CIBMTR Reporting Implementation Guide
0.1.6 - Trial Use 1
This page is part of the CIBMTR Reporting Implementation Guide (v0.1.6: Release Draft) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions
Official URL: http://fhir.nmdp.org/ig/cibmtr-reporting/StructureDefinition/cibmtr-medication-request | Version: 0.1.6 | |||
Active as of 2023-05-05 | Computable Name: CIBMTR_MedicationRequest |
CIBMTR Medication Request (mcode)
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CancerRelatedMedicationRequest
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationRequest | 0..* | CancerRelatedMedicationRequest | Ordering of medication for patient or group | |
meta | ||||
Slices for security | 1..* | Coding | Security Labels applied to this resource Slice: Unordered, Open by pattern:system | |
security:TransplantCenter | S | 1..1 | Coding | Security Labels applied to this resource |
system | 1..1 | uri | Identity of the terminology system Required Pattern: http://terminology.cibmtr.org/codesystem/transplant-center | |
code | C | 1..1 | code | Symbol in syntax defined by the system sec-rc: Use transplant center identifier for security tag |
Documentation for this format |
Id | Grade | Path(s) | Details | Requirements |
sec-rc | error | MedicationRequest.meta.security:TransplantCenter.code | Use transplant center identifier for security tag : matches('^rc_[0-9]{5}$') |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationRequest | C | 0..* | CancerRelatedMedicationRequest | Ordering of medication for patient or group |
meta | Σ | 0..1 | Meta | Metadata about the resource |
Slices for security | Σ | 1..* | Coding | Security Labels applied to this resource Slice: Unordered, Open by pattern:system Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. |
security:TransplantCenter | SΣ | 1..1 | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. |
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://terminology.cibmtr.org/codesystem/transplant-center |
code | ΣC | 1..1 | code | Symbol in syntax defined by the system sec-rc: Use transplant center identifier for security tag |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for extension | S | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
treatmentIntent | S | 0..1 | CodeableConcept | Procedure Intent Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent Binding: Procedure Intent Value Set (required) |
terminationReason | S | 0..* | CodeableConcept | Treatment Termination Reason Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-termination-reason Binding: Treatment Termination Reason Value Set (required) |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!SΣ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription. |
intent | ?!SΣ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. |
category | S | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (preferred): The type of medication order. |
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action |
reported[x] | SΣ | 0..1 | Reported rather than primary record | |
reportedBoolean | boolean | |||
reportedReference | Reference(US Core Practitioner Profile) | |||
medication[x] | SΣ | 1..1 | Medication to be taken Binding: Medication Clinical Drug (extensible) | |
medicationCodeableConcept | CodeableConcept | |||
medicationReference | Reference(US Core Medication Profile) | |||
subject | SΣ | 1..1 | Reference(Cancer Patient Profile) | Who or group medication request is for |
encounter | S | 0..1 | Reference(US Core Encounter Profile) | Encounter created as part of encounter/admission/stay |
authoredOn | SΣ | 0..1 | dateTime | When request was initially authored |
requester | SΣ | 1..1 | Reference(US Core Practitioner Profile | US Core Organization Profile | Cancer Patient Profile) | Who/What requested the Request |
reasonCode | S | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Cancer Disorder Value Set (extensible) |
reasonReference | S | 0..* | Reference(Primary Cancer Condition Profile | Secondary Cancer Condition Profile) | Condition or observation that supports why the prescription is being written |
dosageInstruction | S | 0..* | Dosage | How the medication should be taken |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
text | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG |
Documentation for this format |
Path | Conformance | ValueSet |
MedicationRequest.meta.security | extensible | All Security Labels |
MedicationRequest.meta.security:TransplantCenter | extensible | All Security Labels |
MedicationRequest.status | required | medicationrequest Status |
MedicationRequest.intent | required | medicationRequest Intent |
MedicationRequest.category | preferred | medicationRequest Category Codes |
MedicationRequest.medication[x] | extensible | Medication Clinical Drug |
MedicationRequest.reasonCode | extensible | CancerDisorderVS |
Id | Grade | Path(s) | Details | Requirements |
sec-rc | error | MedicationRequest.meta.security:TransplantCenter.code | Use transplant center identifier for security tag : matches('^rc_[0-9]{5}$') |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationRequest | C | 0..* | CancerRelatedMedicationRequest | 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 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
versionId | Σ | 0..1 | id | Version specific identifier | ||||
lastUpdated | Σ | 0..1 | instant | When the resource version last changed | ||||
source | Σ | 0..1 | uri | Identifies where the resource comes from | ||||
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
Slices for security | Σ | 1..* | Coding | Security Labels applied to this resource Slice: Unordered, Open by pattern:system Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
security:TransplantCenter | SΣ | 1..1 | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification 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 Required Pattern: http://terminology.cibmtr.org/codesystem/transplant-center | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | ΣC | 1..1 | code | Symbol in syntax defined by the system sec-rc: Use transplant center identifier for security tag | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | S | 0..* | Extension | Extension Slice: Unordered, Open by value:url | ||||
treatmentIntent | S | 0..1 | CodeableConcept | Procedure Intent Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent Binding: Procedure Intent Value Set (required) | ||||
terminationReason | S | 0..* | CodeableConcept | Treatment Termination Reason Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-termination-reason Binding: Treatment Termination Reason Value Set (required) | ||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | 0..* | Identifier | External ids for this request | |||||
status | ?!SΣ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription. | ||||
statusReason | 0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||
intent | ?!SΣ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. | ||||
category | S | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (preferred): The type of medication order. | ||||
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] | SΣ | 0..1 | Reported rather than primary record | |||||
reportedBoolean | boolean S | |||||||
reportedReference | Reference S(US Core Practitioner Profile S | US Core Organization Profile | US Core Patient Profile | US Core PractitionerRole Profile | RelatedPerson) | |||||||
medication[x] | SΣ | 1..1 | Medication to be taken Binding: Medication Clinical Drug (extensible) | |||||
medicationCodeableConcept | CodeableConcept | |||||||
medicationReference | Reference(US Core Medication Profile) | |||||||
subject | SΣ | 1..1 | Reference(Cancer Patient Profile) | Who or group medication request is for | ||||
encounter | S | 0..1 | Reference(US Core Encounter Profile) | Encounter created as part of encounter/admission/stay | ||||
supportingInformation | 0..* | Reference(Resource) | Information to support ordering of the medication | |||||
authoredOn | SΣ | 0..1 | dateTime | When request was initially authored | ||||
requester | SΣ | 1..1 | Reference(US Core Practitioner Profile | US Core Organization Profile | Cancer Patient Profile) | Who/What requested the Request | ||||
performer | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||
performerType | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication. | ||||
recorder | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||
reasonCode | S | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Cancer Disorder Value Set (extensible) | ||||
reasonReference | S | 0..* | Reference(Primary Cancer Condition Profile | Secondary Cancer Condition Profile) | 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 | 0..1 | Identifier | Composite request this is part of | ||||
courseOfTherapyType | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |||||
insurance | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
note | 0..* | Annotation | Information about the prescription | |||||
dosageInstruction | S | 0..* | Dosage | How the medication should be taken | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
sequence | Σ | 0..1 | integer | The order of the dosage instructions | ||||
text | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG | ||||
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | ||||
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions | ||||
timing | Σ | 0..1 | Timing | When medication should be administered | ||||
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: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | ||||
method | 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..* | 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 (example): The kind of dose or rate specified. | ||||
dose[x] | Σ | 0..1 | Amount of medication per dose | |||||
doseRange | Range | |||||||
doseQuantity | Quantity(SimpleQuantity) | |||||||
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 |
Path | Conformance | ValueSet | ||||
MedicationRequest.meta.security | extensible | All Security Labels | ||||
MedicationRequest.meta.security:TransplantCenter | extensible | All Security Labels | ||||
MedicationRequest.meta.tag | example | CommonTags | ||||
MedicationRequest.language | preferred | CommonLanguages
| ||||
MedicationRequest.status | required | medicationrequest Status | ||||
MedicationRequest.statusReason | example | medicationRequest Status Reason Codes | ||||
MedicationRequest.intent | required | medicationRequest Intent | ||||
MedicationRequest.category | preferred | medicationRequest Category Codes | ||||
MedicationRequest.priority | required | RequestPriority | ||||
MedicationRequest.medication[x] | extensible | Medication Clinical Drug | ||||
MedicationRequest.performerType | example | ProcedurePerformerRoleCodes | ||||
MedicationRequest.reasonCode | extensible | CancerDisorderVS | ||||
MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codes | ||||
MedicationRequest.dosageInstruction.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructions | ||||
MedicationRequest.dosageInstruction.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodes | ||||
MedicationRequest.dosageInstruction.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodes | ||||
MedicationRequest.dosageInstruction.route | example | SNOMEDCTRouteCodes | ||||
MedicationRequest.dosageInstruction.method | example | SNOMEDCTAdministrationMethodCodes | ||||
MedicationRequest.dosageInstruction.doseAndRate.type | example | DoseAndRateType | ||||
MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCode | ||||
MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReason |
Id | Grade | Path(s) | Details | Requirements |
sec-rc | error | MedicationRequest.meta.security:TransplantCenter.code | Use transplant center identifier for security tag : matches('^rc_[0-9]{5}$') |
This structure is derived from CancerRelatedMedicationRequest
Summary
Mandatory: 0 element (4 nested mandatory elements)
Must-Support: 1 element
Slices
This structure defines the following Slices:
Differential View
This structure is derived from CancerRelatedMedicationRequest
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationRequest | 0..* | CancerRelatedMedicationRequest | Ordering of medication for patient or group | |
meta | ||||
Slices for security | 1..* | Coding | Security Labels applied to this resource Slice: Unordered, Open by pattern:system | |
security:TransplantCenter | S | 1..1 | Coding | Security Labels applied to this resource |
system | 1..1 | uri | Identity of the terminology system Required Pattern: http://terminology.cibmtr.org/codesystem/transplant-center | |
code | C | 1..1 | code | Symbol in syntax defined by the system sec-rc: Use transplant center identifier for security tag |
Documentation for this format |
Id | Grade | Path(s) | Details | Requirements |
sec-rc | error | MedicationRequest.meta.security:TransplantCenter.code | Use transplant center identifier for security tag : matches('^rc_[0-9]{5}$') |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationRequest | C | 0..* | CancerRelatedMedicationRequest | Ordering of medication for patient or group |
meta | Σ | 0..1 | Meta | Metadata about the resource |
Slices for security | Σ | 1..* | Coding | Security Labels applied to this resource Slice: Unordered, Open by pattern:system Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. |
security:TransplantCenter | SΣ | 1..1 | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. |
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://terminology.cibmtr.org/codesystem/transplant-center |
code | ΣC | 1..1 | code | Symbol in syntax defined by the system sec-rc: Use transplant center identifier for security tag |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for extension | S | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
treatmentIntent | S | 0..1 | CodeableConcept | Procedure Intent Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent Binding: Procedure Intent Value Set (required) |
terminationReason | S | 0..* | CodeableConcept | Treatment Termination Reason Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-termination-reason Binding: Treatment Termination Reason Value Set (required) |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!SΣ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription. |
intent | ?!SΣ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. |
category | S | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (preferred): The type of medication order. |
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action |
reported[x] | SΣ | 0..1 | Reported rather than primary record | |
reportedBoolean | boolean | |||
reportedReference | Reference(US Core Practitioner Profile) | |||
medication[x] | SΣ | 1..1 | Medication to be taken Binding: Medication Clinical Drug (extensible) | |
medicationCodeableConcept | CodeableConcept | |||
medicationReference | Reference(US Core Medication Profile) | |||
subject | SΣ | 1..1 | Reference(Cancer Patient Profile) | Who or group medication request is for |
encounter | S | 0..1 | Reference(US Core Encounter Profile) | Encounter created as part of encounter/admission/stay |
authoredOn | SΣ | 0..1 | dateTime | When request was initially authored |
requester | SΣ | 1..1 | Reference(US Core Practitioner Profile | US Core Organization Profile | Cancer Patient Profile) | Who/What requested the Request |
reasonCode | S | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Cancer Disorder Value Set (extensible) |
reasonReference | S | 0..* | Reference(Primary Cancer Condition Profile | Secondary Cancer Condition Profile) | Condition or observation that supports why the prescription is being written |
dosageInstruction | S | 0..* | Dosage | How the medication should be taken |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
text | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG |
Documentation for this format |
Path | Conformance | ValueSet |
MedicationRequest.meta.security | extensible | All Security Labels |
MedicationRequest.meta.security:TransplantCenter | extensible | All Security Labels |
MedicationRequest.status | required | medicationrequest Status |
MedicationRequest.intent | required | medicationRequest Intent |
MedicationRequest.category | preferred | medicationRequest Category Codes |
MedicationRequest.medication[x] | extensible | Medication Clinical Drug |
MedicationRequest.reasonCode | extensible | CancerDisorderVS |
Id | Grade | Path(s) | Details | Requirements |
sec-rc | error | MedicationRequest.meta.security:TransplantCenter.code | Use transplant center identifier for security tag : matches('^rc_[0-9]{5}$') |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationRequest | C | 0..* | CancerRelatedMedicationRequest | 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 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
versionId | Σ | 0..1 | id | Version specific identifier | ||||
lastUpdated | Σ | 0..1 | instant | When the resource version last changed | ||||
source | Σ | 0..1 | uri | Identifies where the resource comes from | ||||
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
Slices for security | Σ | 1..* | Coding | Security Labels applied to this resource Slice: Unordered, Open by pattern:system Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
security:TransplantCenter | SΣ | 1..1 | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification 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 Required Pattern: http://terminology.cibmtr.org/codesystem/transplant-center | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | ΣC | 1..1 | code | Symbol in syntax defined by the system sec-rc: Use transplant center identifier for security tag | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | S | 0..* | Extension | Extension Slice: Unordered, Open by value:url | ||||
treatmentIntent | S | 0..1 | CodeableConcept | Procedure Intent Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent Binding: Procedure Intent Value Set (required) | ||||
terminationReason | S | 0..* | CodeableConcept | Treatment Termination Reason Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-termination-reason Binding: Treatment Termination Reason Value Set (required) | ||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | 0..* | Identifier | External ids for this request | |||||
status | ?!SΣ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription. | ||||
statusReason | 0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||
intent | ?!SΣ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. | ||||
category | S | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (preferred): The type of medication order. | ||||
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] | SΣ | 0..1 | Reported rather than primary record | |||||
reportedBoolean | boolean S | |||||||
reportedReference | Reference S(US Core Practitioner Profile S | US Core Organization Profile | US Core Patient Profile | US Core PractitionerRole Profile | RelatedPerson) | |||||||
medication[x] | SΣ | 1..1 | Medication to be taken Binding: Medication Clinical Drug (extensible) | |||||
medicationCodeableConcept | CodeableConcept | |||||||
medicationReference | Reference(US Core Medication Profile) | |||||||
subject | SΣ | 1..1 | Reference(Cancer Patient Profile) | Who or group medication request is for | ||||
encounter | S | 0..1 | Reference(US Core Encounter Profile) | Encounter created as part of encounter/admission/stay | ||||
supportingInformation | 0..* | Reference(Resource) | Information to support ordering of the medication | |||||
authoredOn | SΣ | 0..1 | dateTime | When request was initially authored | ||||
requester | SΣ | 1..1 | Reference(US Core Practitioner Profile | US Core Organization Profile | Cancer Patient Profile) | Who/What requested the Request | ||||
performer | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||
performerType | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication. | ||||
recorder | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||
reasonCode | S | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Cancer Disorder Value Set (extensible) | ||||
reasonReference | S | 0..* | Reference(Primary Cancer Condition Profile | Secondary Cancer Condition Profile) | 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 | 0..1 | Identifier | Composite request this is part of | ||||
courseOfTherapyType | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |||||
insurance | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
note | 0..* | Annotation | Information about the prescription | |||||
dosageInstruction | S | 0..* | Dosage | How the medication should be taken | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
sequence | Σ | 0..1 | integer | The order of the dosage instructions | ||||
text | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG | ||||
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | ||||
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions | ||||
timing | Σ | 0..1 | Timing | When medication should be administered | ||||
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: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | ||||
method | 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..* | 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 (example): The kind of dose or rate specified. | ||||
dose[x] | Σ | 0..1 | Amount of medication per dose | |||||
doseRange | Range | |||||||
doseQuantity | Quantity(SimpleQuantity) | |||||||
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 |
Path | Conformance | ValueSet | ||||
MedicationRequest.meta.security | extensible | All Security Labels | ||||
MedicationRequest.meta.security:TransplantCenter | extensible | All Security Labels | ||||
MedicationRequest.meta.tag | example | CommonTags | ||||
MedicationRequest.language | preferred | CommonLanguages
| ||||
MedicationRequest.status | required | medicationrequest Status | ||||
MedicationRequest.statusReason | example | medicationRequest Status Reason Codes | ||||
MedicationRequest.intent | required | medicationRequest Intent | ||||
MedicationRequest.category | preferred | medicationRequest Category Codes | ||||
MedicationRequest.priority | required | RequestPriority | ||||
MedicationRequest.medication[x] | extensible | Medication Clinical Drug | ||||
MedicationRequest.performerType | example | ProcedurePerformerRoleCodes | ||||
MedicationRequest.reasonCode | extensible | CancerDisorderVS | ||||
MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codes | ||||
MedicationRequest.dosageInstruction.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructions | ||||
MedicationRequest.dosageInstruction.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodes | ||||
MedicationRequest.dosageInstruction.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodes | ||||
MedicationRequest.dosageInstruction.route | example | SNOMEDCTRouteCodes | ||||
MedicationRequest.dosageInstruction.method | example | SNOMEDCTAdministrationMethodCodes | ||||
MedicationRequest.dosageInstruction.doseAndRate.type | example | DoseAndRateType | ||||
MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCode | ||||
MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReason |
Id | Grade | Path(s) | Details | Requirements |
sec-rc | error | MedicationRequest.meta.security:TransplantCenter.code | Use transplant center identifier for security tag : matches('^rc_[0-9]{5}$') |
This structure is derived from CancerRelatedMedicationRequest
Summary
Mandatory: 0 element (4 nested mandatory elements)
Must-Support: 1 element
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron