MED - Local Development build (v0.1.3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: MedicationRequestMED

MedicationRequest Profile, for Medicaia interoperability scenarios, based on the International CORE Profile defined by HL7.

Usage:

• Use this Resource Profile: BundleOutpatientEncounterMED
• Refer to this Resource Profile: CompositionOutpatientEncounterMED and RequestGroupMED
• Examples for this Resource Profile: MedicationRequest/MedicationRequestExample001

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from MedicationRequest

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest			MedicationRequest
identifier		1..1	Identifier	Valor por defecto 'order'
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The portion of the identifier typically relevant to the user and which is unique within the context of the system. [ES: identificador del item dentro de la orden de medicamentos. Ejemplo: XXXXX-1]
assigner		1..1	Reference(OrganizationMED)	Organization that issued id (may be just text)
status		1..1	code	A code specifying the current state of the order. Generally, this will be active or completed state. [ES: Ej: Cuando el profesional crea la orden: "active".]
intent		1..1	code	Whether the request is a proposal, plan, or an original order. [ES: Valor por defecto "order"] Required Pattern: order
category		0..1	CodeableConcept	Type of medication usage Binding: Medication request category codes (required)
coding
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.medicaia.ar/CodeSystem/MedicationRequestCategoryCS
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
medication[x]		1..1	CodeableConcept	Medication to be taken Binding: SNOMED CT Medication Codes (required)
coding
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
text		0..1	string	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. [ES: se utiliza cuando el medicamento no está codificado]
subject		1..1	Reference(PatientMED)	Who or group medication request is for
encounter		0..1	Reference(EncounterMED)	Encounter created as part of encounter/admission/stay
requester		0..1	Reference(PractitionerMED | PractitionerRoleMED)	Who/What requested the Request
reasonCode		0..1	CodeableConcept	Reason or indication for ordering or not ordering the medication
coding
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
reasonReference		0..*	Reference(ConditionEncounterDiagnosisMED | ConditionProblemListItemMED)	Condition or observation that supports why the prescription is being written
groupIdentifier		1..1	Identifier	Composite request this is part of. [ES: Identificador de la receta]
use		1..1	code	The purpose of this identifier. [ES: Valor por defecto "official"] Required Pattern: official
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The portion of the identifier typically relevant to the user and which is unique within the context of the system. [ES: Número de orden de medicamentos o número de receta]
assigner		1..1	Reference(OrganizationMED)	Organization that issued id (may be just text)
courseOfTherapyType		0..1	CodeableConcept	Overall pattern of medication administration Binding: Medication request course of therapy codes (required)
coding
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.medicaia.ar/CodeSystem/MedicationRequestTherapyCodesCS
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
dosageInstruction		1..1	Dosage	How the medication should be taken
text		1..1	string	Free text dosage instructions e.g. SIG. [ES: Instrucciones de dosificación de texto libre, por ejemplo, "ACETAMINOFEN 500MG CAX100 TA, Dosis: 500mg, Vía: oral, Frecuencia: 6 horas, Días: 3"]
timing		0..1	Timing	When medication should be administered. [ES: Cuándo se debe administrar la medicación]
route		0..1	CodeableConcept	How drug should enter body Binding: SNOMED CT Route Codes (required)
coding
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
doseAndRate		0..1	Element	Amount of medication administered
type		0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (required)
coding
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.medicaia.ar/CodeSystem/DoseAndRateTypeCS
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
dose[x]		0..1	SimpleQuantity	A fixed quantity (no comparator)
value		1..1	decimal	Numerical value (with implicit precision)
unit		1..1	string	Unit representation
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationRequest.category	required	MedicationRequestCategoryCodes (a valid code from Medication request category codes) https://fhir.medicaia.ar/ValueSet/MedicationRequestCategoryVS from this IG
MedicationRequest.medication[x]	required	MedicationCodesVS https://fhir.medicaia.ar/ValueSet/MedicationCodesVS from this IG
MedicationRequest.courseOfTherapyType	required	MedicationRequestCourseOfTherapyCodes (a valid code from Medication request course of therapy codes) https://fhir.medicaia.ar/ValueSet/MedicationRequestTherapyCodesVS from this IG
MedicationRequest.dosageInstruction.route	required	RouteCodesVS https://fhir.medicaia.ar/ValueSet/RouteCodesVS from this IG
MedicationRequest.dosageInstruction.doseAndRate.type	required	DoseAndRateTypeVS (a valid code from DoseAndRateType) https://fhir.medicaia.ar/ValueSet/DoseAndRateTypeVS from this IG

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		1..1	Identifier	Valor por defecto 'order'
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The portion of the identifier typically relevant to the user and which is unique within the context of the system. [ES: identificador del item dentro de la orden de medicamentos. Ejemplo: XXXXX-1] Example General: 123456
assigner	Σ	1..1	Reference(OrganizationMED)	Organization that issued id (may be just text)
status	?!Σ	1..1	code	A code specifying the current state of the order. Generally, this will be active or completed state. [ES: Ej: Cuando el profesional crea la orden: "active".] Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
intent	?!Σ	1..1	code	Whether the request is a proposal, plan, or an original order. [ES: Valor por defecto "order"] Binding: medicationRequest Intent (required): The kind of medication order. Required Pattern: order
category		0..1	CodeableConcept	Type of medication usage Binding: Medication request category codes (required)
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
medication[x]	Σ	1..1	CodeableConcept	Medication to be taken Binding: SNOMED CT Medication Codes (required)
text	Σ	0..1	string	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. [ES: se utiliza cuando el medicamento no está codificado]
subject	Σ	1..1	Reference(PatientMED)	Who or group medication request is for
encounter		0..1	Reference(EncounterMED)	Encounter created as part of encounter/admission/stay
requester	Σ	0..1	Reference(PractitionerMED | PractitionerRoleMED)	Who/What requested the Request
reasonCode		0..1	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
reasonReference		0..*	Reference(ConditionEncounterDiagnosisMED | ConditionProblemListItemMED)	Condition or observation that supports why the prescription is being written
groupIdentifier	Σ	1..1	Identifier	Composite request this is part of. [ES: Identificador de la receta]
use	?!Σ	1..1	code	The purpose of this identifier. [ES: Valor por defecto "official"] Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The portion of the identifier typically relevant to the user and which is unique within the context of the system. [ES: Número de orden de medicamentos o número de receta] Example General: 123456
assigner	Σ	1..1	Reference(OrganizationMED)	Organization that issued id (may be just text)
courseOfTherapyType		0..1	CodeableConcept	Overall pattern of medication administration Binding: Medication request course of therapy codes (required)
dosageInstruction		1..1	Dosage	How the medication should be taken
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	Σ	1..1	string	Free text dosage instructions e.g. SIG. [ES: Instrucciones de dosificación de texto libre, por ejemplo, "ACETAMINOFEN 500MG CAX100 TA, Dosis: 500mg, Vía: oral, Frecuencia: 6 horas, Días: 3"]
timing	Σ	0..1	Timing	When medication should be administered. [ES: Cuándo se debe administrar la medicación]
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: SNOMED CT Route Codes (required)
doseAndRate	Σ	0..1	Element	Amount of medication administered
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (required)
dose[x]	C	0..1	SimpleQuantity	A fixed quantity (no comparator) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
value	Σ	1..1	decimal	Numerical value (with implicit precision)
unit	Σ	1..1	string	Unit representation
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.intent	required	Pattern: order http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.category	required	MedicationRequestCategoryCodes (a valid code from Medication request category codes) https://fhir.medicaia.ar/ValueSet/MedicationRequestCategoryVS from this IG
MedicationRequest.medication[x]	required	MedicationCodesVS https://fhir.medicaia.ar/ValueSet/MedicationCodesVS from this IG
MedicationRequest.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
MedicationRequest.groupIdentifier.use	required	Pattern: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationRequest.courseOfTherapyType	required	MedicationRequestCourseOfTherapyCodes (a valid code from Medication request course of therapy codes) https://fhir.medicaia.ar/ValueSet/MedicationRequestTherapyCodesVS from this IG
MedicationRequest.dosageInstruction.route	required	RouteCodesVS https://fhir.medicaia.ar/ValueSet/RouteCodesVS from this IG
MedicationRequest.dosageInstruction.doseAndRate.type	required	DoseAndRateTypeVS (a valid code from DoseAndRateType) https://fhir.medicaia.ar/ValueSet/DoseAndRateTypeVS from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
qty-3	error	MedicationRequest.dosageInstruction.doseAndRate.dose[x]	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
sqty-1	error	MedicationRequest.dosageInstruction.doseAndRate.dose[x]	The comparator is not used on a SimpleQuantity : comparator.empty()

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		1..1	Identifier	Valor por defecto 'order'
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The portion of the identifier typically relevant to the user and which is unique within the context of the system. [ES: identificador del item dentro de la orden de medicamentos. Ejemplo: XXXXX-1] Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	1..1	Reference(OrganizationMED)	Organization that issued id (may be just text)
status	?!Σ	1..1	code	A code specifying the current state of the order. Generally, this will be active or completed state. [ES: Ej: Cuando el profesional crea la orden: "active".] Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
statusReason		0..1	CodeableConcept	Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent	?!Σ	1..1	code	Whether the request is a proposal, plan, or an original order. [ES: Valor por defecto "order"] Binding: medicationRequest Intent (required): The kind of medication order. Required Pattern: order
category		0..1	CodeableConcept	Type of medication usage Binding: Medication request category codes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.medicaia.ar/CodeSystem/MedicationRequestCategoryCS
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
reported[x]	Σ	0..1		Reported rather than primary record
reportedBoolean			boolean
reportedReference			Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
medication[x]	Σ	1..1	CodeableConcept	Medication to be taken Binding: SNOMED CT Medication Codes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	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. [ES: se utiliza cuando el medicamento no está codificado]
subject	Σ	1..1	Reference(PatientMED)	Who or group medication request is for
encounter		0..1	Reference(EncounterMED)	Encounter created as part of encounter/admission/stay
supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication
authoredOn	Σ	0..1	dateTime	When request was initially authored
requester	Σ	0..1	Reference(PractitionerMED | PractitionerRoleMED)	Who/What requested the Request
performer		0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration
performerType	Σ	0..1	CodeableConcept	Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
recorder		0..1	Reference(Practitioner | PractitionerRole)	Person who entered the request
reasonCode		0..1	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reasonReference		0..*	Reference(ConditionEncounterDiagnosisMED | ConditionProblemListItemMED)	Condition or observation that supports why the prescription is being written
instantiatesCanonical	Σ	0..*	canonical()	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	What request fulfills
groupIdentifier	Σ	1..1	Identifier	Composite request this is part of. [ES: Identificador de la receta]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	The purpose of this identifier. [ES: Valor por defecto "official"] Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The portion of the identifier typically relevant to the user and which is unique within the context of the system. [ES: Número de orden de medicamentos o número de receta] Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	1..1	Reference(OrganizationMED)	Organization that issued id (may be just text)
courseOfTherapyType		0..1	CodeableConcept	Overall pattern of medication administration Binding: Medication request course of therapy codes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.medicaia.ar/CodeSystem/MedicationRequestTherapyCodesCS
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
note		0..*	Annotation	Information about the prescription
dosageInstruction		1..1	Dosage	How the medication should be taken
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions
text	Σ	1..1	string	Free text dosage instructions e.g. SIG. [ES: Instrucciones de dosificación de texto libre, por ejemplo, "ACETAMINOFEN 500MG CAX100 TA, Dosis: 500mg, Vía: oral, Frecuencia: 6 horas, Días: 3"]
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	Σ	0..1	Timing	When medication should be administered. [ES: Cuándo se debe administrar la medicación]
asNeeded[x]	Σ	0..1		Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: SNOMED CT Route Codes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	Σ	0..1	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.medicaia.ar/CodeSystem/DoseAndRateTypeCS
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
dose[x]	C	0..1	SimpleQuantity	A fixed quantity (no comparator) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	1..1	decimal	Numerical value (with implicit precision)
unit	Σ	1..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	Σ	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	SimpleQuantity	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient
dispenseRequest		0..1	BackboneElement	Medication supply authorization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
initialFill		0..1	BackboneElement	First fill details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity		0..1	SimpleQuantity	First fill quantity
duration		0..1	Duration	First fill duration
dispenseInterval		0..1	Duration	Minimum period of time between dispenses
validityPeriod		0..1	Period	Time period supply is authorized for
numberOfRepeatsAllowed		0..1	unsignedInt	Number of refills authorized
quantity		0..1	SimpleQuantity	Amount of medication to supply per dispense
expectedSupplyDuration		0..1	Duration	Number of days supply per dispense
performer		0..1	Reference(Organization)	Intended dispenser
substitution		0..1	BackboneElement	Any restrictions on medication substitution
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
allowed[x]		1..1		Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
reason		0..1	CodeableConcept	Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
priorPrescription		0..1	Reference(MedicationRequest)	An order/prescription that is being replaced
detectedIssue		0..*	Reference(DetectedIssue)	Clinical Issue with action
eventHistory		0..*	Reference(Provenance)	A list of events of interest in the lifecycle
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
MedicationRequest.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationRequest.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.statusReason	example	medicationRequest Status Reason Codes http://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard
MedicationRequest.intent	required	Pattern: order http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.category	required	MedicationRequestCategoryCodes (a valid code from Medication request category codes) https://fhir.medicaia.ar/ValueSet/MedicationRequestCategoryVS from this IG
MedicationRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
MedicationRequest.medication[x]	required	MedicationCodesVS https://fhir.medicaia.ar/ValueSet/MedicationCodesVS from this IG
MedicationRequest.performerType	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
MedicationRequest.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
MedicationRequest.groupIdentifier.use	required	Pattern: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationRequest.groupIdentifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationRequest.courseOfTherapyType	required	MedicationRequestCourseOfTherapyCodes (a valid code from Medication request course of therapy codes) https://fhir.medicaia.ar/ValueSet/MedicationRequestTherapyCodesVS from this IG
MedicationRequest.dosageInstruction.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard
MedicationRequest.dosageInstruction.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationRequest.dosageInstruction.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationRequest.dosageInstruction.route	required	RouteCodesVS https://fhir.medicaia.ar/ValueSet/RouteCodesVS from this IG
MedicationRequest.dosageInstruction.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationRequest.dosageInstruction.doseAndRate.type	required	DoseAndRateTypeVS (a valid code from DoseAndRateType) https://fhir.medicaia.ar/ValueSet/DoseAndRateTypeVS from this IG
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
qty-3	error	MedicationRequest.dosageInstruction.doseAndRate.dose[x]	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
sqty-1	error	MedicationRequest.dosageInstruction.doseAndRate.dose[x]	The comparator is not used on a SimpleQuantity : comparator.empty()

This structure is derived from MedicationRequest

Summary

Mandatory: 11 elements(20 nested mandatory elements)
Fixed: 3 elements

Structures

This structure refers to these other structures:

• OrganizationMED (https://fhir.medicaia.ar/StructureDefinition/OrganizationMED)
• PatientMED (https://fhir.medicaia.ar/StructureDefinition/PatientMED)
• EncounterMED (https://fhir.medicaia.ar/StructureDefinition/EncounterMED)
• PractitionerMED (https://fhir.medicaia.ar/StructureDefinition/PractitionerMED)
• PractitionerRoleMED (https://fhir.medicaia.ar/StructureDefinition/PractitionerRoleMED)
• ConditionEncounterDiagnosisMED (https://fhir.medicaia.ar/StructureDefinition/ConditionEncounterDiagnosisMED)
• ConditionProblemListItemMED (https://fhir.medicaia.ar/StructureDefinition/ConditionProblemListItemMED)
• SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Differential View

This structure is derived from MedicationRequest

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest			MedicationRequest
identifier		1..1	Identifier	Valor por defecto 'order'
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The portion of the identifier typically relevant to the user and which is unique within the context of the system. [ES: identificador del item dentro de la orden de medicamentos. Ejemplo: XXXXX-1]
assigner		1..1	Reference(OrganizationMED)	Organization that issued id (may be just text)
status		1..1	code	A code specifying the current state of the order. Generally, this will be active or completed state. [ES: Ej: Cuando el profesional crea la orden: "active".]
intent		1..1	code	Whether the request is a proposal, plan, or an original order. [ES: Valor por defecto "order"] Required Pattern: order
category		0..1	CodeableConcept	Type of medication usage Binding: Medication request category codes (required)
coding
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.medicaia.ar/CodeSystem/MedicationRequestCategoryCS
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
medication[x]		1..1	CodeableConcept	Medication to be taken Binding: SNOMED CT Medication Codes (required)
coding
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
text		0..1	string	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. [ES: se utiliza cuando el medicamento no está codificado]
subject		1..1	Reference(PatientMED)	Who or group medication request is for
encounter		0..1	Reference(EncounterMED)	Encounter created as part of encounter/admission/stay
requester		0..1	Reference(PractitionerMED | PractitionerRoleMED)	Who/What requested the Request
reasonCode		0..1	CodeableConcept	Reason or indication for ordering or not ordering the medication
coding
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
reasonReference		0..*	Reference(ConditionEncounterDiagnosisMED | ConditionProblemListItemMED)	Condition or observation that supports why the prescription is being written
groupIdentifier		1..1	Identifier	Composite request this is part of. [ES: Identificador de la receta]
use		1..1	code	The purpose of this identifier. [ES: Valor por defecto "official"] Required Pattern: official
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The portion of the identifier typically relevant to the user and which is unique within the context of the system. [ES: Número de orden de medicamentos o número de receta]
assigner		1..1	Reference(OrganizationMED)	Organization that issued id (may be just text)
courseOfTherapyType		0..1	CodeableConcept	Overall pattern of medication administration Binding: Medication request course of therapy codes (required)
coding
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.medicaia.ar/CodeSystem/MedicationRequestTherapyCodesCS
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
dosageInstruction		1..1	Dosage	How the medication should be taken
text		1..1	string	Free text dosage instructions e.g. SIG. [ES: Instrucciones de dosificación de texto libre, por ejemplo, "ACETAMINOFEN 500MG CAX100 TA, Dosis: 500mg, Vía: oral, Frecuencia: 6 horas, Días: 3"]
timing		0..1	Timing	When medication should be administered. [ES: Cuándo se debe administrar la medicación]
route		0..1	CodeableConcept	How drug should enter body Binding: SNOMED CT Route Codes (required)
coding
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
doseAndRate		0..1	Element	Amount of medication administered
type		0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (required)
coding
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.medicaia.ar/CodeSystem/DoseAndRateTypeCS
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
dose[x]		0..1	SimpleQuantity	A fixed quantity (no comparator)
value		1..1	decimal	Numerical value (with implicit precision)
unit		1..1	string	Unit representation
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationRequest.category	required	MedicationRequestCategoryCodes (a valid code from Medication request category codes) https://fhir.medicaia.ar/ValueSet/MedicationRequestCategoryVS from this IG
MedicationRequest.medication[x]	required	MedicationCodesVS https://fhir.medicaia.ar/ValueSet/MedicationCodesVS from this IG
MedicationRequest.courseOfTherapyType	required	MedicationRequestCourseOfTherapyCodes (a valid code from Medication request course of therapy codes) https://fhir.medicaia.ar/ValueSet/MedicationRequestTherapyCodesVS from this IG
MedicationRequest.dosageInstruction.route	required	RouteCodesVS https://fhir.medicaia.ar/ValueSet/RouteCodesVS from this IG
MedicationRequest.dosageInstruction.doseAndRate.type	required	DoseAndRateTypeVS (a valid code from DoseAndRateType) https://fhir.medicaia.ar/ValueSet/DoseAndRateTypeVS from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		1..1	Identifier	Valor por defecto 'order'
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The portion of the identifier typically relevant to the user and which is unique within the context of the system. [ES: identificador del item dentro de la orden de medicamentos. Ejemplo: XXXXX-1] Example General: 123456
assigner	Σ	1..1	Reference(OrganizationMED)	Organization that issued id (may be just text)
status	?!Σ	1..1	code	A code specifying the current state of the order. Generally, this will be active or completed state. [ES: Ej: Cuando el profesional crea la orden: "active".] Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
intent	?!Σ	1..1	code	Whether the request is a proposal, plan, or an original order. [ES: Valor por defecto "order"] Binding: medicationRequest Intent (required): The kind of medication order. Required Pattern: order
category		0..1	CodeableConcept	Type of medication usage Binding: Medication request category codes (required)
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
medication[x]	Σ	1..1	CodeableConcept	Medication to be taken Binding: SNOMED CT Medication Codes (required)
text	Σ	0..1	string	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. [ES: se utiliza cuando el medicamento no está codificado]
subject	Σ	1..1	Reference(PatientMED)	Who or group medication request is for
encounter		0..1	Reference(EncounterMED)	Encounter created as part of encounter/admission/stay
requester	Σ	0..1	Reference(PractitionerMED | PractitionerRoleMED)	Who/What requested the Request
reasonCode		0..1	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
reasonReference		0..*	Reference(ConditionEncounterDiagnosisMED | ConditionProblemListItemMED)	Condition or observation that supports why the prescription is being written
groupIdentifier	Σ	1..1	Identifier	Composite request this is part of. [ES: Identificador de la receta]
use	?!Σ	1..1	code	The purpose of this identifier. [ES: Valor por defecto "official"] Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The portion of the identifier typically relevant to the user and which is unique within the context of the system. [ES: Número de orden de medicamentos o número de receta] Example General: 123456
assigner	Σ	1..1	Reference(OrganizationMED)	Organization that issued id (may be just text)
courseOfTherapyType		0..1	CodeableConcept	Overall pattern of medication administration Binding: Medication request course of therapy codes (required)
dosageInstruction		1..1	Dosage	How the medication should be taken
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	Σ	1..1	string	Free text dosage instructions e.g. SIG. [ES: Instrucciones de dosificación de texto libre, por ejemplo, "ACETAMINOFEN 500MG CAX100 TA, Dosis: 500mg, Vía: oral, Frecuencia: 6 horas, Días: 3"]
timing	Σ	0..1	Timing	When medication should be administered. [ES: Cuándo se debe administrar la medicación]
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: SNOMED CT Route Codes (required)
doseAndRate	Σ	0..1	Element	Amount of medication administered
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (required)
dose[x]	C	0..1	SimpleQuantity	A fixed quantity (no comparator) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
value	Σ	1..1	decimal	Numerical value (with implicit precision)
unit	Σ	1..1	string	Unit representation
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.intent	required	Pattern: order http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.category	required	MedicationRequestCategoryCodes (a valid code from Medication request category codes) https://fhir.medicaia.ar/ValueSet/MedicationRequestCategoryVS from this IG
MedicationRequest.medication[x]	required	MedicationCodesVS https://fhir.medicaia.ar/ValueSet/MedicationCodesVS from this IG
MedicationRequest.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
MedicationRequest.groupIdentifier.use	required	Pattern: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationRequest.courseOfTherapyType	required	MedicationRequestCourseOfTherapyCodes (a valid code from Medication request course of therapy codes) https://fhir.medicaia.ar/ValueSet/MedicationRequestTherapyCodesVS from this IG
MedicationRequest.dosageInstruction.route	required	RouteCodesVS https://fhir.medicaia.ar/ValueSet/RouteCodesVS from this IG
MedicationRequest.dosageInstruction.doseAndRate.type	required	DoseAndRateTypeVS (a valid code from DoseAndRateType) https://fhir.medicaia.ar/ValueSet/DoseAndRateTypeVS from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
qty-3	error	MedicationRequest.dosageInstruction.doseAndRate.dose[x]	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
sqty-1	error	MedicationRequest.dosageInstruction.doseAndRate.dose[x]	The comparator is not used on a SimpleQuantity : comparator.empty()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		1..1	Identifier	Valor por defecto 'order'
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The portion of the identifier typically relevant to the user and which is unique within the context of the system. [ES: identificador del item dentro de la orden de medicamentos. Ejemplo: XXXXX-1] Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	1..1	Reference(OrganizationMED)	Organization that issued id (may be just text)
status	?!Σ	1..1	code	A code specifying the current state of the order. Generally, this will be active or completed state. [ES: Ej: Cuando el profesional crea la orden: "active".] Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
statusReason		0..1	CodeableConcept	Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent	?!Σ	1..1	code	Whether the request is a proposal, plan, or an original order. [ES: Valor por defecto "order"] Binding: medicationRequest Intent (required): The kind of medication order. Required Pattern: order
category		0..1	CodeableConcept	Type of medication usage Binding: Medication request category codes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.medicaia.ar/CodeSystem/MedicationRequestCategoryCS
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
reported[x]	Σ	0..1		Reported rather than primary record
reportedBoolean			boolean
reportedReference			Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
medication[x]	Σ	1..1	CodeableConcept	Medication to be taken Binding: SNOMED CT Medication Codes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	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. [ES: se utiliza cuando el medicamento no está codificado]
subject	Σ	1..1	Reference(PatientMED)	Who or group medication request is for
encounter		0..1	Reference(EncounterMED)	Encounter created as part of encounter/admission/stay
supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication
authoredOn	Σ	0..1	dateTime	When request was initially authored
requester	Σ	0..1	Reference(PractitionerMED | PractitionerRoleMED)	Who/What requested the Request
performer		0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration
performerType	Σ	0..1	CodeableConcept	Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
recorder		0..1	Reference(Practitioner | PractitionerRole)	Person who entered the request
reasonCode		0..1	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reasonReference		0..*	Reference(ConditionEncounterDiagnosisMED | ConditionProblemListItemMED)	Condition or observation that supports why the prescription is being written
instantiatesCanonical	Σ	0..*	canonical()	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	What request fulfills
groupIdentifier	Σ	1..1	Identifier	Composite request this is part of. [ES: Identificador de la receta]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	The purpose of this identifier. [ES: Valor por defecto "official"] Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The portion of the identifier typically relevant to the user and which is unique within the context of the system. [ES: Número de orden de medicamentos o número de receta] Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	1..1	Reference(OrganizationMED)	Organization that issued id (may be just text)
courseOfTherapyType		0..1	CodeableConcept	Overall pattern of medication administration Binding: Medication request course of therapy codes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.medicaia.ar/CodeSystem/MedicationRequestTherapyCodesCS
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
note		0..*	Annotation	Information about the prescription
dosageInstruction		1..1	Dosage	How the medication should be taken
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions
text	Σ	1..1	string	Free text dosage instructions e.g. SIG. [ES: Instrucciones de dosificación de texto libre, por ejemplo, "ACETAMINOFEN 500MG CAX100 TA, Dosis: 500mg, Vía: oral, Frecuencia: 6 horas, Días: 3"]
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	Σ	0..1	Timing	When medication should be administered. [ES: Cuándo se debe administrar la medicación]
asNeeded[x]	Σ	0..1		Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: SNOMED CT Route Codes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	Σ	0..1	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.medicaia.ar/CodeSystem/DoseAndRateTypeCS
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
dose[x]	C	0..1	SimpleQuantity	A fixed quantity (no comparator) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	1..1	decimal	Numerical value (with implicit precision)
unit	Σ	1..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	Σ	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	SimpleQuantity	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient
dispenseRequest		0..1	BackboneElement	Medication supply authorization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
initialFill		0..1	BackboneElement	First fill details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity		0..1	SimpleQuantity	First fill quantity
duration		0..1	Duration	First fill duration
dispenseInterval		0..1	Duration	Minimum period of time between dispenses
validityPeriod		0..1	Period	Time period supply is authorized for
numberOfRepeatsAllowed		0..1	unsignedInt	Number of refills authorized
quantity		0..1	SimpleQuantity	Amount of medication to supply per dispense
expectedSupplyDuration		0..1	Duration	Number of days supply per dispense
performer		0..1	Reference(Organization)	Intended dispenser
substitution		0..1	BackboneElement	Any restrictions on medication substitution
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
allowed[x]		1..1		Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
reason		0..1	CodeableConcept	Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
priorPrescription		0..1	Reference(MedicationRequest)	An order/prescription that is being replaced
detectedIssue		0..*	Reference(DetectedIssue)	Clinical Issue with action
eventHistory		0..*	Reference(Provenance)	A list of events of interest in the lifecycle
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
MedicationRequest.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationRequest.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.statusReason	example	medicationRequest Status Reason Codes http://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard
MedicationRequest.intent	required	Pattern: order http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.category	required	MedicationRequestCategoryCodes (a valid code from Medication request category codes) https://fhir.medicaia.ar/ValueSet/MedicationRequestCategoryVS from this IG
MedicationRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
MedicationRequest.medication[x]	required	MedicationCodesVS https://fhir.medicaia.ar/ValueSet/MedicationCodesVS from this IG
MedicationRequest.performerType	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
MedicationRequest.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
MedicationRequest.groupIdentifier.use	required	Pattern: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationRequest.groupIdentifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationRequest.courseOfTherapyType	required	MedicationRequestCourseOfTherapyCodes (a valid code from Medication request course of therapy codes) https://fhir.medicaia.ar/ValueSet/MedicationRequestTherapyCodesVS from this IG
MedicationRequest.dosageInstruction.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard
MedicationRequest.dosageInstruction.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationRequest.dosageInstruction.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationRequest.dosageInstruction.route	required	RouteCodesVS https://fhir.medicaia.ar/ValueSet/RouteCodesVS from this IG
MedicationRequest.dosageInstruction.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard
MedicationRequest.dosageInstruction.doseAndRate.type	required	DoseAndRateTypeVS (a valid code from DoseAndRateType) https://fhir.medicaia.ar/ValueSet/DoseAndRateTypeVS from this IG
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
qty-3	error	MedicationRequest.dosageInstruction.doseAndRate.dose[x]	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
sqty-1	error	MedicationRequest.dosageInstruction.doseAndRate.dose[x]	The comparator is not used on a SimpleQuantity : comparator.empty()

This structure is derived from MedicationRequest

Summary

Mandatory: 11 elements(20 nested mandatory elements)
Fixed: 3 elements

Structures

This structure refers to these other structures:

• OrganizationMED (https://fhir.medicaia.ar/StructureDefinition/OrganizationMED)
• PatientMED (https://fhir.medicaia.ar/StructureDefinition/PatientMED)
• EncounterMED (https://fhir.medicaia.ar/StructureDefinition/EncounterMED)
• PractitionerMED (https://fhir.medicaia.ar/StructureDefinition/PractitionerMED)
• PractitionerRoleMED (https://fhir.medicaia.ar/StructureDefinition/PractitionerRoleMED)
• ConditionEncounterDiagnosisMED (https://fhir.medicaia.ar/StructureDefinition/ConditionEncounterDiagnosisMED)
• ConditionProblemListItemMED (https://fhir.medicaia.ar/StructureDefinition/ConditionProblemListItemMED)
• SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)