PrescribeIT® Specification and Guide Version 5.0

 

The official URL for this profile is:

http://prescribeit.ca/fhir/StructureDefinition/profile-medicationorder-pms-rx-dispense

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

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This structure is derived from MedicationOrder

NameCard.TypeConstraints and Usage
.  MedicationOrder 0..*MedicationOrderDefinition:
This represents the pharmacy prescription information that is being requested for renewal or is being included for informational purposes.


Comments:
If the prescription is for a medication that has been dispensed, the information will be populated using the details of the last dispense that is associated to the prescription and if the prescription has never been dispensed, the data must be populated using the details related to pharmacy prescription.

..  id 1..1idDefinition:
The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.


Comments:
Usage Note: This will usually be a GUID and is assigned by the sending application.

..  contained 1..1ResourceDefinition:
This will contain the medication details that is associated to the prescription or the last dispense of the prescription.



Usage Note: Provides context to the prescriber what medication the pharmacy is requesting.


Comments:
Conformance Rules: This will be used to contain the Medication resource. No other resources should be 'contained'.



The medication should be provided using a coded value that is either a DIN or NPN. CCDD can be used but it is not expected to be sent given the PMS processes prescriptions and dispenses using manufactured products that have DINs/NPNs. Representative DIN must never be used to describe the medication when providing this information as part of this profile.



For products that have no coding or a coding system that is not DIN, NPN or CCDD send only the medication name (medication.code.text).



The medication strength and product form should be sent as discreet data if known and its not already included as part of the medication name.



The product ingredient data does not need to be populated as it is for future use.

..  extension 0..*ExtensionSlice: Unordered, Open by value:url
Definition:
An Extension

..  extension
     (category)
0..1Medication Order CategoryDefinition:
Sub-categorizes medication prescriptions into drugs, devices, compounds, etc. May be used to apply sub-type-specific constraints


Comments:
Usage Note: Can be omitted if not known or not captured properly in the PMS.

..  extension
     (dateLastDispense)
0..1Medication Order Date of Last DispenseDefinition:
Identifies the date of the last dispense


Comments:
Usage Note: If the prescription has not been dispensed this will be omitted.

..  extension
     (daysSinceLastDispense)
0..1Medication Order Days Since Last DispenseDefinition:
The number of days since that has elapsed between the date of the last dispense and the date the renewal request is being sent.


Comments:
Usage Note: If the prescription has not been dispensed this will be omitted.

..  extension
     (renderedDosageInstruction)
1..1Medication Rendered Dosage InstructionDefinition:
This provides the full textual description of the directions for use as entered by the pharmacy on the dispense or prescription. This will reflect the directions as presented to the patient on the label. The rendered dosage instruction must contain all dosage instructions and must be able to stand on its own.


Comments:
Usage Note: Allows the provider to verify and compare the directions for use with the original directions of use that was provided on the original prescription. This is particularly helpful when the pharmacy split the original order into multiple dispensed products.

..  extension
     (pharmacyInstructions)
0..1Request Dispenser InstructionsDefinition:
Provides additional instructions from the prescriber to the pharmacy or other dispenser


Comments:
Usage Note: Can provide additional information for example special authorization codes, no substitution indication, etc.

..  identifier 1..1Shared Health IdentifierSlice: Unordered, Open by pattern:type
Definition:
A technical identifier - identifies some entity uniquely and unambiguously.


Comments:
These are the identifiers assigned by the EMR and, in some cases, by the DIS.

..  identifier
     (PMS-id)
1..1PrescribeIT® Prescriber Prescription IdentifierDefinition:
A technical identifier - identifies some entity uniquely and unambiguously.


Comments:
This is the prescription identifier assigned by the PMS to the local prescription.

...  type 1..1Shared Health CodeableConcept CodeBinding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: {"coding":[{"system":"http://hl7.org/fhir/identifier-type","code":"PLAC"}]}
Definition:
A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.


Comments:


....  coding 1..*CodingSlice: Unordered, Open by value:system, value:code
Definition:
A reference to a code defined by a terminology system.


Comments:
Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labelled as UserSelected = true.

.....  system 1..1uriDefinition:
The identification of the code system that defines the meaning of the symbol in the code.


Comments:
This is the URI that represents the coding system as defined within the binding.

.....  code 1..1codeDefinition:
A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).


Comments:
This is the code as defined within the binding.

....  coding
         (placer)
0..*CodingDefinition:
A reference to a code defined by a terminology system.


Comments:
Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labelled as UserSelected = true.

.....  system 1..1uriFixed Value: http://hl7.org/fhir/identifier-type
Definition:
The identification of the code system that defines the meaning of the symbol in the code.


Comments:
Fixed value: http://hl7.org/fhir/identifier-type

.....  code 1..1codeFixed Value: PLAC
Definition:
A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).


Comments:
Fixed value: PLAC

...  system 1..1uriEMR-id-branch-2: This must be an OID ending in .2
Example' General': http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri
Definition:
Establishes the namespace in which set of possible id values is unique.


Comments:
Conformance Rule: This must be an OID of the URI form [Vendor root].[Application instance node].2 (e.g. urn:oid:1.2.3.4). The branch, “.2” is appended to create a unique namespace for the Prescription Identifer

...  value 1..1stringExample' General': 123456
Definition:
The portion of the identifier typically relevant to the user and which is unique within the context of the system.


Comments:
Usage Rule: The business identifier that uniquely identifies a prescription.

..  status 1..1codeBinding: MedicationOrderStatus (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription.


Fixed Value: active
Definition:
A code specifying the state of the order. Generally this will be active or completed state.


Comments:
Fixed value: active

..  medication[x]
     (medicationReference)
1..1Reference(PrescribeIT® Medication) {c}Definition:
A reference from one resource to another.


Comments:
Usage Note: this is populated with the reference to the Medication resource pertaining to this Medication Order. It will point to the 'contained' Medication resource. E.g. <reference value='#med'/>

..  patient 1..1Reference(Shared Health Patient) {b}Definition:
A reference from one resource to another.


Comments:
Usage Note: This must reference the Patient.id.

..  dateWritten 1..1dateTimeDefinition:
The date (and perhaps time) when the prescription was written.


Comments:
Conformance Rule: Prescriptions sent within Alberta must support the full date time with timezone (i.e. yyyy-mm-dd-HH:mm:ss.SSS-ZZZZZ). EMRs in Alberta that do not have timezone cannot integrate with Alberta PIN.

..  reasonCode 0..5Shared Health CodeableConcept Required Text with optional codeBinding: PrescriptionIndicationForUse (20190430) (extensible)
Definition:
A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.


Comments:
Conformance Rule: In the case where the prescriber wants to send an Indication for Use that is not included in the value set the prescriber must be able to send a text value without a code.

...  coding 0..1CodingDefinition:
A reference to a code defined by a terminology system.


Comments:
Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labelled as UserSelected = true.

....  system 1..1uriDefinition:
The identification of the code system that defines the meaning of the symbol in the code.


Comments:
This is the URI that represents the coding system as defined within the binding.

....  code 1..1codeDefinition:
A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).


Comments:
This is the code as defined within the binding.

...  text 1..1stringMax Length: 2500
Definition:
A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.


Comments:
Usage Note: When conveying the reason, this must be populated

..  dispenseRequest 1..1BackboneElementDefinition:
Indicates the specific details around the quantity and duration that is associated to the dispense or the prescription.

...  extension 0..*ExtensionSlice: Unordered, Open by value:url
Definition:
An Extension

...  extension
       (dispenseInterval)
0..1Medication Order Dispense IntervalDefinition:
Indicates the minimum period of time that must pass between dispensing events as recorded against the dispense or prescription.


Comments:
Indicates the minimum period of time that must pass between dispensing events.



Conformance Rule: Only days are currently support as a measurement of dispenseInterval.

...  quantity 1..1PrescribeIT® Drug QuantityBinding: PrescribedQuantityUnit (20210308) (extensible)
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity
Definition:
This will provide the details of how much quantity was dispensed or is suppose to be dispense as part of one fill.


Comments:
Conformance Rule: Must always to be populated with either the quantity associated to the dispense or the quantity of one fill that is recorded against the prescription.

...  expectedSupplyDuration 1..1DurationDefinition:
The number of days that the dispensed quantity is expected to last.


Comments:
Conformance Rule: Must always to be populated with either the days supply value associated to the dispense or the days supply value of one fill that is recorded against the prescription.

....  value 1..1decimalDefinition:
The value of the measured amount. The value includes an implicit precision in the presentation of the value.


Comments:
A decimal duration value is allowed (i.e. 1.5 days).

....  system 1..1uriFixed Value: http://unitsofmeasure.org
Definition:
The identification of the system that provides the coded form of the unit.


Comments:
Fixed value: http://unitsofmeasure.org

....  code 1..1codeFixed Value: d
Definition:
A computer processable form of the unit in some unit representation system.


Comments:
Fixed value: d

This structure is derived from MedicationOrder

Summary

Mandatory: 15 elements (1 nested mandatory element)
Must-Support: 25 elements
Fixed Value: 3 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element MedicationOrder.identifier is sliced based on the value of pattern:type

This structure is derived from MedicationOrder

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationOrder S0..*MedicationOrderPrescription of medication to for patient
... id S1..1idLogical id of this artifact
... contained S1..1ResourceContained, inline Resources
... extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... ext-medicationorder-category S0..1CodeableConceptMedication Order Category
URL: http://hl7.org/fhir/StructureDefinition/extension-MedicationRequest.category profiled by http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-category
... ext-medicationorder-date-last-dispense S0..1dateDate of last dispense
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-date-last-dispense
... ext-medicationorder-days-last-dispense S0..1DurationDays since last dispense
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-days-last-dispense
... ext-medication-rendered-dosage S1..1stringRendered Dosage Instruction
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-medication-rendered-dosage
... ext-request-dispenser-instructions S0..1stringDispenser Instructions
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-request-dispenser-instructions
... identifier S1..1(Slice Definition)An identifier intended for computation
Slice: Unordered, Open by pattern:type
.... identifier:PMS-id S1..1PrescribeIT® Prescriber Prescription IdentifierPMS Prescription Identifier
..... type S1..1Shared Health CodeableConcept CodeConcept - reference to a terminology or just text
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/identifier-type
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: PLAC
... status S1..1codeactive | on-hold | completed | entered-in-error | stopped | draft
Fixed Value: active
... medicationReference S1..1Reference(PrescribeIT® Medication) {c}A reference from one resource to another
... patient S1..1Reference(Shared Health Patient) {b}A reference from one resource to another
... dateWritten S1..1dateTimeWhen prescription was authorized
... reasonCode S0..5Shared Health CodeableConcept Required Text with optional codeConcept - reference to a terminology or just text
Binding: PrescriptionIndicationForUse (20190430) (extensible)
.... text S1..1stringPlain text representation of the concept
... dispenseRequest S1..1BackboneElementMedication supply authorization
.... extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... ext-medicationorder-dispense-interval S0..1DurationDispense interval
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-dispense-interval
.... quantity S1..1PrescribeIT® Drug QuantityQuantity of a medication
Binding: PrescribedQuantityUnit (20210308) (extensible)
.... expectedSupplyDuration S1..1DurationNumber of days supply per dispense
..... value S1..1decimalNumerical value (with implicit precision)
..... comparator 0..0
..... unit 0..1stringUnit representation
..... system S1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code S1..1codeCoded form of the unit
Fixed Value: d

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationOrder SΣ0..*MedicationOrderPrescription of medication to for patient
... id SΣ1..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: http://tools.ietf.org/html/bcp47 (required): A human language.


... text 0..1NarrativeText summary of the resource, for human interpretation
... contained S1..1ResourceContained, inline Resources
... extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... ext-medicationorder-category S0..1CodeableConceptMedication Order Category
URL: http://hl7.org/fhir/StructureDefinition/extension-MedicationRequest.category profiled by http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-category
... ext-medicationorder-date-last-dispense S0..1dateDate of last dispense
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-date-last-dispense
... ext-medicationorder-days-last-dispense S0..1DurationDays since last dispense
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-days-last-dispense
... ext-medication-rendered-dosage S1..1stringRendered Dosage Instruction
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-medication-rendered-dosage
... ext-request-dispenser-instructions S0..1stringDispenser Instructions
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-request-dispenser-instructions
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ1..1(Slice Definition)An identifier intended for computation
Slice: Unordered, Open by pattern:type
.... identifier:PMS-id S1..1PrescribeIT® Prescriber Prescription IdentifierPMS Prescription Identifier
..... id 0..1idxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... use ?!Σ0..1codeusual | official | temp | secondary (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type S1..1Shared Health CodeableConcept CodeConcept - reference to a terminology or just text
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id0..1stringxml:id (or equivalent in JSON)
...... extension0..*ExtensionAdditional Content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringxml:id (or equivalent in JSON)
....... extension0..*ExtensionAdditional Content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/identifier-type
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: PLAC
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
...... id 0..1idxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
...... coding SΣ1..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:system, value:code
....... coding:All Slices Content/Rules for all slices
........ id 0..1idxml:id (or equivalent in JSON)
........ extension 0..*ExtensionAdditional Content defined by implementations
........ system SΣ1..1uriIdentity of the terminology system
........ version Σ0..1stringVersion of the system - if relevant
........ code SΣ1..1codeSymbol in syntax defined by the system
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
....... coding:placer SΣ0..*CodingCode defined by a terminology system
........ id 0..1idxml:id (or equivalent in JSON)
........ extension 0..*ExtensionAdditional Content defined by implementations
........ system SΣ1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/identifier-type
........ version Σ0..1stringVersion of the system - if relevant
........ code SΣ1..1codeSymbol in syntax defined by the system
Fixed Value: PLAC
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... system SΣI1..1uriThe namespace for the identifier
EMR-id-branch-2: This must be an OID ending in .2
Example General: http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri
..... value SΣ1..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... status ?!SΣ1..1codeactive | on-hold | completed | entered-in-error | stopped | draft
Binding: MedicationOrderStatus (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription.


Fixed Value: active
... medication[x] Σ1..1(Slice Definition)Medication to be taken
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationReference SΣ1..1Reference(PrescribeIT® Medication) {c}A reference from one resource to another
... patient SΣ1..1Reference(Shared Health Patient) {b}A reference from one resource to another
... encounter Σ0..1Reference(Encounter)Created during encounter/admission/stay
... dateWritten SΣ1..1dateTimeWhen prescription was authorized
... prescriber Σ0..1Reference(Practitioner)Who ordered the medication(s)
... reasonCode S0..5Shared Health CodeableConcept Required Text with optional codeConcept - reference to a terminology or just text
Binding: PrescriptionIndicationForUse (20190430) (extensible)
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... coding SΣ0..1CodingCode defined by a terminology system
..... id 0..1idxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... system SΣ1..1uriIdentity of the terminology system
..... version Σ0..1stringVersion of the system - if relevant
..... code SΣ1..1codeSymbol in syntax defined by the system
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text SΣ1..1stringPlain text representation of the concept
Max Length: 2500
... reasonReference Σ0..*Reference(Condition)Condition that supports why the prescription is being written
... dateEnded Σ0..1dateTimeWhen prescription was stopped
... reasonEnded Σ0..1CodeableConceptWhy prescription was stopped
Binding: (unbound) (example): Codes indicating why the medication was terminated; e.g. Adverse reaction, medication change, issue resolved, etc.

... note Σ0..*AnnotationInformation about the prescription
... dosageInstruction Σ0..*BackboneElementHow medication should be taken
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... text Σ0..1stringFree text dosage instructions e.g. SIG
.... additionalInstructions Σ0..1CodeableConceptSupplemental instructions - e.g. "with meals"
Binding: (unbound) (example): Codes identifying additional instructions such as "take with water" or "avoid operating heavy machinery".

.... timing Σ0..1TimingWhen medication should be administered
.... asNeeded[x] Σ0..1Take "as needed" (for x)
Binding: (unbound) (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.

..... asNeededBooleanboolean
..... asNeededCodeableConceptCodeableConcept
.... site[x] Σ0..1Body site to administer to
Binding: SNOMED CT Anatomical Structure for Administration Site Codes (example): A coded concept describing the site location the medicine enters into or onto the body.

..... siteCodeableConceptCodeableConcept
..... siteReferenceReference(BodySite)
.... route Σ0..1CodeableConceptHow drug should enter body
Binding: SNOMED CT Route Codes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

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

.... dose[x] Σ0..1Amount of medication per dose
..... doseRangeRange
..... doseQuantityQuantity(SimpleQuantity)
.... rate[x] Σ0..1Amount of medication per unit of time
..... rateRatioRatio
..... rateRangeRange
..... rateQuantityQuantity(SimpleQuantity)
.... maxDosePerPeriod Σ0..1RatioUpper limit on medication per unit of time
... dispenseRequest SΣ1..1BackboneElementMedication supply authorization
.... id 0..1idxml:id (or equivalent in JSON)
.... extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... ext-medicationorder-dispense-interval S0..1DurationDispense interval
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-dispense-interval
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... medication[x] Σ0..1Product to be supplied
..... medicationCodeableConceptCodeableConcept
..... medicationReferenceReference(Medication)
.... validityPeriod Σ0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed Σ0..1positiveIntNumber of refills authorized
.... quantity SI1..1PrescribeIT® Drug QuantityQuantity of a medication
Binding: PrescribedQuantityUnit (20210308) (extensible)
.... expectedSupplyDuration SΣ1..1DurationNumber of days supply per dispense
..... id 0..1idxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... value SΣ1..1decimalNumerical value (with implicit precision)
..... unit Σ0..1stringUnit representation
..... system SΣI1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code SΣ1..1codeCoded form of the unit
Fixed Value: d
... substitution Σ0..1BackboneElementAny restrictions on medication substitution
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... type Σ1..1CodeableConceptgeneric | formulary +
Binding: ActSubstanceAdminSubstitutionCode (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.

.... reason Σ0..1CodeableConceptWhy should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.

... priorPrescription Σ0..1Reference(MedicationOrder)An order/prescription that this supersedes

doco Documentation for this format

Grid View

This structure is derived from MedicationOrder

NameCard.TypeConstraints and Usage
.  MedicationOrder 0..*MedicationOrderDefinition:
This represents the pharmacy prescription information that is being requested for renewal or is being included for informational purposes.


Comments:
If the prescription is for a medication that has been dispensed, the information will be populated using the details of the last dispense that is associated to the prescription and if the prescription has never been dispensed, the data must be populated using the details related to pharmacy prescription.

..  id 1..1idDefinition:
The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.


Comments:
Usage Note: This will usually be a GUID and is assigned by the sending application.

..  contained 1..1ResourceDefinition:
This will contain the medication details that is associated to the prescription or the last dispense of the prescription.



Usage Note: Provides context to the prescriber what medication the pharmacy is requesting.


Comments:
Conformance Rules: This will be used to contain the Medication resource. No other resources should be 'contained'.



The medication should be provided using a coded value that is either a DIN or NPN. CCDD can be used but it is not expected to be sent given the PMS processes prescriptions and dispenses using manufactured products that have DINs/NPNs. Representative DIN must never be used to describe the medication when providing this information as part of this profile.



For products that have no coding or a coding system that is not DIN, NPN or CCDD send only the medication name (medication.code.text).



The medication strength and product form should be sent as discreet data if known and its not already included as part of the medication name.



The product ingredient data does not need to be populated as it is for future use.

..  extension 0..*ExtensionSlice: Unordered, Open by value:url
Definition:
An Extension

..  extension
     (category)
0..1Medication Order CategoryDefinition:
Sub-categorizes medication prescriptions into drugs, devices, compounds, etc. May be used to apply sub-type-specific constraints


Comments:
Usage Note: Can be omitted if not known or not captured properly in the PMS.

..  extension
     (dateLastDispense)
0..1Medication Order Date of Last DispenseDefinition:
Identifies the date of the last dispense


Comments:
Usage Note: If the prescription has not been dispensed this will be omitted.

..  extension
     (daysSinceLastDispense)
0..1Medication Order Days Since Last DispenseDefinition:
The number of days since that has elapsed between the date of the last dispense and the date the renewal request is being sent.


Comments:
Usage Note: If the prescription has not been dispensed this will be omitted.

..  extension
     (renderedDosageInstruction)
1..1Medication Rendered Dosage InstructionDefinition:
This provides the full textual description of the directions for use as entered by the pharmacy on the dispense or prescription. This will reflect the directions as presented to the patient on the label. The rendered dosage instruction must contain all dosage instructions and must be able to stand on its own.


Comments:
Usage Note: Allows the provider to verify and compare the directions for use with the original directions of use that was provided on the original prescription. This is particularly helpful when the pharmacy split the original order into multiple dispensed products.

..  extension
     (pharmacyInstructions)
0..1Request Dispenser InstructionsDefinition:
Provides additional instructions from the prescriber to the pharmacy or other dispenser


Comments:
Usage Note: Can provide additional information for example special authorization codes, no substitution indication, etc.

..  identifier 1..1Shared Health IdentifierSlice: Unordered, Open by pattern:type
Definition:
A technical identifier - identifies some entity uniquely and unambiguously.


Comments:
These are the identifiers assigned by the EMR and, in some cases, by the DIS.

..  identifier
     (PMS-id)
1..1PrescribeIT® Prescriber Prescription IdentifierDefinition:
A technical identifier - identifies some entity uniquely and unambiguously.


Comments:
This is the prescription identifier assigned by the PMS to the local prescription.

...  type 1..1Shared Health CodeableConcept CodeBinding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: {"coding":[{"system":"http://hl7.org/fhir/identifier-type","code":"PLAC"}]}
Definition:
A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.


Comments:


....  coding 1..*CodingSlice: Unordered, Open by value:system, value:code
Definition:
A reference to a code defined by a terminology system.


Comments:
Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labelled as UserSelected = true.

.....  system 1..1uriDefinition:
The identification of the code system that defines the meaning of the symbol in the code.


Comments:
This is the URI that represents the coding system as defined within the binding.

.....  code 1..1codeDefinition:
A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).


Comments:
This is the code as defined within the binding.

....  coding
         (placer)
0..*CodingDefinition:
A reference to a code defined by a terminology system.


Comments:
Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labelled as UserSelected = true.

.....  system 1..1uriFixed Value: http://hl7.org/fhir/identifier-type
Definition:
The identification of the code system that defines the meaning of the symbol in the code.


Comments:
Fixed value: http://hl7.org/fhir/identifier-type

.....  code 1..1codeFixed Value: PLAC
Definition:
A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).


Comments:
Fixed value: PLAC

...  system 1..1uriEMR-id-branch-2: This must be an OID ending in .2
Example' General': http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri
Definition:
Establishes the namespace in which set of possible id values is unique.


Comments:
Conformance Rule: This must be an OID of the URI form [Vendor root].[Application instance node].2 (e.g. urn:oid:1.2.3.4). The branch, “.2” is appended to create a unique namespace for the Prescription Identifer

...  value 1..1stringExample' General': 123456
Definition:
The portion of the identifier typically relevant to the user and which is unique within the context of the system.


Comments:
Usage Rule: The business identifier that uniquely identifies a prescription.

..  status 1..1codeBinding: MedicationOrderStatus (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription.


Fixed Value: active
Definition:
A code specifying the state of the order. Generally this will be active or completed state.


Comments:
Fixed value: active

..  medication[x]
     (medicationReference)
1..1Reference(PrescribeIT® Medication) {c}Definition:
A reference from one resource to another.


Comments:
Usage Note: this is populated with the reference to the Medication resource pertaining to this Medication Order. It will point to the 'contained' Medication resource. E.g. <reference value='#med'/>

..  patient 1..1Reference(Shared Health Patient) {b}Definition:
A reference from one resource to another.


Comments:
Usage Note: This must reference the Patient.id.

..  dateWritten 1..1dateTimeDefinition:
The date (and perhaps time) when the prescription was written.


Comments:
Conformance Rule: Prescriptions sent within Alberta must support the full date time with timezone (i.e. yyyy-mm-dd-HH:mm:ss.SSS-ZZZZZ). EMRs in Alberta that do not have timezone cannot integrate with Alberta PIN.

..  reasonCode 0..5Shared Health CodeableConcept Required Text with optional codeBinding: PrescriptionIndicationForUse (20190430) (extensible)
Definition:
A concept that may be defined by a formal reference to a terminology or ontology or may be provided by text.


Comments:
Conformance Rule: In the case where the prescriber wants to send an Indication for Use that is not included in the value set the prescriber must be able to send a text value without a code.

...  coding 0..1CodingDefinition:
A reference to a code defined by a terminology system.


Comments:
Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labelled as UserSelected = true.

....  system 1..1uriDefinition:
The identification of the code system that defines the meaning of the symbol in the code.


Comments:
This is the URI that represents the coding system as defined within the binding.

....  code 1..1codeDefinition:
A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).


Comments:
This is the code as defined within the binding.

...  text 1..1stringMax Length: 2500
Definition:
A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.


Comments:
Usage Note: When conveying the reason, this must be populated

..  dispenseRequest 1..1BackboneElementDefinition:
Indicates the specific details around the quantity and duration that is associated to the dispense or the prescription.

...  extension 0..*ExtensionSlice: Unordered, Open by value:url
Definition:
An Extension

...  extension
       (dispenseInterval)
0..1Medication Order Dispense IntervalDefinition:
Indicates the minimum period of time that must pass between dispensing events as recorded against the dispense or prescription.


Comments:
Indicates the minimum period of time that must pass between dispensing events.



Conformance Rule: Only days are currently support as a measurement of dispenseInterval.

...  quantity 1..1PrescribeIT® Drug QuantityBinding: PrescribedQuantityUnit (20210308) (extensible)
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity
Definition:
This will provide the details of how much quantity was dispensed or is suppose to be dispense as part of one fill.


Comments:
Conformance Rule: Must always to be populated with either the quantity associated to the dispense or the quantity of one fill that is recorded against the prescription.

...  expectedSupplyDuration 1..1DurationDefinition:
The number of days that the dispensed quantity is expected to last.


Comments:
Conformance Rule: Must always to be populated with either the days supply value associated to the dispense or the days supply value of one fill that is recorded against the prescription.

....  value 1..1decimalDefinition:
The value of the measured amount. The value includes an implicit precision in the presentation of the value.


Comments:
A decimal duration value is allowed (i.e. 1.5 days).

....  system 1..1uriFixed Value: http://unitsofmeasure.org
Definition:
The identification of the system that provides the coded form of the unit.


Comments:
Fixed value: http://unitsofmeasure.org

....  code 1..1codeFixed Value: d
Definition:
A computer processable form of the unit in some unit representation system.


Comments:
Fixed value: d

This structure is derived from MedicationOrder

Summary

Mandatory: 15 elements (1 nested mandatory element)
Must-Support: 25 elements
Fixed Value: 3 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element MedicationOrder.identifier is sliced based on the value of pattern:type

Differential View

This structure is derived from MedicationOrder

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationOrder S0..*MedicationOrderPrescription of medication to for patient
... id S1..1idLogical id of this artifact
... contained S1..1ResourceContained, inline Resources
... extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... ext-medicationorder-category S0..1CodeableConceptMedication Order Category
URL: http://hl7.org/fhir/StructureDefinition/extension-MedicationRequest.category profiled by http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-category
... ext-medicationorder-date-last-dispense S0..1dateDate of last dispense
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-date-last-dispense
... ext-medicationorder-days-last-dispense S0..1DurationDays since last dispense
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-days-last-dispense
... ext-medication-rendered-dosage S1..1stringRendered Dosage Instruction
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-medication-rendered-dosage
... ext-request-dispenser-instructions S0..1stringDispenser Instructions
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-request-dispenser-instructions
... identifier S1..1(Slice Definition)An identifier intended for computation
Slice: Unordered, Open by pattern:type
.... identifier:PMS-id S1..1PrescribeIT® Prescriber Prescription IdentifierPMS Prescription Identifier
..... type S1..1Shared Health CodeableConcept CodeConcept - reference to a terminology or just text
Required Pattern: At least the following
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/identifier-type
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: PLAC
... status S1..1codeactive | on-hold | completed | entered-in-error | stopped | draft
Fixed Value: active
... medicationReference S1..1Reference(PrescribeIT® Medication) {c}A reference from one resource to another
... patient S1..1Reference(Shared Health Patient) {b}A reference from one resource to another
... dateWritten S1..1dateTimeWhen prescription was authorized
... reasonCode S0..5Shared Health CodeableConcept Required Text with optional codeConcept - reference to a terminology or just text
Binding: PrescriptionIndicationForUse (20190430) (extensible)
.... text S1..1stringPlain text representation of the concept
... dispenseRequest S1..1BackboneElementMedication supply authorization
.... extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... ext-medicationorder-dispense-interval S0..1DurationDispense interval
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-dispense-interval
.... quantity S1..1PrescribeIT® Drug QuantityQuantity of a medication
Binding: PrescribedQuantityUnit (20210308) (extensible)
.... expectedSupplyDuration S1..1DurationNumber of days supply per dispense
..... value S1..1decimalNumerical value (with implicit precision)
..... comparator 0..0
..... unit 0..1stringUnit representation
..... system S1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code S1..1codeCoded form of the unit
Fixed Value: d

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationOrder SΣ0..*MedicationOrderPrescription of medication to for patient
... id SΣ1..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: http://tools.ietf.org/html/bcp47 (required): A human language.


... text 0..1NarrativeText summary of the resource, for human interpretation
... contained S1..1ResourceContained, inline Resources
... extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... ext-medicationorder-category S0..1CodeableConceptMedication Order Category
URL: http://hl7.org/fhir/StructureDefinition/extension-MedicationRequest.category profiled by http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-category
... ext-medicationorder-date-last-dispense S0..1dateDate of last dispense
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-date-last-dispense
... ext-medicationorder-days-last-dispense S0..1DurationDays since last dispense
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-days-last-dispense
... ext-medication-rendered-dosage S1..1stringRendered Dosage Instruction
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-medication-rendered-dosage
... ext-request-dispenser-instructions S0..1stringDispenser Instructions
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-request-dispenser-instructions
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ1..1(Slice Definition)An identifier intended for computation
Slice: Unordered, Open by pattern:type
.... identifier:PMS-id S1..1PrescribeIT® Prescriber Prescription IdentifierPMS Prescription Identifier
..... id 0..1idxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... use ?!Σ0..1codeusual | official | temp | secondary (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type S1..1Shared Health CodeableConcept CodeConcept - reference to a terminology or just text
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id0..1stringxml:id (or equivalent in JSON)
...... extension0..*ExtensionAdditional Content defined by implementations
...... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
....... id0..1stringxml:id (or equivalent in JSON)
....... extension0..*ExtensionAdditional Content defined by implementations
....... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/identifier-type
....... version0..1stringVersion of the system - if relevant
....... code1..1codeSymbol in syntax defined by the system
Fixed Value: PLAC
....... display0..1stringRepresentation defined by the system
....... userSelected0..1booleanIf this coding was chosen directly by the user
...... text0..1stringPlain text representation of the concept
...... id 0..1idxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
...... coding SΣ1..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:system, value:code
....... coding:All Slices Content/Rules for all slices
........ id 0..1idxml:id (or equivalent in JSON)
........ extension 0..*ExtensionAdditional Content defined by implementations
........ system SΣ1..1uriIdentity of the terminology system
........ version Σ0..1stringVersion of the system - if relevant
........ code SΣ1..1codeSymbol in syntax defined by the system
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
....... coding:placer SΣ0..*CodingCode defined by a terminology system
........ id 0..1idxml:id (or equivalent in JSON)
........ extension 0..*ExtensionAdditional Content defined by implementations
........ system SΣ1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/identifier-type
........ version Σ0..1stringVersion of the system - if relevant
........ code SΣ1..1codeSymbol in syntax defined by the system
Fixed Value: PLAC
........ display Σ0..1stringRepresentation defined by the system
........ userSelected Σ0..1booleanIf this coding was chosen directly by the user
...... text Σ0..1stringPlain text representation of the concept
..... system SΣI1..1uriThe namespace for the identifier
EMR-id-branch-2: This must be an OID ending in .2
Example General: http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri
..... value SΣ1..1stringThe value that is unique
Example General: 123456
..... period Σ0..1PeriodTime period when id is/was valid for use
..... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... status ?!SΣ1..1codeactive | on-hold | completed | entered-in-error | stopped | draft
Binding: MedicationOrderStatus (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription.


Fixed Value: active
... medication[x] Σ1..1(Slice Definition)Medication to be taken
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationReference SΣ1..1Reference(PrescribeIT® Medication) {c}A reference from one resource to another
... patient SΣ1..1Reference(Shared Health Patient) {b}A reference from one resource to another
... encounter Σ0..1Reference(Encounter)Created during encounter/admission/stay
... dateWritten SΣ1..1dateTimeWhen prescription was authorized
... prescriber Σ0..1Reference(Practitioner)Who ordered the medication(s)
... reasonCode S0..5Shared Health CodeableConcept Required Text with optional codeConcept - reference to a terminology or just text
Binding: PrescriptionIndicationForUse (20190430) (extensible)
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... coding SΣ0..1CodingCode defined by a terminology system
..... id 0..1idxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... system SΣ1..1uriIdentity of the terminology system
..... version Σ0..1stringVersion of the system - if relevant
..... code SΣ1..1codeSymbol in syntax defined by the system
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text SΣ1..1stringPlain text representation of the concept
Max Length: 2500
... reasonReference Σ0..*Reference(Condition)Condition that supports why the prescription is being written
... dateEnded Σ0..1dateTimeWhen prescription was stopped
... reasonEnded Σ0..1CodeableConceptWhy prescription was stopped
Binding: (unbound) (example): Codes indicating why the medication was terminated; e.g. Adverse reaction, medication change, issue resolved, etc.

... note Σ0..*AnnotationInformation about the prescription
... dosageInstruction Σ0..*BackboneElementHow medication should be taken
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... text Σ0..1stringFree text dosage instructions e.g. SIG
.... additionalInstructions Σ0..1CodeableConceptSupplemental instructions - e.g. "with meals"
Binding: (unbound) (example): Codes identifying additional instructions such as "take with water" or "avoid operating heavy machinery".

.... timing Σ0..1TimingWhen medication should be administered
.... asNeeded[x] Σ0..1Take "as needed" (for x)
Binding: (unbound) (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.

..... asNeededBooleanboolean
..... asNeededCodeableConceptCodeableConcept
.... site[x] Σ0..1Body site to administer to
Binding: SNOMED CT Anatomical Structure for Administration Site Codes (example): A coded concept describing the site location the medicine enters into or onto the body.

..... siteCodeableConceptCodeableConcept
..... siteReferenceReference(BodySite)
.... route Σ0..1CodeableConceptHow drug should enter body
Binding: SNOMED CT Route Codes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

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

.... dose[x] Σ0..1Amount of medication per dose
..... doseRangeRange
..... doseQuantityQuantity(SimpleQuantity)
.... rate[x] Σ0..1Amount of medication per unit of time
..... rateRatioRatio
..... rateRangeRange
..... rateQuantityQuantity(SimpleQuantity)
.... maxDosePerPeriod Σ0..1RatioUpper limit on medication per unit of time
... dispenseRequest SΣ1..1BackboneElementMedication supply authorization
.... id 0..1idxml:id (or equivalent in JSON)
.... extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... ext-medicationorder-dispense-interval S0..1DurationDispense interval
URL: http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-dispense-interval
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... medication[x] Σ0..1Product to be supplied
..... medicationCodeableConceptCodeableConcept
..... medicationReferenceReference(Medication)
.... validityPeriod Σ0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed Σ0..1positiveIntNumber of refills authorized
.... quantity SI1..1PrescribeIT® Drug QuantityQuantity of a medication
Binding: PrescribedQuantityUnit (20210308) (extensible)
.... expectedSupplyDuration SΣ1..1DurationNumber of days supply per dispense
..... id 0..1idxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... value SΣ1..1decimalNumerical value (with implicit precision)
..... unit Σ0..1stringUnit representation
..... system SΣI1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code SΣ1..1codeCoded form of the unit
Fixed Value: d
... substitution Σ0..1BackboneElementAny restrictions on medication substitution
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... type Σ1..1CodeableConceptgeneric | formulary +
Binding: ActSubstanceAdminSubstitutionCode (example): A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.

.... reason Σ0..1CodeableConceptWhy should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.

... priorPrescription Σ0..1Reference(MedicationOrder)An order/prescription that this supersedes

doco Documentation for this format

 

Other representations of profile: Schematron

Terminology Bindings

PathConformanceValueSet / Code
MedicationOrder.languagerequiredhttp://tools.ietf.org/html/bcp47
MedicationOrder.identifier:PMS-id.userequiredIdentifierUse
MedicationOrder.identifier:PMS-id.typeextensiblePattern: PLAC
MedicationOrder.statusrequiredFixed Value: active
MedicationOrder.reasonCodeextensiblePrescriptionIndicationForUse
MedicationOrder.reasonEndedexample
MedicationOrder.dosageInstruction.additionalInstructionsexample
MedicationOrder.dosageInstruction.asNeeded[x]example
MedicationOrder.dosageInstruction.site[x]exampleSNOMED CT Anatomical Structure for Administration Site Codes
MedicationOrder.dosageInstruction.routeexampleSNOMED CT Route Codes
MedicationOrder.dosageInstruction.methodexample
MedicationOrder.dispenseRequest.quantityextensiblePrescribedQuantityUnit
MedicationOrder.substitution.typeexampleActSubstanceAdminSubstitutionCode
MedicationOrder.substitution.reasonexampleSubstanceAdminSubstitutionReason

Constraints

IdPathDetailsRequirements
EMR-id-branch-2MedicationOrder.identifier:PMS-id.systemThis must be an OID ending in .2
: $this.matches('^urn\\:oid\\:(\\d+\\.)+2$')
qty-3MedicationOrder.dispenseRequest.quantityIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
sqty-1MedicationOrder.dispenseRequest.quantityThe comparator is not used on a SimpleQuantity
: comparator.empty()