PrescribeIT® Specification and Guide Version 5.0

 

XML representation of the ext-medicationorder-supportinginfo Extension



<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="ext-medicationorder-supportinginfo"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/formats.html#table" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/formats.html#table" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/formats.html#table" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/formats.html#table" title="Additional information about the element">Description &amp; Constraints</a><span style="float: right"><a href="http://hl7.org/fhir/2016may/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/2016may/help16.png" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="extension-ext-medicationorder-supportinginfo-definitions.html#Extension" title="Additional information that relevant (e.g. observations, allergies, etc.)">Extension</a><a name="Extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/fake-extension-for-r3.html">MedicationRequest.supportingInfo DSTU2 extension</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Allergies, height, weight, etc.</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_extension_simple.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Simple Extension" class="hierarchy"/> <span style="text-decoration:line-through">extension</span><a name="Extension.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="text-decoration:line-through"/><span style="text-decoration:line-through">0</span><span style="text-decoration:line-through">..</span><span style="text-decoration:line-through">0</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="extension-ext-medicationorder-supportinginfo-definitions.html#Extension.url">url</a><a name="Extension.url"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5" href="http://hl7.org/fhir/2016may/datatypes.html#uri">uri</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="color: darkgreen">&quot;http://hl7.org/fhir/StructureDefinition/extension-MedicationRequest.supportingInfo&quot;</span></td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="extension-ext-medicationorder-supportinginfo-definitions.html#Extension.value[x]" title="Additional information that relevant to the order.  E.g. observations, allergies, etc.">value[x]</a><a name="Extension.value_x_"> </a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..<span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/2016may/references.html">Reference</a>(<a href="profile-list-allergies.html">PrescribeIT® List - Allergies</a> | <a href="profile-observation-rx.html">PrescribeIT® Pharmacy-related Observation</a>)<a href="http://hl7.org/fhir/2016may/valueset-resource-aggregation-mode.html"> {</a><a href="http://hl7.org/fhir/2016may/valueset-resource-aggregation-mode.html" title="The resource the reference points to will be found in the same bundle as the resource that includes the reference.">b</a><a href="http://hl7.org/fhir/2016may/valueset-resource-aggregation-mode.html">}</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Allergies, height, weight, etc.</td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="http://hl7.org/fhir/2016may/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/2016may/help16.png" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
  </text>
  <url
       value="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-supportinginfo"/>
  <version value="5.0"/>
  <name value="Medication Order Supporting Information"/>
  <status value="draft"/>
  <date value="2016-03-30T17:01:25-04:00"/>
  <description
               value="Additional information that relevant to the order.  E.g. observations, allergies, etc."/>
  <requirements
                value="The ability to add extensions in a structured way is what keeps FHIR resources simple."/>
  <fhirVersion value="1.4.0"/>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM"/>
  </mapping>
  <kind value="datatype"/>
  <abstract value="false"/>
  <contextType value="resource"/>
  <context value="MedicationOrder"/>
  <baseType value="Extension"/>
  <baseDefinition
                  value="http://hl7.org/fhir/StructureDefinition/extension-MedicationRequest.supportingInfo"/>
  <derivation value="constraint"/>
  <snapshot>
    <element id="Extension">
      <path value="Extension"/>
      <short value="Allergies, height, weight, etc."/>
      <definition
                  value="Additional information that relevant (e.g. observations, allergies, etc.)"/>
      <comments
                value="Conformance Rule: Cardinality must be 0..1 for Shared Health List-Allergies and 0..2 for Shared Health Pharmacy-related Observation (i.e. 1 for height and 1 for weight) as per bundle

Conformance Rule: When sending this is the current list of allergies and observation for the patient from the sending system and should not include or replay back any information that is received in an incoming message.

Conformance Rule: Only 1 allergy list, 1 weight and 1 height observation can be sent per bundle. If different values need to be sent that are specific to one medication order that must be sent as part of the pharmacist instructions or note data elements instead.

Usage Note: See the functional specifications document for further requirements related to sending the allergy and observations information.

Usage Note: The URL for this extension does not refer to an existing web-page as is a pre-adoption extension. Refer to the [Shared Health implementation Guide](../common/common.html#pre-adopted-extensions) for more information."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Extension.id">
      <path value="Extension.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition
                  value="unique id for the element within a resource (for internal references)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="Extension.extension">
      <path value="Extension.extension"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="0"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="Extension.url">
      <path value="Extension.url"/>
      <representation value="xmlAttr"/>
      <short value="identifies the meaning of the extension"/>
      <definition
                  value="Source of the definition for the extension code - a logical name or a URL."/>
      <comments
                value="Fixed value: http://hl7.org/fhir/StructureDefinition/extension-MedicationRequest.supportingInfo"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.url"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <fixedUri
                value="http://hl7.org/fhir/StructureDefinition/extension-MedicationRequest.supportingInfo"/>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="Extension.value[x]">
      <path value="Extension.value[x]"/>
      <slicing>
        <discriminator value="$this/@type"/>
        <ordered value="false"/>
        <rules value="closed"/>
      </slicing>
      <short value="Allergies, height, weight, etc."/>
      <definition
                  value="Additional information that relevant to the order.  E.g. observations, allergies, etc."/>
      <comments
                value="Must be at 0..1 Shared Health List-Allergies and 0.. 2 Shared Health Pharmacy-related Observation (one for height and one for weight)"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.value[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/4.0/StructureDefinition/extension-ElementDefinition.type.profile">
          <valueUri
                    value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-reference"/>
        </extension>
        <code value="Reference"/>
        <profile
                 value="http://prescribeit.ca/fhir/StructureDefinition/profile-list-allergies"/>
      </type>
      <type>
        <extension
                   url="http://hl7.org/fhir/4.0/StructureDefinition/extension-ElementDefinition.type.profile">
          <valueUri
                    value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-reference"/>
        </extension>
        <code value="Reference"/>
        <profile
                 value="http://prescribeit.ca/fhir/StructureDefinition/profile-observation-rx"/>
        <aggregation value="bundled"/>
      </type>
      <mustSupport value="true"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map
             value="The target of a resource reference is a RIM entry point (Act, Role, or Entity)"/>
      </mapping>
    </element>
    <element id="Extension.value[x]:valueReference">
      <path value="Extension.value[x]"/>
      <name value="valueReference"/>
      <short value="Value of extension"/>
      <definition
                  value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="Extension.value[x]"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element id="Extension">
      <path value="Extension"/>
      <short value="Allergies, height, weight, etc."/>
      <definition
                  value="Additional information that relevant (e.g. observations, allergies, etc.)"/>
      <comments
                value="Conformance Rule: Cardinality must be 0..1 for Shared Health List-Allergies and 0..2 for Shared Health Pharmacy-related Observation (i.e. 1 for height and 1 for weight) as per bundle

Conformance Rule: When sending this is the current list of allergies and observation for the patient from the sending system and should not include or replay back any information that is received in an incoming message.

Conformance Rule: Only 1 allergy list, 1 weight and 1 height observation can be sent per bundle. If different values need to be sent that are specific to one medication order that must be sent as part of the pharmacist instructions or note data elements instead.

Usage Note: See the functional specifications document for further requirements related to sending the allergy and observations information.

Usage Note: The URL for this extension does not refer to an existing web-page as is a pre-adoption extension. Refer to the [Shared Health implementation Guide](../common/common.html#pre-adopted-extensions) for more information."/>
    </element>
    <element id="Extension.extension">
      <path value="Extension.extension"/>
      <max value="0"/>
      <mustSupport value="false"/>
    </element>
    <element id="Extension.url">
      <path value="Extension.url"/>
      <comments
                value="Fixed value: http://hl7.org/fhir/StructureDefinition/extension-MedicationRequest.supportingInfo"/>
      <min value="1"/>
      <fixedUri
                value="http://hl7.org/fhir/StructureDefinition/extension-MedicationRequest.supportingInfo"/>
      <mustSupport value="true"/>
    </element>
    <element id="Extension.value[x]">
      <path value="Extension.value[x]"/>
      <short value="Allergies, height, weight, etc."/>
      <definition
                  value="Additional information that relevant to the order.  E.g. observations, allergies, etc."/>
      <comments
                value="Must be at 0..1 Shared Health List-Allergies and 0.. 2 Shared Health Pharmacy-related Observation (one for height and one for weight)"/>
      <min value="1"/>
      <type>
        <extension
                   url="http://hl7.org/fhir/4.0/StructureDefinition/extension-ElementDefinition.type.profile">
          <valueUri
                    value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-reference"/>
        </extension>
        <code value="Reference"/>
        <profile
                 value="http://prescribeit.ca/fhir/StructureDefinition/profile-list-allergies"/>
      </type>
      <type>
        <extension
                   url="http://hl7.org/fhir/4.0/StructureDefinition/extension-ElementDefinition.type.profile">
          <valueUri
                    value="http://sharedhealth.exchange/fhir/StructureDefinition/dtprofile-reference"/>
        </extension>
        <code value="Reference"/>
        <profile
                 value="http://prescribeit.ca/fhir/StructureDefinition/profile-observation-rx"/>
        <aggregation value="bundled"/>
      </type>
      <mustSupport value="true"/>
    </element>
  </differential>
</StructureDefinition>