Type System.String Fixed Value http://electronichealth.se/fhir/StructureDefinition/NLLSiteQualifier Mappings rim:N/A
value[x]	S	1..1		There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueCodeableConcept			CodeableConcept	There are no (further) constraints on this element Data Type CodeableConcept
coding	S Σ	1..1	CodingBinding	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x].coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data Type Coding Binding Precisering av administreringsställe (nll-snomed-qualifier) (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	S Σ	0..1	uri	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x].coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments 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 reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	S Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x].coding.version Short description Version of the system - if relevant Definition The 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. Comments 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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x].coding.code Short description Symbol in syntax defined by the system Definition A 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). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code EHM:*Precisering av administreringsställe
display	Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x].coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x].coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements 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. Comments 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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	S Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.extension:nllSiteQualifier.value[x].text Short description Plain text representation of the concept Definition A 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. Requirements 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. Comments Maximum string length: 256 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Maximum string length 256 Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText EHM:Beskrivning annan precisering av administreringsställe
sequence	S Σ	1..1	integer	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.sequence Short description The order of the dosage instructions Definition Indicates the order in which the dosage instructions should be applied or interpreted. Requirements 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. Comments NB! There are a number of elements that must contain the same values on each sequence and subsequence. For example the dose unit and dose rate unit, the site, route and method and the asNeeded-attribute. Data Type integer Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:TQ1-1 rim:.text EHM:Sekvens
text	S Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.text Short description Free text dosage Definition Free text dosage Requirements In the Swedish National Medication List there will be either a free text dosage or coded dosage instructions, never both. Comments Maximum string length: 512 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Maximum string length 512 Mappings rim:n/a v2:RXO-6; RXE-21 rim:.text EHM:Fritextdosering
additionalInstruction	S Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.additionalInstruction Short description Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Definition Supplemental instructions to the patient on how to take the medication (e.g. "with meals" or"take half to one hour before food") or warnings for the patient about the medication (e.g. "may cause drowsiness" or "avoid exposure of skin to direct sunlight or sunlamps"). Requirements In the Swedish National Medication List Additional instruction is written in free text. Comments NB! The same value must be provided in this element on each sequence / subsequence. Data Type CodeableConcept Binding A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". SNOMEDCTAdditionalDosageInstructions (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:RXO-7 rim:.text
coding	Σ	0..*	Coding	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.additionalInstruction.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments 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. Data Type Coding Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
text	S Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.additionalInstruction.text Short description Plain text representation of the concept Definition A 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. Requirements In the Swedish National Medication List Additional instruction is written in free text. Comments Maximum string length: 512 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Maximum string length 512 Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText EHM:Annan instruktion
patientInstruction	S Σ	1..1	string	Element Id MedicationRequest.dosageInstruction.patientInstruction Short description Patient oriented dosage instructions Definition Dosage instructions in terms that are understood by the patient. Comments Maximum string length: 512 NB! The same value must be provided in this element on each sequence / subsequence. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Maximum string length 512 Mappings rim:n/a v2:RXO-7 rim:.text EHM:Doseringsinstruktion
timing	S Σ	0..1	Timing	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing Short description When medication should be administered Definition When medication should be administered. Requirements The timing schedule for giving the medication to the patient. This 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. Comments _ Data Type Timing Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:QSET<TS> (GTS) rim:.effectiveTime
event	Σ	0..*	dateTime	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.event Short description When the event occurs Definition Identifies specific times when the event occurs. Requirements In a Medication Administration Record, for instance, you need to take a general specification, and turn it into a precise specification. Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:QLIST<TS>
repeat	S Σ I	0..1	Element	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat Short description When the event is to occur Definition A set of rules that describe when the event is scheduled. Requirements Many timing schedules are determined by regular repetitions. Data Type Element Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` tim-9:If there's an offset, there must be a when (and not C, CM, CD, CV) `offset.empty() or (when.exists() and ((when in ('C' \| 'CM' \| 'CD' \| 'CV')).not()))` tim-5:period SHALL be a non-negative value `period.exists() implies period >= 0` tim-6:If there's a periodMax, there must be a period `periodMax.empty() or period.exists()` tim-7:If there's a durationMax, there must be a duration `durationMax.empty() or duration.exists()` tim-8:If there's a countMax, there must be a count `countMax.empty() or count.exists()` tim-1:if there's a duration, there needs to be duration units `duration.empty() or durationUnit.exists()` tim-10:If there's a timeOfDay, there cannot be a when, or vice versa `timeOfDay.empty() or when.empty()` tim-2:if there's a period, there needs to be period units `period.empty() or periodUnit.exists()` tim-4:duration SHALL be a non-negative value `duration.exists() implies duration >= 0` Mappings rim:n/a rim:Implies PIVL or EIVL
extension	I	0..*	Extension	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments 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. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
nllSubSequenceDuration	S I	0..1	Extension(Quantity)	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.extension:nllSubSequenceDuration Short description SubSequence duration Alternate names extensions, user content Definition The duration of the subsequence. This can only be used if there is a subsequence within the sequence. The length of a subsequence is always in the form of a quantity (never a range) and it can only be expressed in days, not hours, weeks or months. Requirements Used for the dosage type "tillfällesdosering". Comments _ Data Type Extension(Quantity) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLSubSequenceDuration Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Längd doseringsdelsteg
bounds[x]	S Σ	0..1		There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.bounds[x] Short description Length/Range of lengths Definition Either 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. Sliced: Unordered, Open, by $this(Type) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:IVL(TS) used in a QSI
boundsDuration	S Σ	0..1	Duration	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration Short description Sequence length Definition A duration for the length of the timing schedule. Data Type Duration Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:IVL(TS) used in a QSI EHM:Längd doseringssteg
value	S Σ	1..1	decimal	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data Type decimal Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.2 / CQ - N/A rim:PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value EHM:Längd doseringssteg
comparator	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.comparator Short description < \| <= \| >= \| > - how to understand the value Definition How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning When Missing If there is no comparator, then there is no modification of the value Data Type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.1 / CQ.1 rim:IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.unit
system	S Σ I	0..1	uri	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	codeBindingFixed Value	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data Type code Binding Längdenhet doseringssteg (sequence-length-units) (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value d Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.code, MO.currency, PQ.translation.code EHM:Enhet längd doseringssteg
boundsRange	S Σ	0..1	Range	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange Short description Range of lengths Definition A range of possible length. Data Type Range Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:IVL(TS) used in a QSI EHM:Längd doseringssteg min/max
low	S Σ I	1..1	SimpleQuantity	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low Short description Low limit Definition The low limit. The boundary is inclusive. Comments If the low element is missing, the low boundary is not known. Data Type SimpleQuantity Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3:If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1:The comparator is not used on a SimpleQuantity `comparator.empty()` Mappings rim:n/a v2:SN (see also Range) or CQ rim:PQ, IVL<PQ>, MO, CO, depending on the values v2:NR.1 rim:./low EHM:Min längd doseringssteg
value	S Σ	1..1	decimal	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data Type decimal Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.2 / CQ - N/A rim:PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value EHM:Min längd doseringssteg
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.comparator Short description < \| <= \| >= \| > - how to understand the value Definition Not allowed to be used in this context Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning When Missing If there is no comparator, then there is no modification of the value Data Type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.1 / CQ.1 rim:IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.unit
system	S Σ I	0..1	uri	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	codeBindingFixed Value	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data Type code Binding Längdenhet doseringssteg (sequence-length-units) (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value d Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.code, MO.currency, PQ.translation.code EHM:Enhet min längd doseringssteg
high	S Σ I	1..1	SimpleQuantity	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high Short description High limit Definition The high limit. The boundary is inclusive. Comments If the high element is missing, the high boundary is not known. Data Type SimpleQuantity Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3:If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1:The comparator is not used on a SimpleQuantity `comparator.empty()` Mappings rim:n/a v2:SN (see also Range) or CQ rim:PQ, IVL<PQ>, MO, CO, depending on the values v2:NR.2 rim:./high EHM:Max längd doseringssteg
value	S Σ	1..1	decimal	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data Type decimal Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.2 / CQ - N/A rim:PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value EHM:Max längd doseringssteg
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.comparator Short description < \| <= \| >= \| > - how to understand the value Definition Not allowed to be used in this context Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning When Missing If there is no comparator, then there is no modification of the value Data Type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.1 / CQ.1 rim:IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.unit
system	S Σ I	0..1	uri	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	codeBindingFixed Value	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data Type code Binding Längdenhet doseringssteg (sequence-length-units) (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value d Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.code, MO.currency, PQ.translation.code EHM:Enhet max längd doseringssteg
count	S Σ	0..1	positiveInt	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.count Short description Single dose Definition A total count of the desired number of repetitions across the duration of the entire timing specification. Requirements In the Swedish National Medication List count is used for describing single dosages that occur one (1) time. The only value allowed is count=1 Comments If you have both bounds and count, then this should be understood as within the bounds period, until count times happens. Data Type positiveInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:PIVL.count EHM:Antal upprepningar
countMax	Σ	0..1	positiveInt	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.countMax Short description Maximum number of times to repeat Definition If present, indicates that the count is a range - so to perform the action between [count] and [countMax] times. Comments 32 bit number; for values larger than this, use decimal Data Type positiveInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:PIVL.count
duration	S Σ	0..1	decimal	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.duration Short description Duration of the administration Definition Duration of the administration of the medication Requirements Comments Duration is handled with a maximum precision of 4 decimals. Corresponding regex: (0\|[1-9][0-9])(.[0-9][0-9][0-9][0-9]) Data Type* decimal Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:PIVL.phase EHM:Administreringstillfällets varaktighet
durationMax	Σ	0..1	decimal	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.durationMax Short description How long when it happens (Max) Definition If present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length. Requirements Some activities are not instantaneous and need to be maintained for a period of time. Comments 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). Data Type decimal Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:PIVL.phase
durationUnit	S Σ	0..1	codeBinding	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.durationUnit Short description min \| h - unit of time (UCUM) Definition The units of time for the duration, in UCUM units. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Binding A unit of time (units from UCUM). Enhet för administreringstillfällets varaktighet (dose-duration-units) (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:PIVL.phase.unit EHM:Enhet för administreringstillfällets varaktighet
frequency	S Σ	0..1	positiveInt	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.frequency Short description Event occurs frequency times per period Definition The number of times to repeat the action within the specified period. If frequencyMax is present, this element indicates the lower bound of the allowed range of the frequency. Comments 32 bit number; for values larger than this, use decimal Meaning When Missing If no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this Data Type positiveInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:PIVL.phase EHM:Antal administreringar
frequencyMax	S Σ	0..1	positiveInt	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.frequencyMax Short description Event occurs up to frequencyMax times per period Definition If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range. Comments 32 bit number; for values larger than this, use decimal Data Type positiveInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:PIVL.phase EHM:Antal administreringar max
period	S Σ	0..1	decimal	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.period Short description Event occurs frequency times per period Definition Indicates 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. If periodMax is present, this element indicates the lower bound of the allowed range of the period length. Comments Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger) Data Type decimal Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:PIVL.phase EHM:Period
periodMax	S Σ	0..1	decimal	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.periodMax Short description Upper limit of period (3-4 hours) Definition If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as "do this once every 3-5 days. Comments Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger) Data Type decimal Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:PIVL.phase EHM:Period max
periodUnit	S Σ	0..1	codeBinding	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.periodUnit Short description h \| d - unit of time (UCUM) Definition The units of time for the period in UCUM units. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Binding A unit of time (units from UCUM). Periodenhet (dose-period-units) (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:PIVL.phase.unit EHM:Periodenhet
dayOfWeek	S Σ	0..*	codeBinding	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek Short description mon \| tue \| wed \| thu \| fri \| sat \| sun Definition If one or more days of week is provided, then the action happens only on the specified day(s). Comments 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. Data Type code Binding DaysOfWeek (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a EHM:Veckodag
timeOfDay	S Σ	0..*	time	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.timeOfDay Short description Time of day for action Definition Specified time of day for action to take place. Must currently be expressed on the hour, i.e. 11:00 or 15:00. This may be changed after the transition period (övergångs-perioden) so that half hours, i.e. 11:30, are allowed, as well. When time of day is specified, it is inferred that the action happens every day (as filtered by dayofWeek) on the specified times. Requirements Used for the dosage type "tillfällesdosering". The elements “when, frequency and period” cannot be used with the element “timeOfDay” simultaneously. Comments 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. Data Type time Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a EHM:Klockslag
when	S Σ	0..*	codeBinding	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.when Short description Code for time period of occurrence Definition An approximate time period during the day, potentially linked to an event of daily living that indicates when the action should occur. Requirements Timings are frequently determined by occurrences such as waking, eating and sleep. Comments _ Data Type code Binding Real world event relating to the schedule. Period på dygnet (nll-event-timing) (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:EIVL.event EHM:Period på dygnet
offset	Σ	0..1	unsignedInt	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.repeat.offset Short description Minutes from event (before or after) Definition The 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. Comments 32 bit number; for values larger than this, use decimal Data Type unsignedInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:EIVL.offset
code	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.timing.code Short description BID \| TID \| QID \| AM \| PM \| QD \| QOD \| + Definition A code for the timing schedule (or just text in code.text). 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). Comments 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 a structured representation should be used (in this case, specifying the two event times). Data Type CodeableConcept Binding Code for a known / defined timing pattern. TimingAbbreviation (preferred) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD rim:QSC.code
asNeeded[x]	S Σ	0..1		There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.asNeeded[x] Short description Take "as needed" Definition Indicates that the medication only should be taken when needed. Comments NB! The same value must be provided in this element on each sequence / subsequence. Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:TQ1-9 rim:.outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code="as needed"].value=boolean or codable concept EHM:Vid behov
asNeededBoolean			boolean	There are no (further) constraints on this element Data Type boolean
site	S Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.site Short description Site of administration Definition Site of administration. Requirements A coded specification of the anatomic site where the medication first enters the body. If there is no appropriate coded value, then the code OTH=Other should be used together with the free text attribute "text". Comments NB! The same value must be provided in this element on each sequence / subsequence. Data Type CodeableConcept Binding A coded concept describing the site location the medicine enters into or onto the body. SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:RXR-2 rim:.approachSiteCode EHM:Administreringsställe
coding	S Σ	1..1	CodingBinding	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.site.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments _ Data Type Coding Binding Snomed CT codes for administration site, as stipulated by NLL (terminology server). Administreringsställe (nll-snomed-site) (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	S Σ	0..1	uri	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.site.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments 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 reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	S Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.site.coding.version Short description Version of the system - if relevant Definition The 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. Comments 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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.site.coding.code Short description Symbol in syntax defined by the system Definition A 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). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.site.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.site.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements 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. Comments 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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	S Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.site.text Short description Plain text representation of the concept Definition A human language representation of the administration site. Used when no specific code can describe the site and the code 'OTH' has been selected. Requirements 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. Comments Maximum string length: 256 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText EHM:Beskrivning annat administreringsställe
route	S Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.route Short description How the medication should enter the body Definition How the medication should enter the body. Requirements A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body. If there is no appropriate coded value, then the code OTH=Other must be used together with the free text attribute "text". Comments NB! The same value must be provided in this element on each sequence / subsequence. Data Type CodeableConcept Binding A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. SNOMEDCTRouteCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:RXR-1 rim:.routeCode EHM:Administreringsväg
coding	S Σ	1..1	CodingBinding	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.route.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments _ Data Type Coding Binding Snomed CT codes for administration route, as stipulated by NLL Administreringsväg (nll-snomed-route) (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	S Σ	0..1	uri	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.route.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments 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 reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	S Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.route.coding.version Short description Version of the system - if relevant Definition The 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. Comments 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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.route.coding.code Short description Symbol in syntax defined by the system Definition A 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). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.route.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.route.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements 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. Comments 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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	S Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.route.text Short description Plain text representation of the concept Definition A human language representation of the administration route. Used when no specific code can describe the route and the code 'OTH' has been selected. Requirements 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. Comments Maximum string length: 256 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Maximum string length 256 Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText EHM:Beskrivning annan administreringsväg
method	S Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.method Short description Method used for administering the medication Definition Method used for administering the medication. Requirements A coded value indicating the method by which the medication is introduced into or onto the body. If there is no appropriate coded value, then the code OTH=Other should be used together with the free text attribute "text". Comments NB! The same value must be provided in this element on each sequence / subsequence. Data Type CodeableConcept Binding A coded concept describing the technique by which the medicine is administered. SNOMEDCTAdministrationMethodCodes (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:RXR-4 rim:.doseQuantity EHM:Administreringsmetod
coding	S Σ	1..1	CodingBinding	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.method.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments _ Data Type Coding Binding Snomed CT codes for administration method, as stipulated by NLL (terminology server). Administreringsmetod (nll-snomed-method) (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim:CV orim:fhir:Coding rdfs:subClassOf dt:CDCoding v2:CE.1-8, CE.10-22 rim:union(., ./translation) orim:fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
system	S Σ	0..1	uri	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.method.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments 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 reference to some definition that establishes the system clearly and unambiguously. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.3 rim:./codeSystem orim:*fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	S Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.method.coding.version Short description Version of the system - if relevant Definition The 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. Comments 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. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.7 rim:./codeSystemVersion orim:*fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.method.coding.code Short description Symbol in syntax defined by the system Definition A 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). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.1 rim:./code orim:*fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.method.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE.2 - but note this is not well followed rim:CV.displayName orim:*fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.method.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements 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. Comments 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. Data Type boolean Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:Sometimes implied by being first rim:CD.codingRationale orim:fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	S Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.method.text Short description Plain text representation of the concept Definition A human language representation of the administration method. Used when no specific code can describe the method and the code 'OTH' has been selected. Requirements 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. Comments Maximum string length: 256 Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Maximum string length 256 Mappings rim:n/a v2:CE.9. But note many systems use CE.2 for this rim:./originalText[mediaType/code="text/plain"]/data orim:fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText EHM:Beskrivning annan administreringsmetod
doseAndRate	S Σ	0..1	Element	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.doseAndRate Short description Amount of medication administered Definition The amount of medication administered. Data Type Element Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:TQ1-2
type	Σ	0..1	CodeableConcept	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.doseAndRate.type Short description The kind of dose or rate specified Definition The kind of dose or rate specified, for example, ordered or calculated. Requirements If the type is not populated, assume to be "ordered". Comments 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. Data Type CodeableConcept Binding The kind of dose or rate specified. DoseAndRateType (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:RXO-21; RXE-23
dose[x]	S Σ	0..1	Binding	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.doseAndRate.dose[x] Short description Amount of medication per dose Definition Amount of medication per dose. Requirements The amount of therapeutic or other substance given at one administration event. Comments _ Sliced: Unordered, Open, by $this(Type) Binding Dosenhet (nll-ucum-unit) (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:RXO-2, RXE-3 rim:.doseQuantity
doseRange	S Σ	0..1	Range	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange Short description Amount of medication per dose Definition Amount of medication per dose. Requirements The amount of therapeutic or other substance given at one administration event. Comments 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. Data Type Range Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:RXO-2, RXE-3 rim:.doseQuantity
low	S Σ I	1..1	SimpleQuantity	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low Short description Low limit Definition The low limit. The boundary is inclusive. Comments If the low element is missing, the low boundary is not known. Data Type SimpleQuantity Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3:If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1:The comparator is not used on a SimpleQuantity `comparator.empty()` Mappings rim:n/a v2:SN (see also Range) or CQ rim:PQ, IVL<PQ>, MO, CO, depending on the values v2:NR.1 rim:./low EHM:Dos min
value	S Σ	1..1	decimal	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low.value Short description Dose range low value Definition Dose range low value Requirements Comments Dose range low value is handled with a maximum precision of 4 decimals. Corresponding regex: (0\|[1-9][0-9])(.[0-9][0-9][0-9][0-9]) Data Type* decimal Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.2 / CQ - N/A rim:PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value EHM:Dos min
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low.comparator Short description < \| <= \| >= \| > - how to understand the value Definition Not allowed to be used in this context Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning When Missing If there is no comparator, then there is no modification of the value Data Type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.1 / CQ.1 rim:IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.unit
system	S Σ I	0..1	uri	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	code	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.code, MO.currency, PQ.translation.code EHM:Dosenhet min
high	S Σ I	1..1	SimpleQuantity	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high Short description High limit Definition The high limit. The boundary is inclusive. Comments If the high element is missing, the high boundary is not known. Data Type SimpleQuantity Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3:If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1:The comparator is not used on a SimpleQuantity `comparator.empty()` Mappings rim:n/a v2:SN (see also Range) or CQ rim:PQ, IVL<PQ>, MO, CO, depending on the values v2:NR.2 rim:./high EHM:Dos max
value	S Σ	1..1	decimal	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high.value Short description Dose range high value Definition Dose range high value Requirements Comments Dose range high value is handled with a maximum precision of 4 decimals. Corresponding regex: (0\|[1-9][0-9])(.[0-9][0-9][0-9][0-9]) Data Type* decimal Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.2 / CQ - N/A rim:PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value EHM:Dos max
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high.comparator Short description < \| <= \| >= \| > - how to understand the value Definition Not allowed to be used in this context Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning When Missing If there is no comparator, then there is no modification of the value Data Type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.1 / CQ.1 rim:IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.unit
system	S Σ I	0..1	uri	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	code	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.code, MO.currency, PQ.translation.code EHM:Dosenhet max
doseQuantity	S Σ	0..1	SimpleQuantity	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity Short description Amount of medication per dose Definition Amount of medication per dose. Requirements The amount of therapeutic or other substance given at one administration event. Comments 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. Data Type SimpleQuantity Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:RXO-2, RXE-3 rim:.doseQuantity
value	S Σ	0..1	decimal	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.value Short description Dose quantity value Definition Dose quantity value. Requirements Comments Dose quantity value is handled with a maximum precision of 4 decimals. Corresponding regex: (0\|[1-9][0-9])(.[0-9][0-9][0-9][0-9]) Data Type* decimal Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.2 / CQ - N/A rim:PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value EHM:Dos
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.comparator Short description < \| <= \| >= \| > - how to understand the value Definition Not allowed to be used in this context Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning When Missing If there is no comparator, then there is no modification of the value Data Type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.1 / CQ.1 rim:IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.unit
system	S Σ I	0..1	uri	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:CO.codeSystem, PQ.translation.codeSystem
code	S Σ	0..1	code	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.code, MO.currency, PQ.translation.code EHM:Dosenhet
rate[x]	S Σ	0..1	Binding	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.doseAndRate.rate[x] Short description Amount of medication per unit of time Definition Amount of medication per unit of time. Requirements _ Comments _ Binding Doseringshastighetsenhet (nll-ucum-rate-unit) (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:RXE22, RXE23, RXE-24 rim:.rateQuantity EHM:Doseringshastighet
rateQuantity			SimpleQuantity	There are no (further) constraints on this element Data Type SimpleQuantity
value	S Σ	0..1	decimal	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.doseAndRate.rate[x].value Short description Rate value Definition Rate value Requirements Comments Rate value is handled with a maximum precision of 4 decimals. Corresponding regex: (0\|[1-9][0-9])(.[0-9][0-9][0-9][0-9]) Data Type* decimal Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.2 / CQ - N/A rim:PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value EHM:Doseringshastighet
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.doseAndRate.rate[x].comparator Short description < \| <= \| >= \| > - how to understand the value Definition Not allowed to be used in this context Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning When Missing If there is no comparator, then there is no modification of the value Data Type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.1 / CQ.1 rim:IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.doseAndRate.rate[x].unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.unit
system	S Σ I	0..1	uri	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.doseAndRate.rate[x].system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	code	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.doseAndRate.rate[x].code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments NB! The same value must be provided in this element on each sequence / subsequence. Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.code, MO.currency, PQ.translation.code EHM:Doseringshastighetsenhet
maxDosePerPeriod	S Σ I	0..1	Ratio	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.maxDosePerPeriod Short description Upper limit on medication per day Definition Upper limit on medication per day. Requirements 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. Comments NB! The same value must be provided in this element on each sequence / subsequence. Data Type Ratio Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` rat-1:Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present `(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())` Mappings rim:n/a v2:N/A rim:RTO v2:RXO-23, RXE-19 rim:.maxDoseQuantity EHM:Maxdos
numerator	S Σ I	0..1	QuantityBinding	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator Short description Numerator value Definition The value of the numerator. Comments 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. Data Type Quantity Binding Dosenhet (nll-ucum-unit) (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3:If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` Mappings rim:n/a v2:SN (see also Range) or CQ rim:PQ, IVL<PQ>, MO, CO, depending on the values rim:.numerator EHM:Maxdos
value	S Σ	0..1	decimal	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator.value Short description Max dose therapeutic substance value Definition Max dose therapeutic substance value Requirements Comments Max dose therapeutic substance value is handled with a maximum precision of 4 decimals. Corresponding regex: (0\|[1-9][0-9])(.[0-9][0-9][0-9][0-9]) Data Type* decimal Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.2 / CQ - N/A rim:PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value EHM:Maxdos
comparator	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator.comparator Short description < \| <= \| >= \| > - how to understand the value Definition How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning When Missing If there is no comparator, then there is no modification of the value Data Type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.1 / CQ.1 rim:IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.unit
system	S Σ I	0..1	uri	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	code	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.code, MO.currency, PQ.translation.code EHM:Maxdosenhet
denominator	S Σ I	0..1	QuantityFixed Value	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator Short description Denominator value Definition The value of the denominator. Comments 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. Data Type Quantity Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3:If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` Fixed Value { "value": 1, "system": "http://unitsofmeasure.org", "code": "d" } Mappings rim:n/a v2:SN (see also Range) or CQ rim:PQ, IVL<PQ>, MO, CO, depending on the values rim:.denominator EHM:Maxdosperiod
value	S Σ	0..1	decimalFixed Value	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator.value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data Type decimal Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value 1 Mappings rim:n/a v2:SN.2 / CQ - N/A rim:PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value EHM:Maxdosperiod
comparator	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator.comparator Short description < \| <= \| >= \| > - how to understand the value Definition How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning When Missing If there is no comparator, then there is no modification of the value Data Type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.1 / CQ.1 rim:IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.unit
system	S Σ I	0..1	uriFixed Value	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value http://unitsofmeasure.org Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:CO.codeSystem, PQ.translation.codeSystem
code	S Σ	0..1	codeFixed Value	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value d Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.code, MO.currency, PQ.translation.code EHM:Maxdosperiodenhet
maxDosePerAdministration	Σ I	0..1	SimpleQuantity	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.maxDosePerAdministration Short description Upper limit on medication per administration Definition Upper limit on medication per administration. Requirements The maximum total quantity of a therapeutic substance that may be administered to a subject per administration. Comments 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. Data Type SimpleQuantity Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3:If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1:The comparator is not used on a SimpleQuantity `comparator.empty()` Mappings rim:n/a v2:SN (see also Range) or CQ rim:PQ, IVL<PQ>, MO, CO, depending on the values rim:not supported
maxDosePerLifetime	Σ I	0..1	SimpleQuantity	There are no (further) constraints on this element Element Id MedicationRequest.dosageInstruction.maxDosePerLifetime Short description Upper limit on medication per lifetime of the patient Definition Upper limit on medication per lifetime of the patient. Requirements The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject. Comments 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. Data Type SimpleQuantity Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3:If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1:The comparator is not used on a SimpleQuantity `comparator.empty()` Mappings rim:n/a v2:SN (see also Range) or CQ rim:PQ, IVL<PQ>, MO, CO, depending on the values rim:not supported
dispenseRequest	S	1..1	BackboneElement	Element Id MedicationRequest.dispenseRequest Short description Medication supply authorization Definition Indicates 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. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a script10.6:Message/Body/NewRx/MedicationPrescribed/ExpirationDate rim:component.supplyEvent EHM:Expedieringsdetaljer
extension	I	3..*	Extension	Element Id MedicationRequest.dispenseRequest.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments 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. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
nllNumberOfPackagesPrescribed	S I	0..1	Extension(positiveInt)	Element Id MedicationRequest.dispenseRequest.extension:nllNumberOfPackagesPrescribed Short description Number of packages prescribed per dispense Alternate names extensions, user content Definition The number of packages prescribed per dispense. Not used for dose dispensed prescriptions. Comments 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. Data Type Extension(positiveInt) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLNumberOfPackagesPrescribed Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Antal förpackningar per uttag
nllDosePackaging	S I	1..1	Extension(boolean)	Element Id MedicationRequest.dispenseRequest.extension:nllDosePackaging Short description Dose dispensed prescription Alternate names extensions, user content Definition Indicates if the prescription should be dose dispensed. Comments 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. Data Type Extension(boolean) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLDosePackaging Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Dosdispensering
nllPrescriptionCommunicableDiseasesAct	S I	0..1	Extension(boolean)	Element Id MedicationRequest.dispenseRequest.extension:nllPrescriptionCommunicableDiseasesAct Short description Prescription according to the Communicable Diseases Act Alternate names extensions, user content Definition Indicates of the prescription is created according to the Communicable Diseases Act (Smittskyddslagen) Comments 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. Data Type Extension(boolean) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLPrescriptionCommunicableDiseasesAct Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Förskrivning enligt smittskyddslagen
nllPatientPharmaceuticalBenefitsAct	S I	1..1	Extension(boolean)	Element Id MedicationRequest.dispenseRequest.extension:nllPatientPharmaceuticalBenefitsAct Short description Patient eligible to benefits Alternate names extensions, user content Definition Indicates if the patient is eligible to benefits according to the Pharmaceutical Benefits Act (Lag (2002:160) om läkemedelsförmån) Comments 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. Data Type Extension(boolean) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLPatientPharmaceuticalBenefitsAct Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Patient förmånsberättigad
nllConditionsPharmaceuticalBenefitsAct	S I	0..1	Extension(boolean)	Element Id MedicationRequest.dispenseRequest.extension:nllConditionsPharmaceuticalBenefitsAct Short description Pharmaceutical benefits act conditions Alternate names extensions, user content Definition Only relevant if the medication has restrictions for reimbursement. Indicates if the patient fulfills the conditions for the prescribed medication. Comments 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. Data Type Extension(boolean) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLConditionsPharmaceuticalBenefitsAct Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Förmånsvillkor uppfyllda
nllTotalQuantity	S I	0..1	Extension(Complex)	Element Id MedicationRequest.dispenseRequest.extension:nllTotalQuantity Short description Amount of medication to supply in total Alternate names extensions, user content Definition Amount of medication to supply in total for this prescription. Calculated be the Swedish E-health Agency. Comments 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. Data Type Extension(Complex) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLTotalQuantity Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
extension	I	2..*	Extension	Element Id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments 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. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
prescribed	S I	1..1	Extension	Element Id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed Short description Total amount prescribed Alternate names extensions, user content Definition Total amount prescribed in this prescription. Calculated by the Swedish e-health Agency. Not used for dose dispensed prescriptions. The unit used is the unit specified in VARA (the Swedish national registry for medical products) for the prescribed medical product. Comments 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. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Förskriven mängd
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments 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. Data Type System.String Fixed Value prescribed Mappings rim:N/A
value[x]		1..1		There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueQuantity			Quantity	There are no (further) constraints on this element Data Type Quantity
value	S Σ	1..1	decimal	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.value[x].value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data Type decimal Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.2 / CQ - N/A rim:PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.value[x].comparator Short description < \| <= \| >= \| > - how to understand the value Definition How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning When Missing If there is no comparator, then there is no modification of the value Data Type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.1 / CQ.1 rim:IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.value[x].unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.unit
system	Σ I	0..1	uri	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.value[x].system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:CO.codeSystem, PQ.translation.codeSystem
code	Σ	0..1	code	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:prescribed.value[x].code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.code, MO.currency, PQ.translation.code
remaining	S I	1..1	Extension	Element Id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining Short description Quantity remaining Alternate names extensions, user content Definition The remaining quantity that may be dispensed for this prescription. Calculated by the Swedish e-health Agency. Not used for dose dispensed prescriptions. The unit used is the unit specified in VARA (the Swedish national registry for medical products) for the prescribed medical product. Comments 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. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Kvarvarande mängd
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments 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. Data Type System.String Fixed Value remaining Mappings rim:N/A
value[x]		1..1		There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueQuantity			Quantity	There are no (further) constraints on this element Data Type Quantity
value	S Σ	1..1	decimal	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.value[x].value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data Type decimal Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.2 / CQ - N/A rim:PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.value[x].comparator Short description < \| <= \| >= \| > - how to understand the value Definition How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning When Missing If there is no comparator, then there is no modification of the value Data Type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.1 / CQ.1 rim:IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.value[x].unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.unit
system	Σ I	0..1	uri	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.value[x].system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:CO.codeSystem, PQ.translation.codeSystem
code	Σ	0..1	code	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.extension:remaining.value[x].code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.code, MO.currency, PQ.translation.code
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments 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. Data Type System.String Fixed Value http://electronichealth.se/fhir/StructureDefinition/NLLTotalQuantity Mappings rim:N/A
value[x]		0..0		There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllTotalQuantity.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
nllBenefitDetails	S I	0..1	Extension(Complex)	Element Id MedicationRequest.dispenseRequest.extension:nllBenefitDetails Short description Benefit calculation information Alternate names extensions, user content Definition Information needed for calculating benefit Comments 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. Data Type Extension(Complex) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLBenefitDetails Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
extension	I	0..*	Extension	Element Id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments 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. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
dailyBenefitQuantityUnfeasible	S I	0..1	Extension	Element Id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantityUnfeasible Short description Indication if daily quantity can't be calculated Alternate names extensions, user content Definition Indication if it is not possible to calculate a daily benefit quantity. Set by the dispensing pharmacist. Not used for dose dispensed prescriptions. Comments 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. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Förmånsrelaterad daglig mängd kan ej anges
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantityUnfeasible.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments 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. Data Type System.String Fixed Value dailyBenefitQuantityUnfeasible Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantityUnfeasible.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueBoolean			boolean	There are no (further) constraints on this element Data Type boolean
dailyBenefitQuantity	S I	0..1	ExtensionBinding	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity Short description Daily quantity within benefit Alternate names extensions, user content Definition Daily quantity within benefit. Set by the pharmacist before making the first dispense. Not used for dose dispensed prescriptions. Comments 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. Data Type Extension Binding http://electronichealth.se/fhir/ValueSet/dose-quantity-units (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Förmånsrelaterad daglig mängd
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments 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. Data Type System.String Fixed Value dailyBenefitQuantity Mappings rim:N/A
value[x]		0..1	Binding	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Binding http://electronichealth.se/fhir/ValueSet/dose-quantity-units (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueQuantity			Quantity	There are no (further) constraints on this element Data Type Quantity
value	Σ	1..1	decimal	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity.value[x].value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data Type decimal Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.2 / CQ - N/A rim:PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity.value[x].comparator Short description < \| <= \| >= \| > - how to understand the value Definition How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning When Missing If there is no comparator, then there is no modification of the value Data Type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.1 / CQ.1 rim:IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity.value[x].unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.unit
system	Σ I	0..1	uri	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity.value[x].system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:CO.codeSystem, PQ.translation.codeSystem
code	Σ	0..1	code	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:dailyBenefitQuantity.value[x].code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.code, MO.currency, PQ.translation.code
nextDispenseWithinBenefit	S I	0..1	Extension	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:nextDispenseWithinBenefit Short description Date for next dispense with benefit Alternate names extensions, user content Definition The earliest date for the next dispense with benefit. Calculated by the Swedish E-health Agency. Not used for dose dispensed prescriptions. Comments 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. Data Type Extension Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Nästa uttag inom förmån
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:nextDispenseWithinBenefit.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments 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. Data Type System.String Fixed Value nextDispenseWithinBenefit Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.extension:nextDispenseWithinBenefit.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueDate			date	There are no (further) constraints on this element Data Type date
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments 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. Data Type System.String Fixed Value http://electronichealth.se/fhir/StructureDefinition/NLLBenefitDetails Mappings rim:N/A
value[x]		0..0		There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllBenefitDetails.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
nllNumberOfFillsRemaining	S I	0..1	Extension(positiveInt)	Element Id MedicationRequest.dispenseRequest.extension:nllNumberOfFillsRemaining Short description Number of fills remaining Alternate names extensions, user content Definition The number of fills this prescriptions has remaining. Calculated by the Swedish E-health Agency. Not used for dose dispensed prescriptions. Comments 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. Data Type Extension(positiveInt) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLNumberOfFillsRemaining Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Antal uttag kvar
nllReceivingPharmacy	S I	0..1	Extension(Reference(NLLPharmacyLocation))	Element Id MedicationRequest.dispenseRequest.extension:nllReceivingPharmacy Short description Receiving Pharmacy Alternate names extensions, user content Definition Receiving Pharmacy is used when the patient does not have a Swedish national identification number ("personnummer"). The patient has to pick up his/her medication at the receiving pharmacy where he/she is identified through name, birthdate and sex. The receiving pharmacy is tied to the physical adress. This means that if the premises are taken over by a different organization, the prescription will still be available at the same physical adress, Comments 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. Data Type Extension(Reference(NLLPharmacyLocation)) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLPharmacyReference Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Mottagande apotek
nllPrescriberCostCenter	S I	1..1	Extension(Identifier)	Element Id MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter Short description The prescribers cost center Alternate names extensions, user content Definition The prescribers cost center code when making the prescription. Used for benefit billing within the regions. Comments Minimum string length: 3 Maximum string length: 13 Data Type Extension(Identifier) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLPrescriberCostCenter Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Kostnadsställe (arbetsplatskod)
url		1..1	System.StringFixed Value	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments 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. Data Type System.String Fixed Value http://electronichealth.se/fhir/StructureDefinition/NLLPrescriberCostCenter Mappings rim:N/A
value[x]		0..1		There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.value[x] Short description Value of extension Definition Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:N/A
valueIdentifier			Identifier	There are no (further) constraints on this element Data Type Identifier
use	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.value[x].use Short description usual \| official \| temp \| secondary \| old (If known) Definition The purpose of this identifier. Requirements Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. Comments Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Data Type code Binding Identifies the purpose for this identifier, if known . IdentifierUse (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:N/A rim:Role.code or implied by context
type	Σ	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.value[x].type Short description Description of identifier Definition A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Requirements Allows users to make use of identifiers when the identifier system is not known. Comments 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. Data Type CodeableConcept Binding 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 ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD v2:CX.5 rim:Role.code or implied by context
system	S Σ	0..1	uriFixed Value	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.value[x].system Short description Cost center (sv arbetsplatskod) Definition The cost center needs to be in the form of a "workplace code" (sv arbetsplatskod). Workplace codes are avaliabnle in the system ARKO at the Swedish eHealth Agency. Requirements 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. Comments Identifier.system is always case sensitive. Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value http://electronichealth.se/identifier/arbetsplatskod Mappings rim:n/a v2:CX.4 / EI-2-4 rim:II.root or Role.id.root servd:./IdentifierType
value	S Σ	1..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.value[x].value Short description Cost center (sv arbetsplatskod) value Definition The value of the cost center needs to be in the form of a "workplace code" (sv arbetsplatskod). Workplace codes are avaliabnle in the system ARKO at the Swedish eHealth Agency. Comments 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. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Maximum string length 13 Examples General 123456 Mappings rim:n/a v2:CX.1 / EI.1 rim:II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) servd:./Value
period	Σ I	0..1	Period	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.value[x].period Short description Time period when id is/was valid for use Definition Time period during which identifier is/was valid for use. Comments 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"). Period is not used for a duration (a measure of elapsed time). See Duration. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] v2:CX.7 + CX.8 rim:Role.effectiveTime or implied by context servd:./StartDate and ./EndDate
assigner	Σ I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.extension:nllPrescriberCostCenter.value[x].assigner Short description Organization that issued id (may be just text) Definition Organization that issued/manages the identifier. Comments 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. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) v2:CX.4 / (CX.4,CX.9,CX.10) rim:II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper servd:./IdentifierIssuingAuthority
nllSubstitutionOpposed	S I	0..1	Extension(code)Binding	Element Id MedicationRequest.dispenseRequest.extension:nllSubstitutionOpposed Short description Substitution opposed Alternate names extensions, user content Definition Only used for dose dispensed prescriptions. Substitution is opposed (sv: bytes ej) by either the pharmacist or the patient. This information can be saved on the prescription as the patient isn't present when the dispensing takes place. Comments 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. Data Type Extension(code) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLSubstitutionOpposed Binding Bytes ej (substitution-opposition-types) (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Bytes ej
nllNumberOfDispensesAllowed	S I	0..1	Extension(unsignedInt)	Element Id MedicationRequest.dispenseRequest.extension:nllNumberOfDispensesAllowed Short description Number of dispenses allowed Alternate names extensions, user content Definition Number of dispenses allowed (sv. förskrivet antal uttag) is the common way in Sweden of communicating the total number of dispenses that can be performed. The standard field number of repeats allowed is similar but does not include the first dispense. The two terms are related by the formula numberOfRepeatsAllowed +1 = numberOfDispensesAllowed. Comments 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. Data Type Extension(unsignedInt) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLNumberOfDispensesAllowed Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Förskrivet antal uttag
nllNextDateDispenseInterval	S I	0..1	Extension(date)	Element Id MedicationRequest.dispenseRequest.extension:nllNextDateDispenseInterval Short description Next date despense interval Alternate names extensions, user content Definition Calculated by the Swedish e-health Agency. Not used for dose dispensed prescriptions. The earliest date for the next dispense for prescriptions with dispense interval. When the date cannot be calculated, the dispense interval is checked by the pharmacist. Comments 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. Data Type Extension(date) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLNextDateDispenseInterval Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Datum för nästa uttag om expedieringsintervall
initialFill	S	0..1	BackboneElement	Element Id MedicationRequest.dispenseRequest.initialFill Short description Indication for Trial Fill Definition Used for indicating "Trial Fill". May only be one package, usually the smallest package available. Not used for dose dispensed prescriptions. Comments If populating this element, either the quantity or the duration must be included. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a rim:SubstanceAdministration -> ActRelationship[sequenceNumber = '1'] -> Supply EHM:Startförpackning
quantity	S I	1..1	SimpleQuantity	Element Id MedicationRequest.dispenseRequest.initialFill.quantity Short description Trial fill quantity, one package Definition The amount or quantity to provide as part of the first dispense. Comments 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. Data Type SimpleQuantity Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3:If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1:The comparator is not used on a SimpleQuantity `comparator.empty()` Mappings rim:n/a v2:SN (see also Range) or CQ rim:PQ, IVL<PQ>, MO, CO, depending on the values rim:Supply.quantity[moodCode=RQO]
value	S Σ	1..1	decimalFixed Value	Element Id MedicationRequest.dispenseRequest.initialFill.quantity.value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data Type decimal Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value 1 Mappings rim:n/a v2:SN.2 / CQ - N/A rim:PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.initialFill.quantity.comparator Short description < \| <= \| >= \| > - how to understand the value Definition Not allowed to be used in this context Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning When Missing If there is no comparator, then there is no modification of the value Data Type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.1 / CQ.1 rim:IVL properties
unit	S Σ	0..1	stringFixed Value	Element Id MedicationRequest.dispenseRequest.initialFill.quantity.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value Package Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.unit
system	S Σ I	0..1	uriFixed Value	Element Id MedicationRequest.dispenseRequest.initialFill.quantity.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value http://unitsofmeasure.org Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	codeFixed Value	Element Id MedicationRequest.dispenseRequest.initialFill.quantity.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Fixed Value {Package} Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.code, MO.currency, PQ.translation.code
duration	I	0..0	Duration	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.initialFill.duration Short description First fill duration Definition The length of time that the first dispense is expected to last. Comments 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. Data Type Duration Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3:If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` drt-1:There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM. `code.exists() implies ((system = %ucum) and value.exists())` Mappings rim:n/a v2:SN (see also Range) or CQ rim:PQ, IVL<PQ>, MO, CO, depending on the values rim:PQ, IVL<PQ> depending on the values rim:Supply.effectivetime[moodCode=RQO]
dispenseInterval	S I	0..1	Duration	Element Id MedicationRequest.dispenseRequest.dispenseInterval Short description Minimum period of time between dispenses Definition The minimum period of time that must occur between dispenses of the medical product. Not used for dose dispensed prescriptions. Comments 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. Data Type Duration Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3:If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` drt-1:There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM. `code.exists() implies ((system = %ucum) and value.exists())` Mappings rim:n/a v2:SN (see also Range) or CQ rim:PQ, IVL<PQ>, MO, CO, depending on the values rim:PQ, IVL<PQ> depending on the values rim:Supply.effectivetime[moodCode=RQO] EHM:Expedieringsintervall
value	S Σ	1..1	decimal	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.dispenseInterval.value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data Type decimal Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.2 / CQ - N/A rim:PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	Σ ?!	0..1	codeBinding	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.dispenseInterval.comparator Short description < \| <= \| >= \| > - how to understand the value Definition How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning When Missing If there is no comparator, then there is no modification of the value Data Type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.1 / CQ.1 rim:IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.dispenseInterval.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.unit
system	S Σ I	0..1	uri	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.dispenseInterval.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:CO.codeSystem, PQ.translation.codeSystem
code	S Σ	1..1	codeBinding	Element Id MedicationRequest.dispenseRequest.dispenseInterval.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data Type code Binding Absolut expedieringsintervallsenhet (dispense-interval-units) (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.code, MO.currency, PQ.translation.code EHM:Expedieringsintervall enhet
validityPeriod	S I	0..1	Period	Element Id MedicationRequest.dispenseRequest.validityPeriod Short description Time period supply is authorized for Definition This indicates the validity period of a prescription (stale dating the Prescription). I no validityPeriod.end is provided, then it will be calculated by the Swedish E-health Agency. The validity period may not be longer than one year. Requirements Indicates when the Prescription becomes valid, and when it ceases to be a dispensable Prescription. Comments 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. Data Type Period Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` per-1:If present, start SHALL have a lower value than end `start.hasValue().not() or end.hasValue().not() or (start <= end)` Mappings rim:n/a v2:DR rim:IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"] script10.6:Message/Body/NewRx/MedicationPrescribed/Refills rim:effectiveTime
extension	I	0..*	Extension	Element Id MedicationRequest.dispenseRequest.validityPeriod.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments 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. Data Type Extension Sliced: Unordered, Open, by url(Value) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A
nllFirstDispenseBefore	S I	0..1	Extension(date)	Element Id MedicationRequest.dispenseRequest.validityPeriod.extension:nllFirstDispenseBefore Short description First dispense must occur before Alternate names extensions, user content Definition Not used for dose dispensed prescriptions The first dispense must occur before this date. If not, the prescription will be invalidated. Comments 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. Data Type Extension(date) Extension URL http://electronichealth.se/fhir/StructureDefinition/NLLFirstDispenseBefore Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim:n/a rim:N/A EHM:Första uttag före
start	Σ I	0..1	dateTime	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.validityPeriod.start Short description Starting time with inclusive boundary Definition The start of the period. The boundary is inclusive. Comments If the low element is missing, the meaning is that the low boundary is not known. Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:DR.1 rim:./low
end	S Σ I	0..1	dateTime	Element Id MedicationRequest.dispenseRequest.validityPeriod.end Short description Last date when dispensing is allowed Definition Last date when dispensing is allowed. If no date is provided it will be calculated by the Swedish E-health Agency. NB! This is only handled as a date, the time part of the dateTime is not used. Comments The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03. Meaning When Missing If the end of the period is missing, it means that the period is ongoing Data Type dateTime Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:DR.2 rim:./high EHM:Sista giltighetsdag
numberOfRepeatsAllowed	S	0..1	unsignedInt	Element Id MedicationRequest.dispenseRequest.numberOfRepeatsAllowed Short description Number of refills authorized Definition Not used for dose dispensed prescriptions. An 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. A prescriber may explicitly say that zero refills are permitted after the initial dispense. Comments If using this as basis for displaying "total number of authorized fills", add 1 to this number. This is because the total number of dispenses is the original dispense + additional dispenses stipulated by "number of repeats allowed". Data Type unsignedInt Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a script10.6:Message/Body/NewRx/MedicationPrescribed/Quantity v2:RXE-12-Number of Refills rim:repeatNumber EHM:Förskrivet antal uttag
quantity	S I	0..1	SimpleQuantity	Element Id MedicationRequest.dispenseRequest.quantity Short description Amount of medication to supply per dispense Definition The amount that is to be dispensed for one fill. The unit used is the unit specified in VARA (the Swedish national registry for medical products) for the prescribed medical product. Calculated by the Swedish E-health Agency based on nllNumberOfPackagesPrescibed and the quantity of medication in the package. Not used for dose dispensed prescriptions. Comments 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. Data Type SimpleQuantity Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3:If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` sqty-1:The comparator is not used on a SimpleQuantity `comparator.empty()` Mappings rim:n/a v2:SN (see also Range) or CQ rim:PQ, IVL<PQ>, MO, CO, depending on the values script10.6:Message/Body/NewRx/MedicationPrescribed/DaysSupply v2:RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system rim:quantity EHM:Förskriven mängd per uttag
value	S Σ	0..1	decimal	Element Id MedicationRequest.dispenseRequest.quantity.value Short description Numerical value (with implicit precision) Definition The value of the measured amount. The value includes an implicit precision in the presentation of the value. Requirements Precision is handled implicitly in almost all cases of measurement. Comments The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). Data Type decimal Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.2 / CQ - N/A rim:PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value EHM:Förskriven mängd per uttag
comparator	Σ ?!	0..0	codeBinding	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.quantity.comparator Short description < \| <= \| >= \| > - how to understand the value Definition Not allowed to be used in this context Requirements Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Meaning When Missing If there is no comparator, then there is no modification of the value Data Type code Binding How the Quantity should be understood and represented. QuantityComparator (required) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:SN.1 / CQ.1 rim:IVL properties
unit	Σ	0..1	string	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.quantity.unit Short description Unit representation Definition A human-readable form of the unit. Requirements There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data Type string Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.unit
system	Σ I	0..1	uri	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.quantity.system Short description System that defines coded unit form Definition The identification of the system that provides the coded form of the unit. Requirements Need to know the system that defines the coded form of the unit. Comments see http://en.wikipedia.org/wiki/Uniform_resource_identifier Data Type uri Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:CO.codeSystem, PQ.translation.codeSystem
code	Σ	0..1	code	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.quantity.code Short description Coded form of the unit Definition A computer processable form of the unit in some unit representation system. Requirements Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. Comments The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. Data Type code Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:(see OBX.6 etc.) / CQ.2 rim:PQ.code, MO.currency, PQ.translation.code
expectedSupplyDuration	I	0..1	Duration	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.expectedSupplyDuration Short description Number of days supply per dispense Definition Identifies the period time over which the supplied product is expected to be used, or the length of time the dispense is expected to last. Comments 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. Data Type Duration Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3:If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` drt-1:There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM. `code.exists() implies ((system = %ucum) and value.exists())` Mappings rim:n/a v2:SN (see also Range) or CQ rim:PQ, IVL<PQ>, MO, CO, depending on the values rim:PQ, IVL<PQ> depending on the values script10.6:Message/Body/NewRx/MedicationPrescribed/Substitutions rim:expectedUseTime
performer	I	0..1	Reference(Organization)	There are no (further) constraints on this element Element Id MedicationRequest.dispenseRequest.performer Short description Intended dispenser Definition Indicates the intended dispensing Organization specified by the prescriber. Comments 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. Data Type Reference(Organization) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) w5:FiveWs.who rim:.outboundRelationship[typeCode=COMP].target[classCode=SPLY, moodCode=RQO] .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
substitution	S	0..1	BackboneElement	There are no (further) constraints on this element Element Id MedicationRequest.substitution Short description Any restrictions on medication substitution Definition Indicates 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. Data Type BackboneElement Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a script10.6:specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions rim:subjectOf.substitutionPersmission
allowed[x]	S	1..1		Element Id MedicationRequest.substitution.allowed[x] Short description Whether substitution is allowed or not Definition True if the prescriber allows a different drug to be dispensed from what was prescribed. Comments This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored. A missing value is the same as substitution allowed Meaning When Missing A missing value is the same as substitution allowed Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a script10.6:specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions v2:RXO-9-Allow Substitutions / RXE-9-Substitution Status rim:code EHM:Substitution tillåten
allowedBoolean			boolean	Data Type boolean
reason		0..1	CodeableConcept	There are no (further) constraints on this element Element Id MedicationRequest.substitution.reason Short description Why should (not) substitution be made Definition Indicates the reason for the substitution, or why substitution must or must not be performed. Comments 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. Data Type CodeableConcept Binding A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. v3.SubstanceAdminSubstitutionReason (example) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD script10.6:not mapped v2:RXE-9 Substition status rim:reasonCode
priorPrescription	S I	0..1	Reference(NLLMedicationRequest)	Element Id MedicationRequest.priorPrescription Short description A prescription that is being/has been replaced/renewed Definition When replacing or renewing a prescription, the version of the replaced/renewed prescription must be provided in the POST operation. When reading a prescription, the reference to the replaced/renewed prescription will not be version specific. Comments 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. Data Type Reference(NLLMedicationRequest) Allowed aggregation: referenced Versioning rules: The reference may be either version independent or version specific. Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.replaces script10.6:not mapped rim:.outboundRelationship[typeCode=?RPLC or ?SUCC]/target[classCode=SBADM,moodCode=RQO] EHM:Referens till tidigare förskrivning
detectedIssue	S I	0..*	Reference(NLLDetectedIssue)	Element Id MedicationRequest.detectedIssue Short description Automatic Format and Constitution Control warning (AFF-varning) Alternate names Contraindication, Drug Utilization Review (DUR), Alert Definition Read only for MedicationRequest. Automatic Format and Constitution Control (AFF) warning generated by the Swedish eHealth Agency according to the current conditions. Comments This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue. Data Type Reference(NLLDetectedIssue) Allowed aggregation: contained Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) rim:.inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value EHM:AFF-varning
eventHistory	I	0..*	Reference(Provenance)	There are no (further) constraints on this element Element Id MedicationRequest.eventHistory Short description A list of events of interest in the lifecycle Definition Links 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. Comments This might 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.). Data Type Reference(Provenance) Constraints ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity) workflow:Request.relevantHistory rim:.inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

Contained resources

References to other resources are based on contained resources in the following cases.

Element	Resource	Case
subject	Patient	When a patient is identified by name and birthdate only
requester	Practitioner	Always
dispenseRequest.nllReceivingPharmacy	Location	Always

For more information about references and contained resources see Resources - References.

Details

Description of all elements can be found here, Element descriptions.

Mapping of FHIR element names to the National Medication List names can be found here, Element language mappings.

Dosage

How to use the elements in dosageInstruction (the BackBoneElement Dosage) is described on the page Dosage and in the Handbok för vård- och apotekstjänster. Message examples for dosages are available on the page Dosage - Create

Medication request statuses

The following statuses are used within the National Medication List for prescriptions. For some updates additional information about the reason for change of status is automatically added, see value set Förskrivningsstatusorsak (medication-request-status-reasons).

Parameter	Comment
active	The prescription is available for dispatching (sv: Aktiv).
on-hold	The prescription is NOT available for dispatching (sv: Parkerad).
cancelled	MedicationRequest was faulty registered e.g. wrong medication or patient (sv: Makulerad).
completed	All dispatches have been done for the MedicationRequest (sv: Slutexpedierad).
stopped	MedicationRequest is no longer available for dispatches, e.g. due to the validity period dates have passed (sv: Avslutad).

See Value Set Förskrivningsstatus (medication-request-status).

Prescription chains

One of the features in the National Medication List is prescription chains. A prescription chain is a sequence of prescriptions where an old prescription has been terminated and replaced by a new prescription.

MedicationRequest.extension:nllPrescriptionChain is set by the National Medication List on all new prescriptions so from a technical point of view all precriptions are part of a chain. However the term prescription chain refers to when there are two or more prescriptions with the same chain ID.

A prescription chain is created when a prescription is replaced (sv. Ersätts) or renewed (sv. Förnyas). To replace or renew a prescription, it is required that the chain ID element, MedicationRequest.extension:nllPrescriptionChain, is included in the POST MedcationRequest request. The new prescription will then have the same chain ID as the old prescription and MedicationRequest.priorPrescription will be set to refer to the old prescription.

It is possible to fetch all prescriptions that are part of a chain via the prescription chain ID, ../MedicationRequest?nllPrescriptionChain=[UUID]. See below for more search options.

In order to sort all prescriptions in the chain in chronological order the element MedicationRequest.priorPrescription is used. It points at the prior prescription in the chain so the first prescription in the chain has no prior prescription, or a prior prescription that is missing because old records has reached end of life and have been removed. The second prescription in the chain points at the first one and so on. The chain may also include cancelled (sv. makulera) prescriptions, i.e. a prescription that was never used. It is therefore possible that more than one prescription points at the same prior prescription.

Below is an example of how a prescriptions in a prescription chain may be linked together: