IL Core Implementation Guide
0.18.0 - draft
This page is part of the IL-Core IG (v0.18.0: draft-1 Draft) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
Official URL: http://fhir.health.gov.il/StructureDefinition/il-core-medication-request | Version: 0.18.0 | |||
Standards status: Trial-use | Maturity Level: 1 | Computable Name: ILCoreMedicationRequest |
Israel Core proposed constraints and extensions on the MedicationRequest Resource
משאב הבסיס MedicationRequest נועד לתעד בקשה לאספקת תרופה במרשם (order) או לתעד הוראות למתן התרופה למטופל (request). המשאב נקרא “MedicationRequest” ולא “MedicationPrescription” או “MedicationOrder” כדי להכליל את השימוש במסגרות השונות כגון אשפוז בבית החולים, מרפאות חוץ וקהילה ובכך ליצור זרימת מידע יותר אחודה ואינטגרלית בין הגורמים השונים. ככלל, משאב זה מטפל בכל סוגי ההוראות לתרופה למטופל כולל הוראות לתרופות באשפוז, בקשה לתרופה במרשם של רופא בקופת החולים או בקהילה, הזמנות של תרופות ללא מרשם (למשל: אספירין), או הזנה תוך ורידית (Parenteral nutrition), תוספי תזונה \ ויטמינים. משאב זה עשוי לכלול גם הוראה למכשור רפואי הקשור לתרופות (למשל, משאף ונטולין), אך אינו מיועד לרישום דיאטות, או להזמנת פריטים שאינם קשורים לתרופות (משקפי ראייה, ציוד וכו’). יש לשים לב שמשאב זה מאפשר לבקש רק תרופה בודדת במרשם, ואינו מייצג מרשם כולל. מרשם הוא למעשה רשימה של בקשות MedicationRequest וכולל התייחסות גם לנושאים רגולטורים ואדמיניסטרטיביים (למשל: זכאות) ולכן אינו מוסדר כרגע במסגרת מודול התרופות. אם במסגרת העברת מידע ישנה דרישה למספר פריטים בו-זמנית (למשל: רשימת תרופות שנרשמו למטופל), היא נעשית באמצעות מספר מופעים של משאב זה. ניתן לקשר מופעים אלו בדרכים שונות, בהתאם לצרכי זרימת העבודה (למשל: ע”י אלמנט groupIdentifier.).
עוד מידע על פרופיל זה ניתן למצוא באתר הקהילה
כאמור, משאב MedicationRequest משמש לבקשה או להזמנת תרופות עבור מטופל מסוים, וכן לדיווח על בקשה או הזמנה לתרופות מארגון אחד לאחר. אולם, כאשר מבקשים אספקה או מכשירים למטופל או כשיש הנחיות מסוימות לגבי השימוש בהם, יש להשתמש במקום זאת ב- SupplyRequest או DeviceRequest , בעת דיווח על שימוש בתרופה על ידי מטופל, יש להשתמש במשאב MedicationStatement (ראו דף הפרופיל).
במהלך הסדרת הפרופיל עם ארגוני הבריאות עלו מספר תרחישי שימוש שע”מ לתת להם מענה הוחלט להוסיף הרחבות (extensions) בפרופיל. להלן ההרחבות שנוספו לפרופיל, כולם אופציונאליות:
בכל משאב התואם לפרופיל ILCoreMedicationRequest חייבים להיות האלמנטים הבאים:
בנוסף לאלמנטים שהוגדרו כחובה, הכיתוב Must Support (MS) ליד כל אלמנט מציין שכל מערכת חייבת לתמוך גם באלמנט זה במידה והוא קיים במופע ה- MedicationRequest שהתקבל. לחלק מהאלמנטים הוחלט להגדיר MS. לחלק מהאלמנטים הוחלט על MS שלהם כחלק מתאימות ל- US Core כפי שמוסבר בטבלה המסכמת. להלן האלמנטים שהוגדר להם MS:
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MedicationRequest
Path | Conformance | ValueSet | URI |
MedicationRequest.category:il-core | required | ILCoreMedicationRequestCategoryhttp://fhir.health.gov.il/ValueSet/il-core-medication-request-category from this IG | |
MedicationRequest.medication[x]:medicationCodeableConcept | extensible | ILCoreMedicationCodehttp://fhir.health.gov.il/ValueSet/il-core-medication-code from this IG | |
MedicationRequest.reasonCode | extensible | ILCoreProcedureReasonhttp://fhir.health.gov.il/ValueSet/il-core-procedure-reason from this IG | |
MedicationRequest.courseOfTherapyType | extensible | ILCoreMedicationCourseOfTherapyTypehttp://fhir.health.gov.il/ValueSet/il-core-medication-course-of-therapy-type from this IG |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationRequest | 0..* | MedicationRequest | ILCore MedicationRequest Profile | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
recorded | 0..1 | dateTime | Ext: Recorded Time URL: http://fhir.health.gov.il/StructureDefinition/ext-recorded-time | |
narcotic | 0..1 | boolean | Ext: Narcotic Medication URL: http://fhir.health.gov.il/StructureDefinition/ext-narcotic-medication | |
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 coded concept 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. |
Slices for category | 0..* | CodeableConcept | Type of medication usage Slice: Unordered, Open by value:$this Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. | |
category:il-core | 0..* | CodeableConcept | Type of medication usage Binding: ILCore Medication Request Category (required) | |
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action |
Slices for reported[x] | Σ | 0..1 | Reported rather than primary record Slice: Unordered, Open by type:$this | |
reportedBoolean | boolean | |||
reportedReference | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||
reported[x]:reportedReference | Σ | 0..1 | Reference(ILCore Patient Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore RelatedPerson Profile | ILCore Organization Profile) | Reported rather than primary record |
Slices for medication[x] | SΣ | 1..1 | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | |
medicationCodeableConcept | CodeableConcept | |||
medicationReference | Reference(Medication) | |||
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Medication to be taken Binding: ILCore Medication Code (extensible) |
Slices for extension | Content/Rules for all slices | |||
medication-form | 0..1 | CodeableConcept | Ext: Medication Dose Form URL: http://fhir.health.gov.il/StructureDefinition/ext-medication-dose-form Binding: IL Core Medication Dose Form (extensible) | |
medication[x]:medicationReference | Σ | 0..1 | Reference(ILCore Medication Profile) | Medication to be taken |
subject | SΣ | 1..1 | Reference(ILCore Patient Profile | ILCore Group Profile) | Who or group medication request is for |
encounter | 0..1 | Reference(ILCore Encounter Profile) | Encounter created as part of encounter/admission/stay | |
Slices for supportingInformation | 0..* | Reference(Resource) | Information to support ordering of the medication Slice: Unordered, Open by profile:$this.resolve() | |
supportingInformation:bodyWeight | 0..1 | Reference(Observation Body Weight Profile) | Information to support ordering of the medication | |
authoredOn | SΣ | 0..1 | dateTime | When request was initially authored |
requester | SΣ | 1..1 | Reference(ILCore Patient Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore RelatedPerson Profile | ILCore Organization Profile | ILCore Device Profile) | Who/What requested the Request |
performer | 0..1 | Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore CareTeam Profile | ILCore Device Profile) | Intended performer of administration | |
recorder | 0..1 | Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile) | Person who entered the request | |
reasonCode | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: IL Core procedure Reason (extensible) | |
reasonReference | 0..* | Reference(ILCore Condition Profile | ILCore Observation Profile) | Condition or observation that supports why the prescription is being written | |
Slices for extension | Content/Rules for all slices | |||
procedureReference | 0..* | Reference(ILCore Procedure Profile) | Ext: ILCore Procedure Reference URL: http://fhir.health.gov.il/StructureDefinition/ext-procedure-reference | |
basedOn | Σ | 0..* | Reference(ILCore CarePlan Profile | ILCore MedicationRequest Profile | ILCore ServiceRequest Profile | ILCore ImmunizationRecommendation Profile) | What request fulfills |
courseOfTherapyType | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: ILCore Medication Course Of Therapy type (extensible) | |
dosageInstruction | S | 0..* | ILCoreDosage | How the medication is/was taken or should be taken |
Documentation for this format |
Path | Conformance | ValueSet | URI |
MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard | |
MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard | |
MedicationRequest.category | example | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard | |
MedicationRequest.category:il-core | required | ILCoreMedicationRequestCategoryhttp://fhir.health.gov.il/ValueSet/il-core-medication-request-category from this IG | |
MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | |
MedicationRequest.medication[x]:medicationCodeableConcept | extensible | ILCoreMedicationCodehttp://fhir.health.gov.il/ValueSet/il-core-medication-code from this IG | |
MedicationRequest.reasonCode | extensible | ILCoreProcedureReasonhttp://fhir.health.gov.il/ValueSet/il-core-procedure-reason from this IG | |
MedicationRequest.courseOfTherapyType | extensible | ILCoreMedicationCourseOfTherapyTypehttp://fhir.health.gov.il/ValueSet/il-core-medication-course-of-therapy-type from this IG |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationRequest | 0..* | MedicationRequest | ILCore MedicationRequest Profile | |||||
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.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
recorded | 0..1 | dateTime | Ext: Recorded Time URL: http://fhir.health.gov.il/StructureDefinition/ext-recorded-time | |||||
narcotic | 0..1 | boolean | Ext: Narcotic Medication URL: http://fhir.health.gov.il/StructureDefinition/ext-narcotic-medication | |||||
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 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 | ?!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. | ||||
Slices for category | 0..* | CodeableConcept | Type of medication usage Slice: Unordered, Open by value:$this Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. | |||||
category:il-core | 0..* | CodeableConcept | Type of medication usage Binding: ILCore Medication Request Category (required) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.health.gov.il/cs/il-core-medicationrequest-category | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action | ||||
Slices for reported[x] | Σ | 0..1 | Reported rather than primary record Slice: Unordered, Open by type:$this | |||||
reportedBoolean | boolean | |||||||
reportedReference | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||||||
reported[x]:reportedReference | Σ | 0..1 | Reference(ILCore Patient Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore RelatedPerson Profile | ILCore Organization Profile) | Reported rather than primary record | ||||
Slices for medication[x] | SΣ | 1..1 | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | |||||
medicationCodeableConcept | CodeableConcept | |||||||
medicationReference | Reference(Medication) | |||||||
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Medication to be taken Binding: ILCore Medication Code (extensible) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
medication-form | 0..1 | CodeableConcept | Ext: Medication Dose Form URL: http://fhir.health.gov.il/StructureDefinition/ext-medication-dose-form Binding: IL Core Medication Dose Form (extensible) | |||||
coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
medication[x]:medicationReference | Σ | 0..1 | Reference(ILCore Medication Profile) | Medication to be taken | ||||
subject | SΣ | 1..1 | Reference(ILCore Patient Profile | ILCore Group Profile) | Who or group medication request is for | ||||
encounter | 0..1 | Reference(ILCore Encounter Profile) | Encounter created as part of encounter/admission/stay | |||||
Slices for supportingInformation | 0..* | Reference(Resource) | Information to support ordering of the medication Slice: Unordered, Open by profile:$this.resolve() | |||||
supportingInformation:bodyWeight | 0..1 | Reference(Observation Body Weight Profile) | Information to support ordering of the medication | |||||
authoredOn | SΣ | 0..1 | dateTime | When request was initially authored | ||||
requester | SΣ | 1..1 | Reference(ILCore Patient Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore RelatedPerson Profile | ILCore Organization Profile | ILCore Device Profile) | Who/What requested the Request | ||||
performer | 0..1 | Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore CareTeam Profile | ILCore Device Profile) | 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(ILCore Practitioner Profile | ILCore PractitionerRole Profile) | Person who entered the request | |||||
reasonCode | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: IL Core procedure Reason (extensible) | |||||
reasonReference | 0..* | Reference(ILCore Condition Profile | ILCore Observation Profile) | Condition or observation that supports why the prescription is being written | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
procedureReference | 0..* | Reference(ILCore Procedure Profile) | Ext: ILCore Procedure Reference URL: http://fhir.health.gov.il/StructureDefinition/ext-procedure-reference | |||||
reference | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
instantiatesCanonical | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | ||||
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
basedOn | Σ | 0..* | Reference(ILCore CarePlan Profile | ILCore MedicationRequest Profile | ILCore ServiceRequest Profile | ILCore ImmunizationRecommendation Profile) | What request fulfills | ||||
groupIdentifier | Σ | 0..1 | Identifier | Composite request this is part of | ||||
courseOfTherapyType | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: ILCore Medication Course Of Therapy type (extensible) | |||||
insurance | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
note | 0..* | Annotation | Information about the prescription | |||||
dosageInstruction | S | 0..* | ILCoreDosage | How the medication is/was taken or should be taken | ||||
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 | URI | |||
MedicationRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard | ||||
MedicationRequest.statusReason | example | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard | ||||
MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard | ||||
MedicationRequest.category | example | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard | ||||
MedicationRequest.category:il-core | required | ILCoreMedicationRequestCategoryhttp://fhir.health.gov.il/ValueSet/il-core-medication-request-category from this IG | ||||
MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard | ||||
MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | ||||
MedicationRequest.medication[x]:medicationCodeableConcept | extensible | ILCoreMedicationCodehttp://fhir.health.gov.il/ValueSet/il-core-medication-code from this IG | ||||
MedicationRequest.performerType | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard | ||||
MedicationRequest.reasonCode | extensible | ILCoreProcedureReasonhttp://fhir.health.gov.il/ValueSet/il-core-procedure-reason from this IG | ||||
MedicationRequest.reasonReference.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
MedicationRequest.courseOfTherapyType | extensible | ILCoreMedicationCourseOfTherapyTypehttp://fhir.health.gov.il/ValueSet/il-core-medication-course-of-therapy-type from this IG | ||||
MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | ||||
MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReasonhttp://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason |
This structure is derived from MedicationRequest
Differential View
This structure is derived from MedicationRequest
Path | Conformance | ValueSet | URI |
MedicationRequest.category:il-core | required | ILCoreMedicationRequestCategoryhttp://fhir.health.gov.il/ValueSet/il-core-medication-request-category from this IG | |
MedicationRequest.medication[x]:medicationCodeableConcept | extensible | ILCoreMedicationCodehttp://fhir.health.gov.il/ValueSet/il-core-medication-code from this IG | |
MedicationRequest.reasonCode | extensible | ILCoreProcedureReasonhttp://fhir.health.gov.il/ValueSet/il-core-procedure-reason from this IG | |
MedicationRequest.courseOfTherapyType | extensible | ILCoreMedicationCourseOfTherapyTypehttp://fhir.health.gov.il/ValueSet/il-core-medication-course-of-therapy-type from this IG |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationRequest | 0..* | MedicationRequest | ILCore MedicationRequest Profile | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
recorded | 0..1 | dateTime | Ext: Recorded Time URL: http://fhir.health.gov.il/StructureDefinition/ext-recorded-time | |
narcotic | 0..1 | boolean | Ext: Narcotic Medication URL: http://fhir.health.gov.il/StructureDefinition/ext-narcotic-medication | |
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 coded concept 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. |
Slices for category | 0..* | CodeableConcept | Type of medication usage Slice: Unordered, Open by value:$this Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. | |
category:il-core | 0..* | CodeableConcept | Type of medication usage Binding: ILCore Medication Request Category (required) | |
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action |
Slices for reported[x] | Σ | 0..1 | Reported rather than primary record Slice: Unordered, Open by type:$this | |
reportedBoolean | boolean | |||
reportedReference | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||
reported[x]:reportedReference | Σ | 0..1 | Reference(ILCore Patient Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore RelatedPerson Profile | ILCore Organization Profile) | Reported rather than primary record |
Slices for medication[x] | SΣ | 1..1 | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | |
medicationCodeableConcept | CodeableConcept | |||
medicationReference | Reference(Medication) | |||
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Medication to be taken Binding: ILCore Medication Code (extensible) |
Slices for extension | Content/Rules for all slices | |||
medication-form | 0..1 | CodeableConcept | Ext: Medication Dose Form URL: http://fhir.health.gov.il/StructureDefinition/ext-medication-dose-form Binding: IL Core Medication Dose Form (extensible) | |
medication[x]:medicationReference | Σ | 0..1 | Reference(ILCore Medication Profile) | Medication to be taken |
subject | SΣ | 1..1 | Reference(ILCore Patient Profile | ILCore Group Profile) | Who or group medication request is for |
encounter | 0..1 | Reference(ILCore Encounter Profile) | Encounter created as part of encounter/admission/stay | |
Slices for supportingInformation | 0..* | Reference(Resource) | Information to support ordering of the medication Slice: Unordered, Open by profile:$this.resolve() | |
supportingInformation:bodyWeight | 0..1 | Reference(Observation Body Weight Profile) | Information to support ordering of the medication | |
authoredOn | SΣ | 0..1 | dateTime | When request was initially authored |
requester | SΣ | 1..1 | Reference(ILCore Patient Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore RelatedPerson Profile | ILCore Organization Profile | ILCore Device Profile) | Who/What requested the Request |
performer | 0..1 | Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore CareTeam Profile | ILCore Device Profile) | Intended performer of administration | |
recorder | 0..1 | Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile) | Person who entered the request | |
reasonCode | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: IL Core procedure Reason (extensible) | |
reasonReference | 0..* | Reference(ILCore Condition Profile | ILCore Observation Profile) | Condition or observation that supports why the prescription is being written | |
Slices for extension | Content/Rules for all slices | |||
procedureReference | 0..* | Reference(ILCore Procedure Profile) | Ext: ILCore Procedure Reference URL: http://fhir.health.gov.il/StructureDefinition/ext-procedure-reference | |
basedOn | Σ | 0..* | Reference(ILCore CarePlan Profile | ILCore MedicationRequest Profile | ILCore ServiceRequest Profile | ILCore ImmunizationRecommendation Profile) | What request fulfills |
courseOfTherapyType | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: ILCore Medication Course Of Therapy type (extensible) | |
dosageInstruction | S | 0..* | ILCoreDosage | How the medication is/was taken or should be taken |
Documentation for this format |
Path | Conformance | ValueSet | URI |
MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard | |
MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard | |
MedicationRequest.category | example | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard | |
MedicationRequest.category:il-core | required | ILCoreMedicationRequestCategoryhttp://fhir.health.gov.il/ValueSet/il-core-medication-request-category from this IG | |
MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | |
MedicationRequest.medication[x]:medicationCodeableConcept | extensible | ILCoreMedicationCodehttp://fhir.health.gov.il/ValueSet/il-core-medication-code from this IG | |
MedicationRequest.reasonCode | extensible | ILCoreProcedureReasonhttp://fhir.health.gov.il/ValueSet/il-core-procedure-reason from this IG | |
MedicationRequest.courseOfTherapyType | extensible | ILCoreMedicationCourseOfTherapyTypehttp://fhir.health.gov.il/ValueSet/il-core-medication-course-of-therapy-type from this IG |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationRequest | 0..* | MedicationRequest | ILCore MedicationRequest Profile | |||||
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.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
recorded | 0..1 | dateTime | Ext: Recorded Time URL: http://fhir.health.gov.il/StructureDefinition/ext-recorded-time | |||||
narcotic | 0..1 | boolean | Ext: Narcotic Medication URL: http://fhir.health.gov.il/StructureDefinition/ext-narcotic-medication | |||||
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 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 | ?!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. | ||||
Slices for category | 0..* | CodeableConcept | Type of medication usage Slice: Unordered, Open by value:$this Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. | |||||
category:il-core | 0..* | CodeableConcept | Type of medication usage Binding: ILCore Medication Request Category (required) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://fhir.health.gov.il/cs/il-core-medicationrequest-category | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action | ||||
Slices for reported[x] | Σ | 0..1 | Reported rather than primary record Slice: Unordered, Open by type:$this | |||||
reportedBoolean | boolean | |||||||
reportedReference | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||||||
reported[x]:reportedReference | Σ | 0..1 | Reference(ILCore Patient Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore RelatedPerson Profile | ILCore Organization Profile) | Reported rather than primary record | ||||
Slices for medication[x] | SΣ | 1..1 | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | |||||
medicationCodeableConcept | CodeableConcept | |||||||
medicationReference | Reference(Medication) | |||||||
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Medication to be taken Binding: ILCore Medication Code (extensible) | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
medication-form | 0..1 | CodeableConcept | Ext: Medication Dose Form URL: http://fhir.health.gov.il/StructureDefinition/ext-medication-dose-form Binding: IL Core Medication Dose Form (extensible) | |||||
coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
medication[x]:medicationReference | Σ | 0..1 | Reference(ILCore Medication Profile) | Medication to be taken | ||||
subject | SΣ | 1..1 | Reference(ILCore Patient Profile | ILCore Group Profile) | Who or group medication request is for | ||||
encounter | 0..1 | Reference(ILCore Encounter Profile) | Encounter created as part of encounter/admission/stay | |||||
Slices for supportingInformation | 0..* | Reference(Resource) | Information to support ordering of the medication Slice: Unordered, Open by profile:$this.resolve() | |||||
supportingInformation:bodyWeight | 0..1 | Reference(Observation Body Weight Profile) | Information to support ordering of the medication | |||||
authoredOn | SΣ | 0..1 | dateTime | When request was initially authored | ||||
requester | SΣ | 1..1 | Reference(ILCore Patient Profile | ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore RelatedPerson Profile | ILCore Organization Profile | ILCore Device Profile) | Who/What requested the Request | ||||
performer | 0..1 | Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore CareTeam Profile | ILCore Device Profile) | 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(ILCore Practitioner Profile | ILCore PractitionerRole Profile) | Person who entered the request | |||||
reasonCode | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: IL Core procedure Reason (extensible) | |||||
reasonReference | 0..* | Reference(ILCore Condition Profile | ILCore Observation Profile) | Condition or observation that supports why the prescription is being written | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
procedureReference | 0..* | Reference(ILCore Procedure Profile) | Ext: ILCore Procedure Reference URL: http://fhir.health.gov.il/StructureDefinition/ext-procedure-reference | |||||
reference | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
instantiatesCanonical | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | ||||
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
basedOn | Σ | 0..* | Reference(ILCore CarePlan Profile | ILCore MedicationRequest Profile | ILCore ServiceRequest Profile | ILCore ImmunizationRecommendation Profile) | What request fulfills | ||||
groupIdentifier | Σ | 0..1 | Identifier | Composite request this is part of | ||||
courseOfTherapyType | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: ILCore Medication Course Of Therapy type (extensible) | |||||
insurance | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
note | 0..* | Annotation | Information about the prescription | |||||
dosageInstruction | S | 0..* | ILCoreDosage | How the medication is/was taken or should be taken | ||||
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 | URI | |||
MedicationRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard | ||||
MedicationRequest.statusReason | example | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard | ||||
MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard | ||||
MedicationRequest.category | example | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard | ||||
MedicationRequest.category:il-core | required | ILCoreMedicationRequestCategoryhttp://fhir.health.gov.il/ValueSet/il-core-medication-request-category from this IG | ||||
MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard | ||||
MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | ||||
MedicationRequest.medication[x]:medicationCodeableConcept | extensible | ILCoreMedicationCodehttp://fhir.health.gov.il/ValueSet/il-core-medication-code from this IG | ||||
MedicationRequest.performerType | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard | ||||
MedicationRequest.reasonCode | extensible | ILCoreProcedureReasonhttp://fhir.health.gov.il/ValueSet/il-core-procedure-reason from this IG | ||||
MedicationRequest.reasonReference.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
MedicationRequest.courseOfTherapyType | extensible | ILCoreMedicationCourseOfTherapyTypehttp://fhir.health.gov.il/ValueSet/il-core-medication-course-of-therapy-type from this IG | ||||
MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | ||||
MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReasonhttp://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason |
This structure is derived from MedicationRequest
Other representations of profile: CSV, Excel, Schematron