CIBMTR Reporting Implementation Guide
0.1.6 - Trial Use 1

CIBMTR Reporting Implementation Guide - Local Development build (v0.1.6). See the Directory of published versions

Resource Profile: CIBMTR Medication Request (mcode)

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:

Formal Views of Profile Content

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

This structure is derived from CancerRelatedMedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..*CancerRelatedMedicationRequestOrdering of medication for patient or group
... meta
.... Slices for security 1..*CodingSecurity Labels applied to this resource
Slice: Unordered, Open by pattern:system
..... security:TransplantCenter S1..1CodingSecurity Labels applied to this resource
...... system 1..1uriIdentity of the terminology system
Required Pattern: http://terminology.cibmtr.org/codesystem/transplant-center
...... code C1..1codeSymbol in syntax defined by the system
sec-rc: Use transplant center identifier for security tag

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
sec-rcerrorMedicationRequest.meta.security:TransplantCenter.codeUse transplant center identifier for security tag
: matches('^rc_[0-9]{5}$')
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest C0..*CancerRelatedMedicationRequestOrdering of medication for patient or group
... meta Σ0..1MetaMetadata about the resource
.... Slices for security Σ1..*CodingSecurity 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 SΣ1..1CodingSecurity Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


...... system Σ1..1uriIdentity of the terminology system
Required Pattern: http://terminology.cibmtr.org/codesystem/transplant-center
...... code ΣC1..1codeSymbol in syntax defined by the system
sec-rc: Use transplant center identifier for security tag
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... terminationReason S0..*CodeableConceptTreatment Termination Reason Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-termination-reason
Binding: Treatment Termination Reason Value Set (required)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!SΣ1..1codeactive | 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 ?!SΣ1..1codeproposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.

... category S0..*CodeableConceptType of medication usage
Binding: medicationRequest Category Codes (preferred): The type of medication order.


... doNotPerform ?!Σ0..1booleanTrue if request is prohibiting action
... reported[x] SΣ0..1Reported rather than primary record
.... reportedBooleanboolean
.... reportedReferenceReference(US Core Practitioner Profile)
... medication[x] SΣ1..1Medication to be taken
Binding: Medication Clinical Drug (extensible)
.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(US Core Medication Profile)
... subject SΣ1..1Reference(Cancer Patient Profile)Who or group medication request is for
... encounter S0..1Reference(US Core Encounter Profile)Encounter created as part of encounter/admission/stay
... authoredOn SΣ0..1dateTimeWhen request was initially authored
... requester SΣ1..1Reference(US Core Practitioner Profile | US Core Organization Profile | Cancer Patient Profile)Who/What requested the Request
... reasonCode S0..*CodeableConceptReason or indication for ordering or not ordering the medication
Binding: Cancer Disorder Value Set (extensible)
... reasonReference S0..*Reference(Primary Cancer Condition Profile | Secondary Cancer Condition Profile)Condition or observation that supports why the prescription is being written
... dosageInstruction S0..*DosageHow the medication should be taken
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... text SΣ0..1stringFree text dosage instructions e.g. SIG

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
MedicationRequest.meta.securityextensibleAll Security Labels
MedicationRequest.meta.security:TransplantCenterextensibleAll Security Labels
MedicationRequest.statusrequiredmedicationrequest Status
MedicationRequest.intentrequiredmedicationRequest Intent
MedicationRequest.categorypreferredmedicationRequest Category Codes
MedicationRequest.medication[x]extensibleMedication Clinical Drug
MedicationRequest.reasonCodeextensibleCancerDisorderVS

Constraints

IdGradePath(s)DetailsRequirements
sec-rcerrorMedicationRequest.meta.security:TransplantCenter.codeUse transplant center identifier for security tag
: matches('^rc_[0-9]{5}$')
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest C0..*CancerRelatedMedicationRequestOrdering of medication for patient or group
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ0..1idVersion specific identifier
.... lastUpdated Σ0..1instantWhen the resource version last changed
.... source Σ0..1uriIdentifies where the resource comes from
.... profile Σ0..*canonical(StructureDefinition)Profiles this resource claims to conform to
.... Slices for security Σ1..*CodingSecurity 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 SΣ1..1CodingSecurity Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Required Pattern: http://terminology.cibmtr.org/codesystem/transplant-center
...... version Σ0..1stringVersion of the system - if relevant
...... code ΣC1..1codeSymbol in syntax defined by the system
sec-rc: Use transplant center identifier for security tag
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... tag Σ0..*CodingTags 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 ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... treatmentIntent S0..1CodeableConceptProcedure Intent Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
Binding: Procedure Intent Value Set (required)
... terminationReason S0..*CodeableConceptTreatment Termination Reason Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-termination-reason
Binding: Treatment Termination Reason Value Set (required)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierExternal ids for this request
... status ?!SΣ1..1codeactive | 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..1CodeableConceptReason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

... intent ?!SΣ1..1codeproposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.

... category S0..*CodeableConceptType of medication usage
Binding: medicationRequest Category Codes (preferred): The type of medication order.


... priority Σ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ0..1booleanTrue if request is prohibiting action
... reported[x] SΣ0..1Reported rather than primary record
.... reportedBooleanboolean S
.... reportedReferenceReference S(US Core Practitioner Profile S | US Core Organization Profile | US Core Patient Profile | US Core PractitionerRole Profile | RelatedPerson)
... medication[x] SΣ1..1Medication to be taken
Binding: Medication Clinical Drug (extensible)
.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(US Core Medication Profile)
... subject SΣ1..1Reference(Cancer Patient Profile)Who or group medication request is for
... encounter S0..1Reference(US Core Encounter Profile)Encounter created as part of encounter/admission/stay
... supportingInformation 0..*Reference(Resource)Information to support ordering of the medication
... authoredOn SΣ0..1dateTimeWhen request was initially authored
... requester SΣ1..1Reference(US Core Practitioner Profile | US Core Organization Profile | Cancer Patient Profile)Who/What requested the Request
... performer 0..1Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)Intended performer of administration
... performerType Σ0..1CodeableConceptDesired kind of performer of the medication administration
Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.

... recorder 0..1Reference(Practitioner | PractitionerRole)Person who entered the request
... reasonCode S0..*CodeableConceptReason or indication for ordering or not ordering the medication
Binding: Cancer Disorder Value Set (extensible)
... reasonReference S0..*Reference(Primary Cancer Condition Profile | Secondary Cancer Condition Profile)Condition or observation that supports why the prescription is being written
... instantiatesCanonical Σ0..*canonical()Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn Σ0..*Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)What request fulfills
... groupIdentifier Σ0..1IdentifierComposite request this is part of
... courseOfTherapyType 0..1CodeableConceptOverall 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..*AnnotationInformation about the prescription
... dosageInstruction S0..*DosageHow the medication should be taken
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... sequence Σ0..1integerThe order of the dosage instructions
.... text SΣ0..1stringFree text dosage instructions e.g. SIG
.... additionalInstruction Σ0..*CodeableConceptSupplemental 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 Σ0..1stringPatient or consumer oriented instructions
.... timing Σ0..1TimingWhen medication should be administered
.... asNeeded[x] Σ0..1Take "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.

..... asNeededBooleanboolean
..... asNeededCodeableConceptCodeableConcept
.... site Σ0..1CodeableConceptBody site to administer to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.

.... route Σ0..1CodeableConceptHow 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 Σ0..1CodeableConceptTechnique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

.... doseAndRate Σ0..*ElementAmount of medication administered
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ0..1CodeableConceptThe kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.

..... dose[x] Σ0..1Amount of medication per dose
...... doseRangeRange
...... doseQuantityQuantity(SimpleQuantity)
..... rate[x] Σ0..1Amount of medication per unit of time
...... rateRatioRatio
...... rateRangeRange
...... rateQuantityQuantity(SimpleQuantity)
.... maxDosePerPeriod Σ0..1RatioUpper limit on medication per unit of time
.... maxDosePerAdministration Σ0..1SimpleQuantityUpper limit on medication per administration
.... maxDosePerLifetime Σ0..1SimpleQuantityUpper limit on medication per lifetime of the patient
... dispenseRequest 0..1BackboneElementMedication supply authorization
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... initialFill 0..1BackboneElementFirst fill details
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... quantity 0..1SimpleQuantityFirst fill quantity
..... duration 0..1DurationFirst fill duration
.... dispenseInterval 0..1DurationMinimum period of time between dispenses
.... validityPeriod 0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed 0..1unsignedIntNumber of refills authorized
.... quantity 0..1SimpleQuantityAmount of medication to supply per dispense
.... expectedSupplyDuration 0..1DurationNumber of days supply per dispense
.... performer 0..1Reference(Organization)Intended dispenser
... substitution 0..1BackboneElementAny restrictions on medication substitution
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... allowed[x] 1..1Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.

..... allowedBooleanboolean
..... allowedCodeableConceptCodeableConcept
.... reason 0..1CodeableConceptWhy 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..1Reference(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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
MedicationRequest.meta.securityextensibleAll Security Labels
MedicationRequest.meta.security:TransplantCenterextensibleAll Security Labels
MedicationRequest.meta.tagexampleCommonTags
MedicationRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
MedicationRequest.statusrequiredmedicationrequest Status
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
MedicationRequest.intentrequiredmedicationRequest Intent
MedicationRequest.categorypreferredmedicationRequest Category Codes
MedicationRequest.priorityrequiredRequestPriority
MedicationRequest.medication[x]extensibleMedication Clinical Drug
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
MedicationRequest.reasonCodeextensibleCancerDisorderVS
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
MedicationRequest.dosageInstruction.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
MedicationRequest.dosageInstruction.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
MedicationRequest.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
MedicationRequest.dosageInstruction.routeexampleSNOMEDCTRouteCodes
MedicationRequest.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
MedicationRequest.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason

Constraints

IdGradePath(s)DetailsRequirements
sec-rcerrorMedicationRequest.meta.security:TransplantCenter.codeUse 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:

  • The element MedicationRequest.meta.security is sliced based on the value of pattern:system

Differential View

This structure is derived from CancerRelatedMedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..*CancerRelatedMedicationRequestOrdering of medication for patient or group
... meta
.... Slices for security 1..*CodingSecurity Labels applied to this resource
Slice: Unordered, Open by pattern:system
..... security:TransplantCenter S1..1CodingSecurity Labels applied to this resource
...... system 1..1uriIdentity of the terminology system
Required Pattern: http://terminology.cibmtr.org/codesystem/transplant-center
...... code C1..1codeSymbol in syntax defined by the system
sec-rc: Use transplant center identifier for security tag

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
sec-rcerrorMedicationRequest.meta.security:TransplantCenter.codeUse transplant center identifier for security tag
: matches('^rc_[0-9]{5}$')

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest C0..*CancerRelatedMedicationRequestOrdering of medication for patient or group
... meta Σ0..1MetaMetadata about the resource
.... Slices for security Σ1..*CodingSecurity 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 SΣ1..1CodingSecurity Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


...... system Σ1..1uriIdentity of the terminology system
Required Pattern: http://terminology.cibmtr.org/codesystem/transplant-center
...... code ΣC1..1codeSymbol in syntax defined by the system
sec-rc: Use transplant center identifier for security tag
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... terminationReason S0..*CodeableConceptTreatment Termination Reason Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-termination-reason
Binding: Treatment Termination Reason Value Set (required)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!SΣ1..1codeactive | 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 ?!SΣ1..1codeproposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.

... category S0..*CodeableConceptType of medication usage
Binding: medicationRequest Category Codes (preferred): The type of medication order.


... doNotPerform ?!Σ0..1booleanTrue if request is prohibiting action
... reported[x] SΣ0..1Reported rather than primary record
.... reportedBooleanboolean
.... reportedReferenceReference(US Core Practitioner Profile)
... medication[x] SΣ1..1Medication to be taken
Binding: Medication Clinical Drug (extensible)
.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(US Core Medication Profile)
... subject SΣ1..1Reference(Cancer Patient Profile)Who or group medication request is for
... encounter S0..1Reference(US Core Encounter Profile)Encounter created as part of encounter/admission/stay
... authoredOn SΣ0..1dateTimeWhen request was initially authored
... requester SΣ1..1Reference(US Core Practitioner Profile | US Core Organization Profile | Cancer Patient Profile)Who/What requested the Request
... reasonCode S0..*CodeableConceptReason or indication for ordering or not ordering the medication
Binding: Cancer Disorder Value Set (extensible)
... reasonReference S0..*Reference(Primary Cancer Condition Profile | Secondary Cancer Condition Profile)Condition or observation that supports why the prescription is being written
... dosageInstruction S0..*DosageHow the medication should be taken
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... text SΣ0..1stringFree text dosage instructions e.g. SIG

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
MedicationRequest.meta.securityextensibleAll Security Labels
MedicationRequest.meta.security:TransplantCenterextensibleAll Security Labels
MedicationRequest.statusrequiredmedicationrequest Status
MedicationRequest.intentrequiredmedicationRequest Intent
MedicationRequest.categorypreferredmedicationRequest Category Codes
MedicationRequest.medication[x]extensibleMedication Clinical Drug
MedicationRequest.reasonCodeextensibleCancerDisorderVS

Constraints

IdGradePath(s)DetailsRequirements
sec-rcerrorMedicationRequest.meta.security:TransplantCenter.codeUse transplant center identifier for security tag
: matches('^rc_[0-9]{5}$')

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest C0..*CancerRelatedMedicationRequestOrdering of medication for patient or group
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ0..1idVersion specific identifier
.... lastUpdated Σ0..1instantWhen the resource version last changed
.... source Σ0..1uriIdentifies where the resource comes from
.... profile Σ0..*canonical(StructureDefinition)Profiles this resource claims to conform to
.... Slices for security Σ1..*CodingSecurity 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 SΣ1..1CodingSecurity Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Required Pattern: http://terminology.cibmtr.org/codesystem/transplant-center
...... version Σ0..1stringVersion of the system - if relevant
...... code ΣC1..1codeSymbol in syntax defined by the system
sec-rc: Use transplant center identifier for security tag
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... tag Σ0..*CodingTags 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 ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... treatmentIntent S0..1CodeableConceptProcedure Intent Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
Binding: Procedure Intent Value Set (required)
... terminationReason S0..*CodeableConceptTreatment Termination Reason Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-termination-reason
Binding: Treatment Termination Reason Value Set (required)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierExternal ids for this request
... status ?!SΣ1..1codeactive | 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..1CodeableConceptReason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

... intent ?!SΣ1..1codeproposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.

... category S0..*CodeableConceptType of medication usage
Binding: medicationRequest Category Codes (preferred): The type of medication order.


... priority Σ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ0..1booleanTrue if request is prohibiting action
... reported[x] SΣ0..1Reported rather than primary record
.... reportedBooleanboolean S
.... reportedReferenceReference S(US Core Practitioner Profile S | US Core Organization Profile | US Core Patient Profile | US Core PractitionerRole Profile | RelatedPerson)
... medication[x] SΣ1..1Medication to be taken
Binding: Medication Clinical Drug (extensible)
.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(US Core Medication Profile)
... subject SΣ1..1Reference(Cancer Patient Profile)Who or group medication request is for
... encounter S0..1Reference(US Core Encounter Profile)Encounter created as part of encounter/admission/stay
... supportingInformation 0..*Reference(Resource)Information to support ordering of the medication
... authoredOn SΣ0..1dateTimeWhen request was initially authored
... requester SΣ1..1Reference(US Core Practitioner Profile | US Core Organization Profile | Cancer Patient Profile)Who/What requested the Request
... performer 0..1Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)Intended performer of administration
... performerType Σ0..1CodeableConceptDesired kind of performer of the medication administration
Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.

... recorder 0..1Reference(Practitioner | PractitionerRole)Person who entered the request
... reasonCode S0..*CodeableConceptReason or indication for ordering or not ordering the medication
Binding: Cancer Disorder Value Set (extensible)
... reasonReference S0..*Reference(Primary Cancer Condition Profile | Secondary Cancer Condition Profile)Condition or observation that supports why the prescription is being written
... instantiatesCanonical Σ0..*canonical()Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn Σ0..*Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)What request fulfills
... groupIdentifier Σ0..1IdentifierComposite request this is part of
... courseOfTherapyType 0..1CodeableConceptOverall 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..*AnnotationInformation about the prescription
... dosageInstruction S0..*DosageHow the medication should be taken
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... sequence Σ0..1integerThe order of the dosage instructions
.... text SΣ0..1stringFree text dosage instructions e.g. SIG
.... additionalInstruction Σ0..*CodeableConceptSupplemental 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 Σ0..1stringPatient or consumer oriented instructions
.... timing Σ0..1TimingWhen medication should be administered
.... asNeeded[x] Σ0..1Take "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.

..... asNeededBooleanboolean
..... asNeededCodeableConceptCodeableConcept
.... site Σ0..1CodeableConceptBody site to administer to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.

.... route Σ0..1CodeableConceptHow 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 Σ0..1CodeableConceptTechnique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

.... doseAndRate Σ0..*ElementAmount of medication administered
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ0..1CodeableConceptThe kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.

..... dose[x] Σ0..1Amount of medication per dose
...... doseRangeRange
...... doseQuantityQuantity(SimpleQuantity)
..... rate[x] Σ0..1Amount of medication per unit of time
...... rateRatioRatio
...... rateRangeRange
...... rateQuantityQuantity(SimpleQuantity)
.... maxDosePerPeriod Σ0..1RatioUpper limit on medication per unit of time
.... maxDosePerAdministration Σ0..1SimpleQuantityUpper limit on medication per administration
.... maxDosePerLifetime Σ0..1SimpleQuantityUpper limit on medication per lifetime of the patient
... dispenseRequest 0..1BackboneElementMedication supply authorization
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... initialFill 0..1BackboneElementFirst fill details
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... quantity 0..1SimpleQuantityFirst fill quantity
..... duration 0..1DurationFirst fill duration
.... dispenseInterval 0..1DurationMinimum period of time between dispenses
.... validityPeriod 0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed 0..1unsignedIntNumber of refills authorized
.... quantity 0..1SimpleQuantityAmount of medication to supply per dispense
.... expectedSupplyDuration 0..1DurationNumber of days supply per dispense
.... performer 0..1Reference(Organization)Intended dispenser
... substitution 0..1BackboneElementAny restrictions on medication substitution
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... allowed[x] 1..1Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.

..... allowedBooleanboolean
..... allowedCodeableConceptCodeableConcept
.... reason 0..1CodeableConceptWhy 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..1Reference(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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
MedicationRequest.meta.securityextensibleAll Security Labels
MedicationRequest.meta.security:TransplantCenterextensibleAll Security Labels
MedicationRequest.meta.tagexampleCommonTags
MedicationRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
MedicationRequest.statusrequiredmedicationrequest Status
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
MedicationRequest.intentrequiredmedicationRequest Intent
MedicationRequest.categorypreferredmedicationRequest Category Codes
MedicationRequest.priorityrequiredRequestPriority
MedicationRequest.medication[x]extensibleMedication Clinical Drug
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
MedicationRequest.reasonCodeextensibleCancerDisorderVS
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
MedicationRequest.dosageInstruction.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
MedicationRequest.dosageInstruction.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
MedicationRequest.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
MedicationRequest.dosageInstruction.routeexampleSNOMEDCTRouteCodes
MedicationRequest.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
MedicationRequest.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason

Constraints

IdGradePath(s)DetailsRequirements
sec-rcerrorMedicationRequest.meta.security:TransplantCenter.codeUse 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:

  • The element MedicationRequest.meta.security is sliced based on the value of pattern:system

 

Other representations of profile: CSV, Excel, Schematron