MII IG Kerndatensatz-Modul Onkologie
2027.0.0-ballot.1 - Germany

This page is part of the MII IG Kerndatensatz-Modul Onkologie (v2027.0.0-ballot.1: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Ressourcenprofil: MII PR Onkologie Therapieempfehlung Medikation

Offizielle URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-therapieempfehlung-medikation Version: 2027.0.0-ballot.1
Active Stand: 2026-09-15 Maschinenlesbarer Name: MII_PR_Onko_Therapieempfehlung_Medikation

Dieses Profil beschreibt eine Medikations-Tumorempfehlung

Dieses Profil beschreibt eine Medikations-Therapieempfehlung im Rahmen der Tumorkonferenz. Es basiert auf dem FHIR MedicationRequest und wird typischerweise als Teil einer Kombinationstherapie (RequestGroup) oder als eigenständige Empfehlung verwendet.

Inhalt

Das MedicationRequest-Profil ermöglicht die strukturierte Erfassung von Medikationsempfehlungen mit:

  • Medikamentenkodierung: PZN (Arzneimittel) und/oder ATC-DE (Wirkstoffe)
  • Tumorerkrankungsbezug: Pflicht-Referenz auf die Primärtumor-Diagnose
  • Zusätzliche Begründungen: Optionale Referenzen auf weitere Conditions oder Observations

Anwendungsfälle

Eigenständige Medikationsempfehlung

Für Einzelsubstanz-Empfehlungen ohne Kombinationsprotokoll:

MedicationRequest
├── intent: #proposal
├── medicationCodeableConcept: ATC L01XE27 (Ibrutinib)
├── authoredOn: 2024-01-15
└── reasonReference: Reference(Primärtumor)

Teil einer Kombinationstherapie

Als Komponente einer RequestGroup-basierten Kombinationstherapie:

RequestGroup (FOLFOX-Protokoll)
├── action[0].resource: MedicationRequest (5-FU)
├── action[1].resource: MedicationRequest (Oxaliplatin)
└── action[2].resource: MedicationRequest (Leucovorin)

Technische Implementierung

Intent-Semantik

  • #proposal: Eigenständige Therapieempfehlung der Tumorkonferenz
  • #option: Teil einer RequestGroup (Kombinationstherapie)

Medikamentenkodierung

Das medicationCodeableConcept Element unterstützt:

  • ATC-DE: Für Wirkstoff-basierte Empfehlungen
  • PZN: Für spezifische Arzneimittel-Empfehlungen
  • Freitext: Für experimentelle oder nicht-kodierbare Substanzen

reasonReference Erweiterung

Das Profil erlaubt neben der Pflicht-Referenz auf den Primärtumor auch:

  • Condition: Weitere relevante Erkrankungen als Begründung
  • Observation: Unterstützende Befunde (z.B. Biomarker, Staging)
reasonReference (Slicing: open, profile-based)
├── Primaertumor (1..1 MS): Reference(MII_PR_Onko_Diagnose_Primaertumor)
└── [weitere]: Reference(Condition or Observation)

Verwendung mit Extended CarePlan

Dieses Profil ist primär für die Verwendung mit dem Tumorkonferenz: Detaillierte Therapieempfehlungen (CarePlan) und der Therapieempfehlung Kombinationstherapie (RequestGroup) konzipiert:

  • Standard-oBDS: Krebsregister erfassen nur Therapietyp (z.B. "CH" für Chemotherapie) ohne Details zu spezifischen Medikamenten
  • Extended CarePlan: Ermöglicht spezifische Medikationsempfehlungen mit ATC/PZN Kodierung

Integration mit RequestGroup (Kombinationstherapie):

CarePlan (Detailed Recommendations)
└── activity.reference → RequestGroup
    ├── code: "CZ" (Chemo + zielgerichtete Substanzen)
    └── action.action.resource → MedicationRequest
        ├── medication: ATC L01XE (Trastuzumab)
        └── reasonReference: Reference(Primärtumor)

oBDS-Kontext

Dieses Profil unterstützt die Erfassung von Therapieempfehlungen gemäß oBDS-Kapitel 19:

  • 19.1 Therapieempfehlung Typ: Über RequestGroup.code (bei Kombinationstherapien)
  • Medikamentendetails: Strukturierte Erfassung über MedicationRequest

Hinweis: Die Standard-oBDS-Erfassung erfolgt über CarePlan.activity.detail.code (nur Therapietyp). Dieses MedicationRequest-Profil bietet erweiterte Strukturierung für molekulare Tumorboards, Kombinationstherapie-Protokolle und spezialisierte Anwendungsfälle.

Terminologie-Binding

medicationCodeableConcept.coding:

  • Mindestens eine Kodierung erforderlich (1..*)
  • ATC-DE oder PZN empfohlen
  • Freitext über .text möglich

Mapping Einheitlicher onkologischer Basisdatensatz (oBDS) zu FHIR

Die oBDS-Mappings sind in der Artefaktdarstellung des Profils hinterlegt: MII PR Onkologie Therapieempfehlung Medikation.

Usages:

You can also check for usages in the FHIR IG Statistics

Formale Ansichten des Profilinhalts

Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MII_PR_Medikation_MedicationRequest Ordering of medication for patient or group
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... identifier S 0..* Identifier Identifikator
... status ?!SΣ 1..1 code Status
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 | option
Binding: medicationRequest Intent (required): The kind of medication order.
... Slices for medication[x] SΣ 1..1 CodeableConcept Medikation
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
.... medication[x]:medicationCodeableConcept SΣ 1..1 CodeableConcept Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
..... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... Slices for coding Content/Rules for all slices
...... coding:Pharmazentralnummer SΣ 0..* Coding PZN Code

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:atcClassDe SΣ 0..* Coding ATC Klassifikation deutsche Version
Binding: MII VS Medikation ATC (required)

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:atcClassEn SΣ 0..* Coding Anatomical Therapeutic Chemical Classification System

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.whocc.no/atc
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:UNII SΣ 0..* Coding Unique Ingredient Identifier

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fdasis.nlm.nih.gov
....... code SΣ 1..1 code Symbol in syntax defined by the system
..... text SΣ 0..1 string Plain text representation of the concept
.... medication[x]:medicationReference SΣ 0..1 Reference(MII PR Medikation Medication) Medication to be taken
... subject SΣ 1..1 Reference(Patient) Who or group medication request is for
... encounter S 0..1 Reference(Encounter) Fall oder Kontakt
... supportingInformation S 0..* Reference(Resource) Information to support ordering of the medication
... authoredOn SΣ 1..1 dateTime Datum der Verordnung
... requester SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Anforderer
... reasonCode S 0..* CodeableConcept Grund Code
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
... Slices for reasonReference S 1..* Reference(MII PR Onkologie Diagnose Primärtumor | Condition | Observation) Grund Referenz
Slice: Unordered, Open by profile:$this.resolve()
.... reasonReference:Primaertumor S 1..1 Reference(MII PR Onkologie Diagnose Primärtumor) Tumorerkrankung (Pflicht)
... basedOn SΣ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) Basiert auf
... note S 0..* Annotation Hinweis
... dosageInstruction SC 0..* DosageDE Dosierungsanweisung
Constraints: dsg-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence SΣ 0..1 integer The order of the dosage instructions
.... text SΣ 0..1 string Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Stück bei Bedarf'
.... timing SΣ 0..1 TimingDE Wann das Medikament verabreicht werden soll
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... event SΣ 0..* dateTime When the event occurs
..... repeat SΣC 0..1 Element Wann das Ereignis stattfinden soll
Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10, TimingSingleDosageForTimeOfDay, TimingSingleDosageForWhen, TimingBoundsUnitMatchesCode
...... Slices for bounds[x] SΣ 0..1 Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
Slice: Unordered, Closed by type:$this
....... boundsDuration Duration
....... boundsRange Range
....... boundsPeriod Period
....... bounds[x]:boundsDuration SΣ 0..1 Duration Dauer der Dosieranweisung ausgedrückt in UCUM-Einheiten
Required Pattern: At least the following
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri UCUM-Einheit für die Dauer
Fixed Value: http://unitsofmeasure.org
........ code SΣ 1..1 code Coded form of the unit
....... bounds[x]:boundsRange SΣ 0..1 Range Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
........ low SΣ 0..1 SimpleQuantity(4.0.1) Low limit
Required Pattern: At least the following
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 0..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
......... code SΣ 1..1 code Coded form of the unit
........ high SΣ 0..1 SimpleQuantity(4.0.1) High limit
Required Pattern: At least the following
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 0..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
......... code SΣ 1..1 code Coded form of the unit
....... bounds[x]:boundsPeriod SΣ 0..1 Period Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
........ start SΣC 0..1 dateTime Starting time with inclusive boundary
........ end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
...... count SΣ 0..1 positiveInt Number of times to repeat
...... countMax SΣ 0..1 positiveInt Maximum number of times to repeat
...... duration SΣ 0..1 decimal How long when it happens
...... durationMax SΣ 0..1 decimal How long when it happens (Max)
...... durationUnit SΣ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... frequency SΣ 0..1 positiveInt Ereignis tritt frequency-mal pro Zeitraum auf
...... frequencyMax SΣ 0..1 positiveInt Event occurs up to frequencyMax times per period
...... period SΣ 0..1 decimal Ereignis tritt frequency-mal pro Zeitraum auf
...... periodMax SΣ 0..1 decimal Upper limit of period (3-4 hours)
...... periodUnit SΣ 0..1 code s | min | h | d | wk | mo | a - Zeiteinheit (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... dayOfWeek SΣ 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
...... timeOfDay SΣ 0..* time Tageszeit für die Aktion
...... when SΣ 0..* code Code für den Zeitraum des Auftretens
Binding: EventTiming (required): Real world event relating to the schedule.
...... offset SΣ 0..1 unsignedInt Minutes from event (before or after)
.... Slices for asNeeded[x] SΣ 0..1 Take "as needed" (for x)
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
..... asNeededBoolean boolean
..... asNeededCodeableConcept CodeableConcept
..... asNeeded[x]:asNeededBoolean SΣ 0..1 boolean Take "as needed" (for x)
..... asNeeded[x]:asNeededCodeableConcept SΣ 0..1 CodeableConcept Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
.... site SΣ 0..1 CodeableConcept Verabreichungsort
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:SNOMED SΣ 0..* Coding SNOMED CT Code
Binding: Body Site - IPS (example): target site IPS

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code SΣ 1..1 code Symbol in syntax defined by the system
.... route SΣ 0..1 CodeableConcept Verabreichungsweg
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.
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:EDQM SΣ 0..1 Coding EDQM Code
Binding: Medicine EDQM Route of Administration - IPS (preferred): EDQM Standard Terms

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://standardterms.edqm.eu
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:SNOMED SΣ 0..1 Coding SNOMED CT Code

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code SΣ 1..1 code Symbol in syntax defined by the system
.... doseAndRate SΣ 0..* Element Menge des verabreichten Medikaments
..... Slices for dose[x] SΣ 0..1 Amount of medication per dose
Slice: Unordered, Closed by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseRange SΣ 0..1 Range Amount of medication per dose
....... low SΣ 0..1 SimpleQuantity(4.0.1) Low limit
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... high SΣ 0..1 SimpleQuantity(4.0.1) High limit
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
...... dose[x]:doseQuantity SΣ 0..1 SimpleQuantity Menge des Medikaments pro Dosis
Binding: Dosage DoseQuantity ValueSet (required)
..... Slices for rate[x] SΣ 0..1 Amount of medication per unit of time
Slice: Unordered, Closed by type:$this
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
...... rate[x]:rateRatio SΣ 0..1 Ratio Amount of medication per unit of time
....... numerator SΣ 0..1 Quantity Numerator value
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... denominator SΣ 0..1 Quantity Denominator value
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
...... rate[x]:rateRange SΣ 0..1 Range Amount of medication per unit of time
....... low SΣ 0..1 SimpleQuantity(4.0.1) Low limit
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... high SΣ 0..1 SimpleQuantity(4.0.1) High limit
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
...... rate[x]:rateQuantity SΣ 0..1 SimpleQuantity(4.0.1) Amount of medication per unit of time
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
....... code SΣ 1..1 code Coded form of the unit
.... maxDosePerPeriod SΣ 0..1 Ratio Upper limit on medication per unit of time
..... numerator SΣ 0..1 Quantity Numerator value
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 0..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
..... denominator SΣ 0..1 Quantity Denominator value
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 0..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
.... maxDosePerAdministration SΣ 0..1 SimpleQuantity(4.0.1) Upper limit on medication per administration
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... unit SΣ 0..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
..... code SΣ 1..1 code Coded form of the unit
... substitution S 0..1 BackboneElement Substitution
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Slices for allowed[x] S 1..1 Whether substitution is allowed or not
Slice: Unordered, Closed by type:$this
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
..... allowed[x]:allowedBoolean S 0..1 boolean Whether substitution is allowed or not
..... allowed[x]:allowedCodeableConcept S 0..1 CodeableConcept Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
... priorPrescription S 0..1 Reference(MedicationRequest) Vorherige Verschreibung

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.status Base required Medicationrequest status 📍4.0.1 FHIR Std.
MedicationRequest.intent Base required Medication request intent 📍4.0.1 FHIR Std.
MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.medication[x]:medicationCodeableConcept.​coding:atcClassDe Base required MII VS Medikation ATC 📦2027.0.0-ballot MII IG Medikation v2027.0
MedicationRequest.reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.bounds[x]:boundsDuration.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.durationUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.dayOfWeek Base required DaysOfWeek 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.when Base required EventTiming 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x]:asNeededCodeableConcept Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​site.coding:SNOMED Base example Body Site - IPS 📦2.0.1 International Patient Summary Implementation Guide v2.0
MedicationRequest.dosageInstruction.​route Base example SNOMED CT Route Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​route.coding:EDQM Base preferred Medicine EDQM Route of Administration - IPS 📦2.0.1 International Patient Summary Implementation Guide v2.0
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseQuantity Base required Dosage DoseQuantity ValueSet 📦1.0.7 Medication IG DE v1.0
MedicationRequest.dosageInstruction.​doseAndRate.rate[x]:rateRatio.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.rate[x]:rateRatio.​denominator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​maxDosePerPeriod.numerator.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​maxDosePerPeriod.denominator.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v7.3
MedicationRequest.substitution.​allowed[x]:allowedCodeableConcept Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v7.3

Constraints

Id Grade Path(s) Description Expression
TimingBoundsUnitMatchesCode error MedicationRequest.dosageInstruction.timing.repeat boundsDuration.unit muss zur UCUM boundsDuration.code passen (z. B. 'Woche(n)' nur mit code='wk'). bounds.ofType(Duration).exists().not() or ( ( bounds.ofType(Duration).code = 'd' implies ( bounds.ofType(Duration).unit = 'Tag(e)' or bounds.ofType(Duration).unit = 'Tag' or bounds.ofType(Duration).unit = 'Tage' ) ) and ( bounds.ofType(Duration).code = 'wk' implies ( bounds.ofType(Duration).unit = 'Woche(n)' or bounds.ofType(Duration).unit = 'Woche' or bounds.ofType(Duration).unit = 'Wochen' ) ) and ( bounds.ofType(Duration).code = 'mo' implies ( bounds.ofType(Duration).unit = 'Monat(e)' or bounds.ofType(Duration).unit = 'Monat' or bounds.ofType(Duration).unit = 'Monate' ) ) and ( bounds.ofType(Duration).code = 'a' implies ( bounds.ofType(Duration).unit = 'Jahr(e)' or bounds.ofType(Duration).unit = 'Jahr' or bounds.ofType(Duration).unit = 'Jahre' ) ) )
TimingSingleDosageForTimeOfDay error MedicationRequest.dosageInstruction.timing.repeat Wenn nur timeOfDay verwendet wird und täglich dosiert wird, ist die Angabe in einem einzigen Dosage-Element zu modellieren. Mehrere Dosage-Elemente sind nur zulässig, wenn sich die Dosis (Wert) unterscheidet. ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ) implies ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).count() = 1 ) or ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).doseAndRate.dose.ofType(Quantity).value.distinct().count() > 1 ) ) )
TimingSingleDosageForWhen error MedicationRequest.dosageInstruction.timing.repeat Wenn nur when verwendet wird und täglich dosiert wird, ist die Angabe in einem einzigen Dosage-Element zu modellieren. Mehrere Dosage-Elemente sind nur zulässig, wenn sich die Dosis (Wert) unterscheidet. ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ) implies ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).count() = 1 ) or ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).doseAndRate.dose.ofType(Quantity).value.distinct().count() > 1 ) ) )
dom-2 error MedicationRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationRequest A resource should have narrative for robust management text.`div`.exists()
dsg-1 error MedicationRequest.dosageInstruction If present, dosage must include free text or structured data text.exists() or doseAndRate.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
tim-1 error MedicationRequest.dosageInstruction.timing.repeat if there's a duration, there needs to be duration units duration.empty() or durationUnit.exists()
tim-2 error MedicationRequest.dosageInstruction.timing.repeat if there's a period, there needs to be period units period.empty() or periodUnit.exists()
tim-4 error MedicationRequest.dosageInstruction.timing.repeat duration SHALL be a non-negative value duration.exists() implies duration >= 0
tim-5 error MedicationRequest.dosageInstruction.timing.repeat period SHALL be a non-negative value period.exists() implies period >= 0
tim-6 error MedicationRequest.dosageInstruction.timing.repeat If there's a periodMax, there must be a period periodMax.empty() or period.exists()
tim-7 error MedicationRequest.dosageInstruction.timing.repeat If there's a durationMax, there must be a duration durationMax.empty() or duration.exists()
tim-8 error MedicationRequest.dosageInstruction.timing.repeat If there's a countMax, there must be a count countMax.empty() or count.exists()
tim-9 error MedicationRequest.dosageInstruction.timing.repeat If there's an offset, there must be a when (and not C, CM, CD, CV) offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10 error MedicationRequest.dosageInstruction.timing.repeat If there's a timeOfDay, there cannot be a when, or vice versa timeOfDay.empty() or when.empty()

Diese Struktur ist abgeleitet von MII_PR_Medikation_MedicationRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MII_PR_Medikation_MedicationRequest Ordering of medication for patient or group
... intent 1..1 code proposal | option
... Slices for medication[x] Content/Rules for all slices
.... medication[x]:medicationCodeableConcept 1..1 CodeableConcept Medication to be taken
..... coding 1..* Coding Code defined by a terminology system
... subject 1..1 Reference(Patient) Who or group medication request is for
... authoredOn 1..1 dateTime Datum der Verordnung
... Slices for reasonReference 1..* Reference(MII PR Onkologie Diagnose Primärtumor | Condition | Observation) Grund Referenz
Slice: Unordered, Open by profile:$this.resolve()
.... reasonReference:Primaertumor S 1..1 Reference(MII PR Onkologie Diagnose Primärtumor) Tumorerkrankung (Pflicht)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MII_PR_Medikation_MedicationRequest Ordering of medication for patient or group
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 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 SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... 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.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier S 0..* Identifier Identifikator
... status ?!SΣ 1..1 code Status
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 | option
Binding: medicationRequest Intent (required): The kind of medication order.
... category 0..* CodeableConcept Type of medication usage
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.
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... reported[x] Σ 0..1 Reported rather than primary record
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... Slices for medication[x] SΣ 1..1 CodeableConcept Medikation
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
.... medication[x]:medicationCodeableConcept SΣ 1..1 CodeableConcept Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... Slices for coding Content/Rules for all slices
...... coding:Pharmazentralnummer SΣ 0..* Coding PZN Code

Required Pattern: At least the following
....... 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 SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 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
...... coding:atcClassDe SΣ 0..* Coding ATC Klassifikation deutsche Version
Binding: MII VS Medikation ATC (required)

Required Pattern: At least the following
....... 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 SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 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
...... coding:atcClassEn SΣ 0..* Coding Anatomical Therapeutic Chemical Classification System

Required Pattern: At least the following
....... 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 SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.whocc.no/atc
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 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
...... coding:UNII SΣ 0..* Coding Unique Ingredient Identifier

Required Pattern: At least the following
....... 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 SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fdasis.nlm.nih.gov
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 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 SΣ 0..1 string Plain text representation of the concept
.... medication[x]:medicationReference SΣ 0..1 Reference(MII PR Medikation Medication) Medication to be taken
... subject SΣ 1..1 Reference(Patient) Who or group medication request is for
... encounter S 0..1 Reference(Encounter) Fall oder Kontakt
... supportingInformation S 0..* Reference(Resource) Information to support ordering of the medication
... authoredOn SΣ 1..1 dateTime Datum der Verordnung
... requester SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Anforderer
... 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) Auftragserfasser
... reasonCode S 0..* CodeableConcept Grund Code
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
... Slices for reasonReference S 1..* Reference(MII PR Onkologie Diagnose Primärtumor | Condition | Observation) Grund Referenz
Slice: Unordered, Open by profile:$this.resolve()
.... reasonReference:Primaertumor S 1..1 Reference(MII PR Onkologie Diagnose Primärtumor) Tumorerkrankung (Pflicht)
... instantiatesCanonical Σ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn SΣ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) Basiert auf
... 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 S 0..* Annotation Hinweis
... dosageInstruction SC 0..* DosageDE Dosierungsanweisung
Constraints: dsg-1
.... 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 SΣ 0..1 integer The order of the dosage instructions
.... text SΣ 0..1 string Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Stück bei Bedarf'
.... 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 SΣ 0..1 TimingDE Wann das Medikament verabreicht werden soll
..... 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
..... event SΣ 0..* dateTime When the event occurs
..... repeat SΣC 0..1 Element Wann das Ereignis stattfinden soll
Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10, TimingSingleDosageForTimeOfDay, TimingSingleDosageForWhen, TimingBoundsUnitMatchesCode
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for bounds[x] SΣ 0..1 Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
Slice: Unordered, Closed by type:$this
....... boundsDuration Duration
....... boundsRange Range
....... boundsPeriod Period
....... bounds[x]:boundsDuration SΣ 0..1 Duration Dauer der Dosieranweisung ausgedrückt in UCUM-Einheiten
Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri UCUM-Einheit für die Dauer
Fixed Value: http://unitsofmeasure.org
........ code SΣ 1..1 code Coded form of the unit
....... bounds[x]:boundsRange SΣ 0..1 Range Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ low SΣ 0..1 SimpleQuantity(4.0.1) Low limit
Required Pattern: At least the following
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 0..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
......... code SΣ 1..1 code Coded form of the unit
........ high SΣ 0..1 SimpleQuantity(4.0.1) High limit
Required Pattern: At least the following
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 0..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
......... code SΣ 1..1 code Coded form of the unit
....... bounds[x]:boundsPeriod SΣ 0..1 Period Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ start SΣC 0..1 dateTime Starting time with inclusive boundary
........ end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
...... count SΣ 0..1 positiveInt Number of times to repeat
...... countMax SΣ 0..1 positiveInt Maximum number of times to repeat
...... duration SΣ 0..1 decimal How long when it happens
...... durationMax SΣ 0..1 decimal How long when it happens (Max)
...... durationUnit SΣ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... frequency SΣ 0..1 positiveInt Ereignis tritt frequency-mal pro Zeitraum auf
...... frequencyMax SΣ 0..1 positiveInt Event occurs up to frequencyMax times per period
...... period SΣ 0..1 decimal Ereignis tritt frequency-mal pro Zeitraum auf
...... periodMax SΣ 0..1 decimal Upper limit of period (3-4 hours)
...... periodUnit SΣ 0..1 code s | min | h | d | wk | mo | a - Zeiteinheit (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... dayOfWeek SΣ 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
...... timeOfDay SΣ 0..* time Tageszeit für die Aktion
...... when SΣ 0..* code Code für den Zeitraum des Auftretens
Binding: EventTiming (required): Real world event relating to the schedule.
...... offset SΣ 0..1 unsignedInt Minutes from event (before or after)
..... code Σ 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
.... Slices for asNeeded[x] SΣ 0..1 Take "as needed" (for x)
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
..... asNeededBoolean boolean
..... asNeededCodeableConcept CodeableConcept
..... asNeeded[x]:asNeededBoolean SΣ 0..1 boolean Take "as needed" (for x)
..... asNeeded[x]:asNeededCodeableConcept SΣ 0..1 CodeableConcept Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
.... site SΣ 0..1 CodeableConcept Verabreichungsort
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:SNOMED SΣ 0..* Coding SNOMED CT Code
Binding: Body Site - IPS (example): target site IPS

Required Pattern: At least the following
....... 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 SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 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
.... route SΣ 0..1 CodeableConcept Verabreichungsweg
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.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:EDQM SΣ 0..1 Coding EDQM Code
Binding: Medicine EDQM Route of Administration - IPS (preferred): EDQM Standard Terms

Required Pattern: At least the following
....... 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 SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://standardterms.edqm.eu
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 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
...... coding:SNOMED SΣ 0..1 Coding SNOMED CT Code

Required Pattern: At least the following
....... 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 SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 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
.... 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 SΣ 0..* Element Menge des verabreichten Medikaments
..... 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.
..... Slices for dose[x] SΣ 0..1 Amount of medication per dose
Slice: Unordered, Closed by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseRange SΣ 0..1 Range Amount of medication per dose
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... low SΣ 0..1 SimpleQuantity(4.0.1) Low limit
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... high SΣ 0..1 SimpleQuantity(4.0.1) High limit
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
...... dose[x]:doseQuantity SΣ 0..1 SimpleQuantity Menge des Medikaments pro Dosis
Binding: Dosage DoseQuantity ValueSet (required)
..... Slices for rate[x] SΣ 0..1 Amount of medication per unit of time
Slice: Unordered, Closed by type:$this
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
...... rate[x]:rateRatio SΣ 0..1 Ratio Amount of medication per unit of time
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... numerator SΣ 0..1 Quantity Numerator value
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... denominator SΣ 0..1 Quantity Denominator value
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
...... rate[x]:rateRange SΣ 0..1 Range Amount of medication per unit of time
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... low SΣ 0..1 SimpleQuantity(4.0.1) Low limit
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... high SΣ 0..1 SimpleQuantity(4.0.1) High limit
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
...... rate[x]:rateQuantity SΣ 0..1 SimpleQuantity(4.0.1) Amount of medication per unit of time
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
....... code SΣ 1..1 code Coded form of the unit
.... maxDosePerPeriod SΣ 0..1 Ratio Upper limit on medication per unit of time
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... numerator SΣ 0..1 Quantity Numerator value
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 0..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
..... denominator SΣ 0..1 Quantity Denominator value
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 0..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
.... maxDosePerAdministration SΣ 0..1 SimpleQuantity(4.0.1) Upper limit on medication per administration
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... unit SΣ 0..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
..... code SΣ 1..1 code Coded form of the unit
.... maxDosePerLifetime Σ 0..1 SimpleQuantity(4.0.1) 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(4.0.1) 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(4.0.1) 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 S 0..1 BackboneElement 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
.... Slices for allowed[x] S 1..1 Whether substitution is allowed or not
Slice: Unordered, Closed by type:$this
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
..... allowed[x]:allowedBoolean S 0..1 boolean Whether substitution is allowed or not
..... allowed[x]:allowedCodeableConcept S 0..1 CodeableConcept Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
.... 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 S 0..1 Reference(MedicationRequest) Vorherige Verschreibung
... detectedIssue 0..* Reference(DetectedIssue) Erkannte Probleme
... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
MedicationRequest.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
MedicationRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationRequest.status Base required Medicationrequest status 📍4.0.1 FHIR Std.
MedicationRequest.statusReason Base example Medication request status reason codes 📍4.0.1 FHIR Std.
MedicationRequest.intent Base required Medication request intent 📍4.0.1 FHIR Std.
MedicationRequest.category Base example Medication request category codes 📍4.0.1 FHIR Std.
MedicationRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.medication[x]:medicationCodeableConcept.​coding:atcClassDe Base required MII VS Medikation ATC 📦2027.0.0-ballot MII IG Medikation v2027.0
MedicationRequest.performerType Base example Procedure Performer Role Codes 📍4.0.1 FHIR Std.
MedicationRequest.reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
MedicationRequest.courseOfTherapyType Base example Medication request course of therapy codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.bounds[x]:boundsDuration.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.durationUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.dayOfWeek Base required DaysOfWeek 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.when Base required EventTiming 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.code Base preferred TimingAbbreviation 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x]:asNeededCodeableConcept Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​site.coding:SNOMED Base example Body Site - IPS 📦2.0.1 International Patient Summary Implementation Guide v2.0
MedicationRequest.dosageInstruction.​route Base example SNOMED CT Route Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​route.coding:EDQM Base preferred Medicine EDQM Route of Administration - IPS 📦2.0.1 International Patient Summary Implementation Guide v2.0
MedicationRequest.dosageInstruction.​method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.type Base example DoseAndRateType 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseQuantity Base required Dosage DoseQuantity ValueSet 📦1.0.7 Medication IG DE v1.0
MedicationRequest.dosageInstruction.​doseAndRate.rate[x]:rateRatio.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.rate[x]:rateRatio.​denominator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​maxDosePerPeriod.numerator.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​maxDosePerPeriod.denominator.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v7.3
MedicationRequest.substitution.​allowed[x]:allowedCodeableConcept Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v7.3
MedicationRequest.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v7.3

Constraints

Id Grade Path(s) Description Expression
TimingBoundsUnitMatchesCode error MedicationRequest.dosageInstruction.timing.repeat boundsDuration.unit muss zur UCUM boundsDuration.code passen (z. B. 'Woche(n)' nur mit code='wk'). bounds.ofType(Duration).exists().not() or ( ( bounds.ofType(Duration).code = 'd' implies ( bounds.ofType(Duration).unit = 'Tag(e)' or bounds.ofType(Duration).unit = 'Tag' or bounds.ofType(Duration).unit = 'Tage' ) ) and ( bounds.ofType(Duration).code = 'wk' implies ( bounds.ofType(Duration).unit = 'Woche(n)' or bounds.ofType(Duration).unit = 'Woche' or bounds.ofType(Duration).unit = 'Wochen' ) ) and ( bounds.ofType(Duration).code = 'mo' implies ( bounds.ofType(Duration).unit = 'Monat(e)' or bounds.ofType(Duration).unit = 'Monat' or bounds.ofType(Duration).unit = 'Monate' ) ) and ( bounds.ofType(Duration).code = 'a' implies ( bounds.ofType(Duration).unit = 'Jahr(e)' or bounds.ofType(Duration).unit = 'Jahr' or bounds.ofType(Duration).unit = 'Jahre' ) ) )
TimingSingleDosageForTimeOfDay error MedicationRequest.dosageInstruction.timing.repeat Wenn nur timeOfDay verwendet wird und täglich dosiert wird, ist die Angabe in einem einzigen Dosage-Element zu modellieren. Mehrere Dosage-Elemente sind nur zulässig, wenn sich die Dosis (Wert) unterscheidet. ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ) implies ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).count() = 1 ) or ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).doseAndRate.dose.ofType(Quantity).value.distinct().count() > 1 ) ) )
TimingSingleDosageForWhen error MedicationRequest.dosageInstruction.timing.repeat Wenn nur when verwendet wird und täglich dosiert wird, ist die Angabe in einem einzigen Dosage-Element zu modellieren. Mehrere Dosage-Elemente sind nur zulässig, wenn sich die Dosis (Wert) unterscheidet. ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ) implies ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).count() = 1 ) or ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).doseAndRate.dose.ofType(Quantity).value.distinct().count() > 1 ) ) )
dom-2 error MedicationRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationRequest A resource should have narrative for robust management text.`div`.exists()
dsg-1 error MedicationRequest.dosageInstruction If present, dosage must include free text or structured data text.exists() or doseAndRate.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
tim-1 error MedicationRequest.dosageInstruction.timing.repeat if there's a duration, there needs to be duration units duration.empty() or durationUnit.exists()
tim-2 error MedicationRequest.dosageInstruction.timing.repeat if there's a period, there needs to be period units period.empty() or periodUnit.exists()
tim-4 error MedicationRequest.dosageInstruction.timing.repeat duration SHALL be a non-negative value duration.exists() implies duration >= 0
tim-5 error MedicationRequest.dosageInstruction.timing.repeat period SHALL be a non-negative value period.exists() implies period >= 0
tim-6 error MedicationRequest.dosageInstruction.timing.repeat If there's a periodMax, there must be a period periodMax.empty() or period.exists()
tim-7 error MedicationRequest.dosageInstruction.timing.repeat If there's a durationMax, there must be a duration durationMax.empty() or duration.exists()
tim-8 error MedicationRequest.dosageInstruction.timing.repeat If there's a countMax, there must be a count countMax.empty() or count.exists()
tim-9 error MedicationRequest.dosageInstruction.timing.repeat If there's an offset, there must be a when (and not C, CM, CD, CV) offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10 error MedicationRequest.dosageInstruction.timing.repeat If there's a timeOfDay, there cannot be a when, or vice versa timeOfDay.empty() or when.empty()

Diese Struktur ist abgeleitet von MII_PR_Medikation_MedicationRequest

Summary

Mandatory: 5 elements
Must-Support: 2 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of MedicationRequest.reasonReference

Schlüsselelemente-Ansicht

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MII_PR_Medikation_MedicationRequest Ordering of medication for patient or group
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... identifier S 0..* Identifier Identifikator
... status ?!SΣ 1..1 code Status
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 | option
Binding: medicationRequest Intent (required): The kind of medication order.
... Slices for medication[x] SΣ 1..1 CodeableConcept Medikation
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
.... medication[x]:medicationCodeableConcept SΣ 1..1 CodeableConcept Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
..... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... Slices for coding Content/Rules for all slices
...... coding:Pharmazentralnummer SΣ 0..* Coding PZN Code

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:atcClassDe SΣ 0..* Coding ATC Klassifikation deutsche Version
Binding: MII VS Medikation ATC (required)

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:atcClassEn SΣ 0..* Coding Anatomical Therapeutic Chemical Classification System

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.whocc.no/atc
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:UNII SΣ 0..* Coding Unique Ingredient Identifier

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fdasis.nlm.nih.gov
....... code SΣ 1..1 code Symbol in syntax defined by the system
..... text SΣ 0..1 string Plain text representation of the concept
.... medication[x]:medicationReference SΣ 0..1 Reference(MII PR Medikation Medication) Medication to be taken
... subject SΣ 1..1 Reference(Patient) Who or group medication request is for
... encounter S 0..1 Reference(Encounter) Fall oder Kontakt
... supportingInformation S 0..* Reference(Resource) Information to support ordering of the medication
... authoredOn SΣ 1..1 dateTime Datum der Verordnung
... requester SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Anforderer
... reasonCode S 0..* CodeableConcept Grund Code
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
... Slices for reasonReference S 1..* Reference(MII PR Onkologie Diagnose Primärtumor | Condition | Observation) Grund Referenz
Slice: Unordered, Open by profile:$this.resolve()
.... reasonReference:Primaertumor S 1..1 Reference(MII PR Onkologie Diagnose Primärtumor) Tumorerkrankung (Pflicht)
... basedOn SΣ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) Basiert auf
... note S 0..* Annotation Hinweis
... dosageInstruction SC 0..* DosageDE Dosierungsanweisung
Constraints: dsg-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence SΣ 0..1 integer The order of the dosage instructions
.... text SΣ 0..1 string Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Stück bei Bedarf'
.... timing SΣ 0..1 TimingDE Wann das Medikament verabreicht werden soll
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... event SΣ 0..* dateTime When the event occurs
..... repeat SΣC 0..1 Element Wann das Ereignis stattfinden soll
Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10, TimingSingleDosageForTimeOfDay, TimingSingleDosageForWhen, TimingBoundsUnitMatchesCode
...... Slices for bounds[x] SΣ 0..1 Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
Slice: Unordered, Closed by type:$this
....... boundsDuration Duration
....... boundsRange Range
....... boundsPeriod Period
....... bounds[x]:boundsDuration SΣ 0..1 Duration Dauer der Dosieranweisung ausgedrückt in UCUM-Einheiten
Required Pattern: At least the following
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri UCUM-Einheit für die Dauer
Fixed Value: http://unitsofmeasure.org
........ code SΣ 1..1 code Coded form of the unit
....... bounds[x]:boundsRange SΣ 0..1 Range Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
........ low SΣ 0..1 SimpleQuantity(4.0.1) Low limit
Required Pattern: At least the following
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 0..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
......... code SΣ 1..1 code Coded form of the unit
........ high SΣ 0..1 SimpleQuantity(4.0.1) High limit
Required Pattern: At least the following
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 0..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
......... code SΣ 1..1 code Coded form of the unit
....... bounds[x]:boundsPeriod SΣ 0..1 Period Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
........ start SΣC 0..1 dateTime Starting time with inclusive boundary
........ end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
...... count SΣ 0..1 positiveInt Number of times to repeat
...... countMax SΣ 0..1 positiveInt Maximum number of times to repeat
...... duration SΣ 0..1 decimal How long when it happens
...... durationMax SΣ 0..1 decimal How long when it happens (Max)
...... durationUnit SΣ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... frequency SΣ 0..1 positiveInt Ereignis tritt frequency-mal pro Zeitraum auf
...... frequencyMax SΣ 0..1 positiveInt Event occurs up to frequencyMax times per period
...... period SΣ 0..1 decimal Ereignis tritt frequency-mal pro Zeitraum auf
...... periodMax SΣ 0..1 decimal Upper limit of period (3-4 hours)
...... periodUnit SΣ 0..1 code s | min | h | d | wk | mo | a - Zeiteinheit (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... dayOfWeek SΣ 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
...... timeOfDay SΣ 0..* time Tageszeit für die Aktion
...... when SΣ 0..* code Code für den Zeitraum des Auftretens
Binding: EventTiming (required): Real world event relating to the schedule.
...... offset SΣ 0..1 unsignedInt Minutes from event (before or after)
.... Slices for asNeeded[x] SΣ 0..1 Take "as needed" (for x)
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
..... asNeededBoolean boolean
..... asNeededCodeableConcept CodeableConcept
..... asNeeded[x]:asNeededBoolean SΣ 0..1 boolean Take "as needed" (for x)
..... asNeeded[x]:asNeededCodeableConcept SΣ 0..1 CodeableConcept Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
.... site SΣ 0..1 CodeableConcept Verabreichungsort
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:SNOMED SΣ 0..* Coding SNOMED CT Code
Binding: Body Site - IPS (example): target site IPS

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code SΣ 1..1 code Symbol in syntax defined by the system
.... route SΣ 0..1 CodeableConcept Verabreichungsweg
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.
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:EDQM SΣ 0..1 Coding EDQM Code
Binding: Medicine EDQM Route of Administration - IPS (preferred): EDQM Standard Terms

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://standardterms.edqm.eu
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:SNOMED SΣ 0..1 Coding SNOMED CT Code

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code SΣ 1..1 code Symbol in syntax defined by the system
.... doseAndRate SΣ 0..* Element Menge des verabreichten Medikaments
..... Slices for dose[x] SΣ 0..1 Amount of medication per dose
Slice: Unordered, Closed by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseRange SΣ 0..1 Range Amount of medication per dose
....... low SΣ 0..1 SimpleQuantity(4.0.1) Low limit
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... high SΣ 0..1 SimpleQuantity(4.0.1) High limit
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
...... dose[x]:doseQuantity SΣ 0..1 SimpleQuantity Menge des Medikaments pro Dosis
Binding: Dosage DoseQuantity ValueSet (required)
..... Slices for rate[x] SΣ 0..1 Amount of medication per unit of time
Slice: Unordered, Closed by type:$this
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
...... rate[x]:rateRatio SΣ 0..1 Ratio Amount of medication per unit of time
....... numerator SΣ 0..1 Quantity Numerator value
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... denominator SΣ 0..1 Quantity Denominator value
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
...... rate[x]:rateRange SΣ 0..1 Range Amount of medication per unit of time
....... low SΣ 0..1 SimpleQuantity(4.0.1) Low limit
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... high SΣ 0..1 SimpleQuantity(4.0.1) High limit
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
...... rate[x]:rateQuantity SΣ 0..1 SimpleQuantity(4.0.1) Amount of medication per unit of time
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
....... code SΣ 1..1 code Coded form of the unit
.... maxDosePerPeriod SΣ 0..1 Ratio Upper limit on medication per unit of time
..... numerator SΣ 0..1 Quantity Numerator value
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 0..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
..... denominator SΣ 0..1 Quantity Denominator value
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 0..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
.... maxDosePerAdministration SΣ 0..1 SimpleQuantity(4.0.1) Upper limit on medication per administration
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... unit SΣ 0..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
..... code SΣ 1..1 code Coded form of the unit
... substitution S 0..1 BackboneElement Substitution
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Slices for allowed[x] S 1..1 Whether substitution is allowed or not
Slice: Unordered, Closed by type:$this
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
..... allowed[x]:allowedBoolean S 0..1 boolean Whether substitution is allowed or not
..... allowed[x]:allowedCodeableConcept S 0..1 CodeableConcept Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
... priorPrescription S 0..1 Reference(MedicationRequest) Vorherige Verschreibung

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.status Base required Medicationrequest status 📍4.0.1 FHIR Std.
MedicationRequest.intent Base required Medication request intent 📍4.0.1 FHIR Std.
MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.medication[x]:medicationCodeableConcept.​coding:atcClassDe Base required MII VS Medikation ATC 📦2027.0.0-ballot MII IG Medikation v2027.0
MedicationRequest.reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.bounds[x]:boundsDuration.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.durationUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.dayOfWeek Base required DaysOfWeek 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.when Base required EventTiming 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x]:asNeededCodeableConcept Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​site.coding:SNOMED Base example Body Site - IPS 📦2.0.1 International Patient Summary Implementation Guide v2.0
MedicationRequest.dosageInstruction.​route Base example SNOMED CT Route Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​route.coding:EDQM Base preferred Medicine EDQM Route of Administration - IPS 📦2.0.1 International Patient Summary Implementation Guide v2.0
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseQuantity Base required Dosage DoseQuantity ValueSet 📦1.0.7 Medication IG DE v1.0
MedicationRequest.dosageInstruction.​doseAndRate.rate[x]:rateRatio.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.rate[x]:rateRatio.​denominator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​maxDosePerPeriod.numerator.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​maxDosePerPeriod.denominator.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v7.3
MedicationRequest.substitution.​allowed[x]:allowedCodeableConcept Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v7.3

Constraints

Id Grade Path(s) Description Expression
TimingBoundsUnitMatchesCode error MedicationRequest.dosageInstruction.timing.repeat boundsDuration.unit muss zur UCUM boundsDuration.code passen (z. B. 'Woche(n)' nur mit code='wk'). bounds.ofType(Duration).exists().not() or ( ( bounds.ofType(Duration).code = 'd' implies ( bounds.ofType(Duration).unit = 'Tag(e)' or bounds.ofType(Duration).unit = 'Tag' or bounds.ofType(Duration).unit = 'Tage' ) ) and ( bounds.ofType(Duration).code = 'wk' implies ( bounds.ofType(Duration).unit = 'Woche(n)' or bounds.ofType(Duration).unit = 'Woche' or bounds.ofType(Duration).unit = 'Wochen' ) ) and ( bounds.ofType(Duration).code = 'mo' implies ( bounds.ofType(Duration).unit = 'Monat(e)' or bounds.ofType(Duration).unit = 'Monat' or bounds.ofType(Duration).unit = 'Monate' ) ) and ( bounds.ofType(Duration).code = 'a' implies ( bounds.ofType(Duration).unit = 'Jahr(e)' or bounds.ofType(Duration).unit = 'Jahr' or bounds.ofType(Duration).unit = 'Jahre' ) ) )
TimingSingleDosageForTimeOfDay error MedicationRequest.dosageInstruction.timing.repeat Wenn nur timeOfDay verwendet wird und täglich dosiert wird, ist die Angabe in einem einzigen Dosage-Element zu modellieren. Mehrere Dosage-Elemente sind nur zulässig, wenn sich die Dosis (Wert) unterscheidet. ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ) implies ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).count() = 1 ) or ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).doseAndRate.dose.ofType(Quantity).value.distinct().count() > 1 ) ) )
TimingSingleDosageForWhen error MedicationRequest.dosageInstruction.timing.repeat Wenn nur when verwendet wird und täglich dosiert wird, ist die Angabe in einem einzigen Dosage-Element zu modellieren. Mehrere Dosage-Elemente sind nur zulässig, wenn sich die Dosis (Wert) unterscheidet. ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ) implies ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).count() = 1 ) or ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).doseAndRate.dose.ofType(Quantity).value.distinct().count() > 1 ) ) )
dom-2 error MedicationRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationRequest A resource should have narrative for robust management text.`div`.exists()
dsg-1 error MedicationRequest.dosageInstruction If present, dosage must include free text or structured data text.exists() or doseAndRate.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
tim-1 error MedicationRequest.dosageInstruction.timing.repeat if there's a duration, there needs to be duration units duration.empty() or durationUnit.exists()
tim-2 error MedicationRequest.dosageInstruction.timing.repeat if there's a period, there needs to be period units period.empty() or periodUnit.exists()
tim-4 error MedicationRequest.dosageInstruction.timing.repeat duration SHALL be a non-negative value duration.exists() implies duration >= 0
tim-5 error MedicationRequest.dosageInstruction.timing.repeat period SHALL be a non-negative value period.exists() implies period >= 0
tim-6 error MedicationRequest.dosageInstruction.timing.repeat If there's a periodMax, there must be a period periodMax.empty() or period.exists()
tim-7 error MedicationRequest.dosageInstruction.timing.repeat If there's a durationMax, there must be a duration durationMax.empty() or duration.exists()
tim-8 error MedicationRequest.dosageInstruction.timing.repeat If there's a countMax, there must be a count countMax.empty() or count.exists()
tim-9 error MedicationRequest.dosageInstruction.timing.repeat If there's an offset, there must be a when (and not C, CM, CD, CV) offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10 error MedicationRequest.dosageInstruction.timing.repeat If there's a timeOfDay, there cannot be a when, or vice versa timeOfDay.empty() or when.empty()

Differential-Ansicht

Diese Struktur ist abgeleitet von MII_PR_Medikation_MedicationRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MII_PR_Medikation_MedicationRequest Ordering of medication for patient or group
... intent 1..1 code proposal | option
... Slices for medication[x] Content/Rules for all slices
.... medication[x]:medicationCodeableConcept 1..1 CodeableConcept Medication to be taken
..... coding 1..* Coding Code defined by a terminology system
... subject 1..1 Reference(Patient) Who or group medication request is for
... authoredOn 1..1 dateTime Datum der Verordnung
... Slices for reasonReference 1..* Reference(MII PR Onkologie Diagnose Primärtumor | Condition | Observation) Grund Referenz
Slice: Unordered, Open by profile:$this.resolve()
.... reasonReference:Primaertumor S 1..1 Reference(MII PR Onkologie Diagnose Primärtumor) Tumorerkrankung (Pflicht)

doco Documentation for this format

Snapshot-AnsichtView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MII_PR_Medikation_MedicationRequest Ordering of medication for patient or group
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 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 SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... 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.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier S 0..* Identifier Identifikator
... status ?!SΣ 1..1 code Status
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 | option
Binding: medicationRequest Intent (required): The kind of medication order.
... category 0..* CodeableConcept Type of medication usage
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.
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... reported[x] Σ 0..1 Reported rather than primary record
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... Slices for medication[x] SΣ 1..1 CodeableConcept Medikation
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
.... medication[x]:medicationCodeableConcept SΣ 1..1 CodeableConcept Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding SΣ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... Slices for coding Content/Rules for all slices
...... coding:Pharmazentralnummer SΣ 0..* Coding PZN Code

Required Pattern: At least the following
....... 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 SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 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
...... coding:atcClassDe SΣ 0..* Coding ATC Klassifikation deutsche Version
Binding: MII VS Medikation ATC (required)

Required Pattern: At least the following
....... 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 SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 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
...... coding:atcClassEn SΣ 0..* Coding Anatomical Therapeutic Chemical Classification System

Required Pattern: At least the following
....... 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 SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.whocc.no/atc
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 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
...... coding:UNII SΣ 0..* Coding Unique Ingredient Identifier

Required Pattern: At least the following
....... 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 SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fdasis.nlm.nih.gov
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 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 SΣ 0..1 string Plain text representation of the concept
.... medication[x]:medicationReference SΣ 0..1 Reference(MII PR Medikation Medication) Medication to be taken
... subject SΣ 1..1 Reference(Patient) Who or group medication request is for
... encounter S 0..1 Reference(Encounter) Fall oder Kontakt
... supportingInformation S 0..* Reference(Resource) Information to support ordering of the medication
... authoredOn SΣ 1..1 dateTime Datum der Verordnung
... requester SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Anforderer
... 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) Auftragserfasser
... reasonCode S 0..* CodeableConcept Grund Code
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
... Slices for reasonReference S 1..* Reference(MII PR Onkologie Diagnose Primärtumor | Condition | Observation) Grund Referenz
Slice: Unordered, Open by profile:$this.resolve()
.... reasonReference:Primaertumor S 1..1 Reference(MII PR Onkologie Diagnose Primärtumor) Tumorerkrankung (Pflicht)
... instantiatesCanonical Σ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn SΣ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) Basiert auf
... 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 S 0..* Annotation Hinweis
... dosageInstruction SC 0..* DosageDE Dosierungsanweisung
Constraints: dsg-1
.... 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 SΣ 0..1 integer The order of the dosage instructions
.... text SΣ 0..1 string Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Stück bei Bedarf'
.... 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 SΣ 0..1 TimingDE Wann das Medikament verabreicht werden soll
..... 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
..... event SΣ 0..* dateTime When the event occurs
..... repeat SΣC 0..1 Element Wann das Ereignis stattfinden soll
Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10, TimingSingleDosageForTimeOfDay, TimingSingleDosageForWhen, TimingBoundsUnitMatchesCode
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... Slices for bounds[x] SΣ 0..1 Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
Slice: Unordered, Closed by type:$this
....... boundsDuration Duration
....... boundsRange Range
....... boundsPeriod Period
....... bounds[x]:boundsDuration SΣ 0..1 Duration Dauer der Dosieranweisung ausgedrückt in UCUM-Einheiten
Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri UCUM-Einheit für die Dauer
Fixed Value: http://unitsofmeasure.org
........ code SΣ 1..1 code Coded form of the unit
....... bounds[x]:boundsRange SΣ 0..1 Range Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ low SΣ 0..1 SimpleQuantity(4.0.1) Low limit
Required Pattern: At least the following
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 0..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
......... code SΣ 1..1 code Coded form of the unit
........ high SΣ 0..1 SimpleQuantity(4.0.1) High limit
Required Pattern: At least the following
......... id 0..1 string Unique id for inter-element referencing
......... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
......... value SΣ 1..1 decimal Numerical value (with implicit precision)
......... unit SΣ 0..1 string Unit representation
......... system SΣC 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
......... code SΣ 1..1 code Coded form of the unit
....... bounds[x]:boundsPeriod SΣ 0..1 Period Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ start SΣC 0..1 dateTime Starting time with inclusive boundary
........ end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
...... count SΣ 0..1 positiveInt Number of times to repeat
...... countMax SΣ 0..1 positiveInt Maximum number of times to repeat
...... duration SΣ 0..1 decimal How long when it happens
...... durationMax SΣ 0..1 decimal How long when it happens (Max)
...... durationUnit SΣ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... frequency SΣ 0..1 positiveInt Ereignis tritt frequency-mal pro Zeitraum auf
...... frequencyMax SΣ 0..1 positiveInt Event occurs up to frequencyMax times per period
...... period SΣ 0..1 decimal Ereignis tritt frequency-mal pro Zeitraum auf
...... periodMax SΣ 0..1 decimal Upper limit of period (3-4 hours)
...... periodUnit SΣ 0..1 code s | min | h | d | wk | mo | a - Zeiteinheit (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... dayOfWeek SΣ 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
...... timeOfDay SΣ 0..* time Tageszeit für die Aktion
...... when SΣ 0..* code Code für den Zeitraum des Auftretens
Binding: EventTiming (required): Real world event relating to the schedule.
...... offset SΣ 0..1 unsignedInt Minutes from event (before or after)
..... code Σ 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
.... Slices for asNeeded[x] SΣ 0..1 Take "as needed" (for x)
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
..... asNeededBoolean boolean
..... asNeededCodeableConcept CodeableConcept
..... asNeeded[x]:asNeededBoolean SΣ 0..1 boolean Take "as needed" (for x)
..... asNeeded[x]:asNeededCodeableConcept SΣ 0..1 CodeableConcept Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
.... site SΣ 0..1 CodeableConcept Verabreichungsort
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:SNOMED SΣ 0..* Coding SNOMED CT Code
Binding: Body Site - IPS (example): target site IPS

Required Pattern: At least the following
....... 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 SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 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
.... route SΣ 0..1 CodeableConcept Verabreichungsweg
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.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:EDQM SΣ 0..1 Coding EDQM Code
Binding: Medicine EDQM Route of Administration - IPS (preferred): EDQM Standard Terms

Required Pattern: At least the following
....... 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 SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://standardterms.edqm.eu
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 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
...... coding:SNOMED SΣ 0..1 Coding SNOMED CT Code

Required Pattern: At least the following
....... 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 SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 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
.... 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 SΣ 0..* Element Menge des verabreichten Medikaments
..... 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.
..... Slices for dose[x] SΣ 0..1 Amount of medication per dose
Slice: Unordered, Closed by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseRange SΣ 0..1 Range Amount of medication per dose
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... low SΣ 0..1 SimpleQuantity(4.0.1) Low limit
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... high SΣ 0..1 SimpleQuantity(4.0.1) High limit
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
...... dose[x]:doseQuantity SΣ 0..1 SimpleQuantity Menge des Medikaments pro Dosis
Binding: Dosage DoseQuantity ValueSet (required)
..... Slices for rate[x] SΣ 0..1 Amount of medication per unit of time
Slice: Unordered, Closed by type:$this
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
...... rate[x]:rateRatio SΣ 0..1 Ratio Amount of medication per unit of time
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... numerator SΣ 0..1 Quantity Numerator value
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... denominator SΣ 0..1 Quantity Denominator value
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
...... rate[x]:rateRange SΣ 0..1 Range Amount of medication per unit of time
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... low SΣ 0..1 SimpleQuantity(4.0.1) Low limit
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
....... high SΣ 0..1 SimpleQuantity(4.0.1) High limit
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value SΣ 1..1 decimal Numerical value (with implicit precision)
........ unit SΣ 0..1 string Unit representation
........ system SΣC 1..1 uri System that defines coded unit form
........ code SΣ 1..1 code Coded form of the unit
...... rate[x]:rateQuantity SΣ 0..1 SimpleQuantity(4.0.1) Amount of medication per unit of time
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
....... code SΣ 1..1 code Coded form of the unit
.... maxDosePerPeriod SΣ 0..1 Ratio Upper limit on medication per unit of time
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... numerator SΣ 0..1 Quantity Numerator value
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 0..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
..... denominator SΣ 0..1 Quantity Denominator value
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit SΣ 0..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
.... maxDosePerAdministration SΣ 0..1 SimpleQuantity(4.0.1) Upper limit on medication per administration
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... unit SΣ 0..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
..... code SΣ 1..1 code Coded form of the unit
.... maxDosePerLifetime Σ 0..1 SimpleQuantity(4.0.1) 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(4.0.1) 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(4.0.1) 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 S 0..1 BackboneElement 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
.... Slices for allowed[x] S 1..1 Whether substitution is allowed or not
Slice: Unordered, Closed by type:$this
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
..... allowed[x]:allowedBoolean S 0..1 boolean Whether substitution is allowed or not
..... allowed[x]:allowedCodeableConcept S 0..1 CodeableConcept Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
.... 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 S 0..1 Reference(MedicationRequest) Vorherige Verschreibung
... detectedIssue 0..* Reference(DetectedIssue) Erkannte Probleme
... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
MedicationRequest.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
MedicationRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationRequest.status Base required Medicationrequest status 📍4.0.1 FHIR Std.
MedicationRequest.statusReason Base example Medication request status reason codes 📍4.0.1 FHIR Std.
MedicationRequest.intent Base required Medication request intent 📍4.0.1 FHIR Std.
MedicationRequest.category Base example Medication request category codes 📍4.0.1 FHIR Std.
MedicationRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.medication[x]:medicationCodeableConcept.​coding:atcClassDe Base required MII VS Medikation ATC 📦2027.0.0-ballot MII IG Medikation v2027.0
MedicationRequest.performerType Base example Procedure Performer Role Codes 📍4.0.1 FHIR Std.
MedicationRequest.reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
MedicationRequest.courseOfTherapyType Base example Medication request course of therapy codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.bounds[x]:boundsDuration.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.durationUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.dayOfWeek Base required DaysOfWeek 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.when Base required EventTiming 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.code Base preferred TimingAbbreviation 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x]:asNeededCodeableConcept Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​site.coding:SNOMED Base example Body Site - IPS 📦2.0.1 International Patient Summary Implementation Guide v2.0
MedicationRequest.dosageInstruction.​route Base example SNOMED CT Route Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​route.coding:EDQM Base preferred Medicine EDQM Route of Administration - IPS 📦2.0.1 International Patient Summary Implementation Guide v2.0
MedicationRequest.dosageInstruction.​method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.type Base example DoseAndRateType 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseQuantity Base required Dosage DoseQuantity ValueSet 📦1.0.7 Medication IG DE v1.0
MedicationRequest.dosageInstruction.​doseAndRate.rate[x]:rateRatio.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.rate[x]:rateRatio.​denominator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​maxDosePerPeriod.numerator.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​maxDosePerPeriod.denominator.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v7.3
MedicationRequest.substitution.​allowed[x]:allowedCodeableConcept Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v7.3
MedicationRequest.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v7.3

Constraints

Id Grade Path(s) Description Expression
TimingBoundsUnitMatchesCode error MedicationRequest.dosageInstruction.timing.repeat boundsDuration.unit muss zur UCUM boundsDuration.code passen (z. B. 'Woche(n)' nur mit code='wk'). bounds.ofType(Duration).exists().not() or ( ( bounds.ofType(Duration).code = 'd' implies ( bounds.ofType(Duration).unit = 'Tag(e)' or bounds.ofType(Duration).unit = 'Tag' or bounds.ofType(Duration).unit = 'Tage' ) ) and ( bounds.ofType(Duration).code = 'wk' implies ( bounds.ofType(Duration).unit = 'Woche(n)' or bounds.ofType(Duration).unit = 'Woche' or bounds.ofType(Duration).unit = 'Wochen' ) ) and ( bounds.ofType(Duration).code = 'mo' implies ( bounds.ofType(Duration).unit = 'Monat(e)' or bounds.ofType(Duration).unit = 'Monat' or bounds.ofType(Duration).unit = 'Monate' ) ) and ( bounds.ofType(Duration).code = 'a' implies ( bounds.ofType(Duration).unit = 'Jahr(e)' or bounds.ofType(Duration).unit = 'Jahr' or bounds.ofType(Duration).unit = 'Jahre' ) ) )
TimingSingleDosageForTimeOfDay error MedicationRequest.dosageInstruction.timing.repeat Wenn nur timeOfDay verwendet wird und täglich dosiert wird, ist die Angabe in einem einzigen Dosage-Element zu modellieren. Mehrere Dosage-Elemente sind nur zulässig, wenn sich die Dosis (Wert) unterscheidet. ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ) implies ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).count() = 1 ) or ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).doseAndRate.dose.ofType(Quantity).value.distinct().count() > 1 ) ) )
TimingSingleDosageForWhen error MedicationRequest.dosageInstruction.timing.repeat Wenn nur when verwendet wird und täglich dosiert wird, ist die Angabe in einem einzigen Dosage-Element zu modellieren. Mehrere Dosage-Elemente sind nur zulässig, wenn sich die Dosis (Wert) unterscheidet. ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).all( ( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ) implies ( ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).count() = 1 ) or ( ( %resource.ofType(MedicationRequest).dosageInstruction | %resource.ofType(MedicationDispense).dosageInstruction | %resource.ofType(MedicationStatement).dosage ).where( timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd') ).doseAndRate.dose.ofType(Quantity).value.distinct().count() > 1 ) ) )
dom-2 error MedicationRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationRequest A resource should have narrative for robust management text.`div`.exists()
dsg-1 error MedicationRequest.dosageInstruction If present, dosage must include free text or structured data text.exists() or doseAndRate.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
tim-1 error MedicationRequest.dosageInstruction.timing.repeat if there's a duration, there needs to be duration units duration.empty() or durationUnit.exists()
tim-2 error MedicationRequest.dosageInstruction.timing.repeat if there's a period, there needs to be period units period.empty() or periodUnit.exists()
tim-4 error MedicationRequest.dosageInstruction.timing.repeat duration SHALL be a non-negative value duration.exists() implies duration >= 0
tim-5 error MedicationRequest.dosageInstruction.timing.repeat period SHALL be a non-negative value period.exists() implies period >= 0
tim-6 error MedicationRequest.dosageInstruction.timing.repeat If there's a periodMax, there must be a period periodMax.empty() or period.exists()
tim-7 error MedicationRequest.dosageInstruction.timing.repeat If there's a durationMax, there must be a duration durationMax.empty() or duration.exists()
tim-8 error MedicationRequest.dosageInstruction.timing.repeat If there's a countMax, there must be a count countMax.empty() or count.exists()
tim-9 error MedicationRequest.dosageInstruction.timing.repeat If there's an offset, there must be a when (and not C, CM, CD, CV) offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10 error MedicationRequest.dosageInstruction.timing.repeat If there's a timeOfDay, there cannot be a when, or vice versa timeOfDay.empty() or when.empty()

Diese Struktur ist abgeleitet von MII_PR_Medikation_MedicationRequest

Summary

Mandatory: 5 elements
Must-Support: 2 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of MedicationRequest.reasonReference

 

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