HL7 Italia Dossier Farmaceutico FHIR Implementation Guide
0.1.0 - CI Build IT

HL7 Italia Dossier Farmaceutico FHIR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: MedicationRequest - Dossier Farmaceutico

Official URL: http://hl7.it/fhir/dossierPharma/StructureDefinition/MedicationRequest-it-dossierPharma Version: 0.1.0
Draft as of 2023-04-03 Computable Name: MedicationRequestItDossierPharma

Profilo MedicationRequest per Dossier Farmaceutico

Usage:

Formal Views of Profile Content

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

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest MedicationRequest
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... medicoTitolare 0..1 (Complex) Medico titolare
URL: http://hl7.it/fhir/dossierPharma/StructureDefinition/medicationRequest-medicoTitolare
..... value[x] 1..1 Reference(PractitionerRole - Medico Prescrittore) Value of extension
... status S 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
... intent 1..1 code order
Fixed Value: order
.... medication[x]:medicationReference 0..1 Reference(Medication - Dossier Farmaceutico) Medication to be taken
.... medication[x]:medicationCodeableConcept 0..1 CodeableConcept Medication to be taken
..... Slices for coding S 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:All Slices Content/Rules for all slices
....... system S 1..1 uri Identity of the terminology system
....... code S 1..1 code Symbol in syntax defined by the system
....... display S 0..1 string Representation defined by the system
...... coding:ATC S 0..1 Coding Code defined by a terminology system
Binding: http://terminology.hl7.it/ValueSet/who-atc (required)
...... coding:AIC 0..1 Coding Code defined by a terminology system
Binding: http://terminology.hl7.it/ValueSet/aifa-aic (required)
...... coding:gruppoEquivalenza 0..1 Coding Code defined by a terminology system
Binding: http://terminology.hl7.it/ValueSet/aifa-ge (required)
...... coding:eccezioni 0..1 Coding Code defined by a terminology system
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: UNK
..... text 0..1 string Descrizione testuale del farmaco
... subject S 1..1 Reference(Patient - base) Who or group medication request is for
.... type 0..1 uri Type the reference refers to (e.g. "Patient")
Fixed Value: Patient
.... identifier 1..1 Identifier Logical reference, when literal reference is not known
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://hl7.it/sid/codiceFiscale
..... value 1..1 string Codice Fiscale
... authoredOn S 0..1 dateTime When request was initially authored
... requester S 1..1 Reference(PractitionerRole - Medico Prescrittore) Who/What requested the Request
.... identifier 0..1 Identifier Valorizzato con identificativo del medico titolare o sostituto
... reasonCode
.... Slices for coding S 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:All Slices Content/Rules for all slices
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 0..1 string Representation defined by the system
..... coding:notaAIFA 0..1 Coding Nota AIFA
Binding: http://terminology.hl7.it/ValueSet/aifa-nota (required)
..... coding:codiceDiagnosi 0..1 Coding Codice diagnosi
Binding: http://terminology.hl7.it/ValueSet/who-icd9cm (required)
.... text 0..1 string Descrizione diagnosi
... groupIdentifier S 1..1 Identifier Identificativo della prescrizione (e.g. NRE)
.... system 1..1 uri The namespace for the identifier value
Binding: Sistemi di identificazione per prescrizioni (extensible)
.... value 0..1 string Identificativo della prescrizione (e.g. NRE)
... insurance S 0..* Reference(Coverage - base) Associated insurance coverage
... dispenseRequest S 0..1 BackboneElement Medication supply authorization
.... quantity 1..1 SimpleQuantity Amount of medication to supply per dispense
... substitution 0..1 BackboneElement Any restrictions on medication substitution
.... Slices for allowed[x] 1..1 CodeableConcept Whether substitution is allowed or not
Slice: Unordered, Open by type:$this
..... allowed[x]:allowedCodeableConcept S 1..1 CodeableConcept Whether substitution is allowed or not
Binding: Regole di sostituzione (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATCrequiredhttp://terminology.hl7.it/ValueSet/who-atc
http://terminology.hl7.it/ValueSet/who-atc
MedicationRequest.medication[x]:medicationCodeableConcept.coding:AICrequiredhttp://terminology.hl7.it/ValueSet/aifa-aic
http://terminology.hl7.it/ValueSet/aifa-aic
MedicationRequest.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenzarequiredhttp://terminology.hl7.it/ValueSet/aifa-ge
http://terminology.hl7.it/ValueSet/aifa-ge
MedicationRequest.reasonCode.coding:notaAIFArequiredhttp://terminology.hl7.it/ValueSet/aifa-nota
http://terminology.hl7.it/ValueSet/aifa-nota
MedicationRequest.reasonCode.coding:codiceDiagnosirequiredhttp://terminology.hl7.it/ValueSet/who-icd9cm
http://terminology.hl7.it/ValueSet/who-icd9cm
MedicationRequest.groupIdentifier.systemextensibleVsGroupIdentifierUri
http://hl7.it/fhir/dossierPharma/ValueSet/groupIdentifierUri-it-dossierPharma
from this IG
MedicationRequest.substitution.allowed[x]:allowedCodeableConceptrequiredVsSubstitutionDossierPharma
http://hl7.it/fhir/dossierPharma/ValueSet/substitution--it-dossierPharma
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... medicoTitolare 0..1 (Complex) Medico titolare
URL: http://hl7.it/fhir/dossierPharma/StructureDefinition/medicationRequest-medicoTitolare
..... extension 0..0
..... url 1..1 uri "http://hl7.it/fhir/dossierPharma/StructureDefinition/medicationRequest-medicoTitolare"
..... value[x] 1..1 Reference(PractitionerRole - Medico Prescrittore) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... intent ?!Σ 1..1 code order
Binding: medicationRequest Intent (required): The kind of medication order.


Fixed Value: order
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... Slices for medication[x] SΣ 1..1 Medication to be taken
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.

.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference Σ 0..1 Reference(Medication - Dossier Farmaceutico) Medication to be taken
.... medication[x]:medicationCodeableConcept Σ 0..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
...... coding:All Slices Content/Rules for all slices
....... system SΣ 1..1 uri Identity of the terminology system
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display SΣ 0..1 string Representation defined by the system
...... coding:ATC SΣ 0..1 Coding Code defined by a terminology system
Binding: http://terminology.hl7.it/ValueSet/who-atc (required)
...... coding:AIC Σ 0..1 Coding Code defined by a terminology system
Binding: http://terminology.hl7.it/ValueSet/aifa-aic (required)
...... coding:gruppoEquivalenza Σ 0..1 Coding Code defined by a terminology system
Binding: http://terminology.hl7.it/ValueSet/aifa-ge (required)
...... coding:eccezioni Σ 0..1 Coding Code defined by a terminology system

Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: UNK
..... text Σ 0..1 string Descrizione testuale del farmaco
... subject SΣ 1..1 Reference(Patient - base) Who or group medication request is for
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).


Fixed Value: Patient
.... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://hl7.it/sid/codiceFiscale
..... value Σ 1..1 string Codice Fiscale
Example General: 123456
... authoredOn SΣ 0..1 dateTime When request was initially authored
... requester SΣ 1..1 Reference(PractitionerRole - Medico Prescrittore) Who/What requested the Request
.... identifier Σ 0..1 Identifier Valorizzato con identificativo del medico titolare o sostituto
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.


.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:All Slices Content/Rules for all slices
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
..... coding:notaAIFA Σ 0..1 Coding Nota AIFA
Binding: http://terminology.hl7.it/ValueSet/aifa-nota (required)
..... coding:codiceDiagnosi Σ 0..1 Coding Codice diagnosi
Binding: http://terminology.hl7.it/ValueSet/who-icd9cm (required)
.... text Σ 0..1 string Descrizione diagnosi
... groupIdentifier SΣ 1..1 Identifier Identificativo della prescrizione (e.g. NRE)
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system Σ 1..1 uri The namespace for the identifier value
Binding: Sistemi di identificazione per prescrizioni (extensible)
Example General: http://www.acme.com/identifiers/patient
.... value Σ 0..1 string Identificativo della prescrizione (e.g. NRE)
Example General: 123456
... insurance S 0..* Reference(Coverage - base) Associated insurance coverage
... dispenseRequest S 0..1 BackboneElement Medication supply authorization
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... quantity 1..1 SimpleQuantity Amount of medication to supply per dispense
... substitution 0..1 BackboneElement Any restrictions on medication substitution
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Slices for allowed[x] 1..1 CodeableConcept Whether substitution is allowed or not
Slice: Unordered, Closed by type:$this
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.

..... allowed[x]:allowedCodeableConcept S 1..1 CodeableConcept Whether substitution is allowed or not
Binding: Regole di sostituzione (required)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.intentrequiredFixed Value: order
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConceptexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATCrequiredhttp://terminology.hl7.it/ValueSet/who-atc
http://terminology.hl7.it/ValueSet/who-atc
MedicationRequest.medication[x]:medicationCodeableConcept.coding:AICrequiredhttp://terminology.hl7.it/ValueSet/aifa-aic
http://terminology.hl7.it/ValueSet/aifa-aic
MedicationRequest.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenzarequiredhttp://terminology.hl7.it/ValueSet/aifa-ge
http://terminology.hl7.it/ValueSet/aifa-ge
MedicationRequest.subject.typeextensibleFixed Value: Patient
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.subject.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationRequest.reasonCode.coding:notaAIFArequiredhttp://terminology.hl7.it/ValueSet/aifa-nota
http://terminology.hl7.it/ValueSet/aifa-nota
MedicationRequest.reasonCode.coding:codiceDiagnosirequiredhttp://terminology.hl7.it/ValueSet/who-icd9cm
http://terminology.hl7.it/ValueSet/who-icd9cm
MedicationRequest.groupIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationRequest.groupIdentifier.systemextensibleVsGroupIdentifierUri
http://hl7.it/fhir/dossierPharma/ValueSet/groupIdentifierUri-it-dossierPharma
from this IG
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.allowed[x]:allowedCodeableConceptrequiredVsSubstitutionDossierPharma
http://hl7.it/fhir/dossierPharma/ValueSet/substitution--it-dossierPharma
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... medicoTitolare 0..1 (Complex) Medico titolare
URL: http://hl7.it/fhir/dossierPharma/StructureDefinition/medicationRequest-medicoTitolare
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.it/fhir/dossierPharma/StructureDefinition/medicationRequest-medicoTitolare"
..... value[x] 1..1 Reference(PractitionerRole - Medico Prescrittore) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External ids for this request
... status ?!SΣ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.

... statusReason 0..1 CodeableConcept Reason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

... intent ?!Σ 1..1 code order
Binding: medicationRequest Intent (required): The kind of medication order.


Fixed Value: 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.

... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... 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 Medication to be taken
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.

.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference Σ 0..1 Reference(Medication - Dossier Farmaceutico) Medication to be taken
.... medication[x]:medicationCodeableConcept Σ 0..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
...... coding:All Slices Content/Rules for all slices
....... 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
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display SΣ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:ATC SΣ 0..1 Coding Code defined by a terminology system
Binding: http://terminology.hl7.it/ValueSet/who-atc (required)
...... coding:AIC Σ 0..1 Coding Code defined by a terminology system
Binding: http://terminology.hl7.it/ValueSet/aifa-aic (required)
...... coding:gruppoEquivalenza Σ 0..1 Coding Code defined by a terminology system
Binding: http://terminology.hl7.it/ValueSet/aifa-ge (required)
...... coding:eccezioni Σ 0..1 Coding Code defined by a terminology 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
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: UNK
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Descrizione testuale del farmaco
... subject SΣ 1..1 Reference(Patient - base) Who or group medication request is for
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).


Fixed Value: Patient
.... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 0..1 CodeableConcept Description of identifier
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.

..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://hl7.it/sid/codiceFiscale
..... value Σ 1..1 string Codice Fiscale
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... display Σ 0..1 string Text alternative for the resource
... encounter 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
... authoredOn SΣ 0..1 dateTime When request was initially authored
... requester SΣ 1..1 Reference(PractitionerRole - Medico Prescrittore) Who/What requested the Request
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Valorizzato con identificativo del medico titolare o sostituto
.... display Σ 0..1 string Text alternative for the resource
... 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) Person who entered the request
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was 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 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:All Slices Content/Rules for all slices
...... 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
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:notaAIFA Σ 0..1 Coding Nota AIFA
Binding: http://terminology.hl7.it/ValueSet/aifa-nota (required)
..... coding:codiceDiagnosi Σ 0..1 Coding Codice diagnosi
Binding: http://terminology.hl7.it/ValueSet/who-icd9cm (required)
.... text Σ 0..1 string Descrizione diagnosi
... reasonReference 0..* Reference(Condition | Observation) Condition or observation that supports why the prescription is being written
... instantiatesCanonical Σ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) What request fulfills
... groupIdentifier SΣ 1..1 Identifier Identificativo della prescrizione (e.g. NRE)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ 0..1 CodeableConcept Description of identifier
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.

.... system Σ 1..1 uri The namespace for the identifier value
Binding: Sistemi di identificazione per prescrizioni (extensible)
Example General: http://www.acme.com/identifiers/patient
.... value Σ 0..1 string Identificativo della prescrizione (e.g. NRE)
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... courseOfTherapyType 0..1 CodeableConcept Overall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.

... insurance S 0..* Reference(Coverage - base) Associated insurance coverage
... note 0..* Annotation Information about the prescription
... dosageInstruction 0..* Dosage How the medication should be taken
... dispenseRequest S 0..1 BackboneElement Medication supply authorization
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... initialFill 0..1 BackboneElement First fill details
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... quantity 0..1 SimpleQuantity First fill quantity
..... duration 0..1 Duration First fill duration
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... validityPeriod 0..1 Period Time period supply is authorized for
.... numberOfRepeatsAllowed 0..1 unsignedInt Number of refills authorized
.... quantity 1..1 SimpleQuantity Amount of medication to supply per dispense
.... expectedSupplyDuration 0..1 Duration Number of days supply per dispense
.... performer 0..1 Reference(Organization) Intended dispenser
... substitution 0..1 BackboneElement Any restrictions on medication substitution
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Slices for allowed[x] 1..1 CodeableConcept Whether substitution is allowed or not
Slice: Unordered, Closed by type:$this
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.

..... allowed[x]:allowedCodeableConcept S 1..1 CodeableConcept Whether substitution is allowed or not
Binding: Regole di sostituzione (required)
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.

... priorPrescription 0..1 Reference(MedicationRequest) An order/prescription that is being replaced
... detectedIssue 0..* Reference(DetectedIssue) Clinical Issue with action
... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
from the FHIR Standard
MedicationRequest.intentrequiredFixed Value: order
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.categoryexamplemedicationRequest Category Codes
http://hl7.org/fhir/ValueSet/medicationrequest-category
from the FHIR Standard
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
MedicationRequest.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConceptexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATCrequiredhttp://terminology.hl7.it/ValueSet/who-atc
http://terminology.hl7.it/ValueSet/who-atc
MedicationRequest.medication[x]:medicationCodeableConcept.coding:AICrequiredhttp://terminology.hl7.it/ValueSet/aifa-aic
http://terminology.hl7.it/ValueSet/aifa-aic
MedicationRequest.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenzarequiredhttp://terminology.hl7.it/ValueSet/aifa-ge
http://terminology.hl7.it/ValueSet/aifa-ge
MedicationRequest.subject.typeextensibleFixed Value: Patient
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.subject.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationRequest.subject.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationRequest.requester.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationRequest.reasonCode.coding:notaAIFArequiredhttp://terminology.hl7.it/ValueSet/aifa-nota
http://terminology.hl7.it/ValueSet/aifa-nota
MedicationRequest.reasonCode.coding:codiceDiagnosirequiredhttp://terminology.hl7.it/ValueSet/who-icd9cm
http://terminology.hl7.it/ValueSet/who-icd9cm
MedicationRequest.groupIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationRequest.groupIdentifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationRequest.groupIdentifier.systemextensibleVsGroupIdentifierUri
http://hl7.it/fhir/dossierPharma/ValueSet/groupIdentifierUri-it-dossierPharma
from this IG
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
from the FHIR Standard
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.allowed[x]:allowedCodeableConceptrequiredVsSubstitutionDossierPharma
http://hl7.it/fhir/dossierPharma/ValueSet/substitution--it-dossierPharma
from this IG
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

This structure is derived from MedicationRequest

Summary

Mandatory: 6 elements(7 nested mandatory elements)
Must-Support: 18 elements
Fixed: 3 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of MedicationRequest.medication[x]
  • The element 1 is sliced based on the value of MedicationRequest.medication[x].coding
  • The element 1 is sliced based on the value of MedicationRequest.reasonCode.coding
  • The element 1 is sliced based on the value of MedicationRequest.substitution.allowed[x]

Differential View

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest MedicationRequest
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... medicoTitolare 0..1 (Complex) Medico titolare
URL: http://hl7.it/fhir/dossierPharma/StructureDefinition/medicationRequest-medicoTitolare
..... value[x] 1..1 Reference(PractitionerRole - Medico Prescrittore) Value of extension
... status S 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
... intent 1..1 code order
Fixed Value: order
.... medication[x]:medicationReference 0..1 Reference(Medication - Dossier Farmaceutico) Medication to be taken
.... medication[x]:medicationCodeableConcept 0..1 CodeableConcept Medication to be taken
..... Slices for coding S 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:All Slices Content/Rules for all slices
....... system S 1..1 uri Identity of the terminology system
....... code S 1..1 code Symbol in syntax defined by the system
....... display S 0..1 string Representation defined by the system
...... coding:ATC S 0..1 Coding Code defined by a terminology system
Binding: http://terminology.hl7.it/ValueSet/who-atc (required)
...... coding:AIC 0..1 Coding Code defined by a terminology system
Binding: http://terminology.hl7.it/ValueSet/aifa-aic (required)
...... coding:gruppoEquivalenza 0..1 Coding Code defined by a terminology system
Binding: http://terminology.hl7.it/ValueSet/aifa-ge (required)
...... coding:eccezioni 0..1 Coding Code defined by a terminology system
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: UNK
..... text 0..1 string Descrizione testuale del farmaco
... subject S 1..1 Reference(Patient - base) Who or group medication request is for
.... type 0..1 uri Type the reference refers to (e.g. "Patient")
Fixed Value: Patient
.... identifier 1..1 Identifier Logical reference, when literal reference is not known
..... system 1..1 uri The namespace for the identifier value
Fixed Value: http://hl7.it/sid/codiceFiscale
..... value 1..1 string Codice Fiscale
... authoredOn S 0..1 dateTime When request was initially authored
... requester S 1..1 Reference(PractitionerRole - Medico Prescrittore) Who/What requested the Request
.... identifier 0..1 Identifier Valorizzato con identificativo del medico titolare o sostituto
... reasonCode
.... Slices for coding S 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:All Slices Content/Rules for all slices
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 0..1 string Representation defined by the system
..... coding:notaAIFA 0..1 Coding Nota AIFA
Binding: http://terminology.hl7.it/ValueSet/aifa-nota (required)
..... coding:codiceDiagnosi 0..1 Coding Codice diagnosi
Binding: http://terminology.hl7.it/ValueSet/who-icd9cm (required)
.... text 0..1 string Descrizione diagnosi
... groupIdentifier S 1..1 Identifier Identificativo della prescrizione (e.g. NRE)
.... system 1..1 uri The namespace for the identifier value
Binding: Sistemi di identificazione per prescrizioni (extensible)
.... value 0..1 string Identificativo della prescrizione (e.g. NRE)
... insurance S 0..* Reference(Coverage - base) Associated insurance coverage
... dispenseRequest S 0..1 BackboneElement Medication supply authorization
.... quantity 1..1 SimpleQuantity Amount of medication to supply per dispense
... substitution 0..1 BackboneElement Any restrictions on medication substitution
.... Slices for allowed[x] 1..1 CodeableConcept Whether substitution is allowed or not
Slice: Unordered, Open by type:$this
..... allowed[x]:allowedCodeableConcept S 1..1 CodeableConcept Whether substitution is allowed or not
Binding: Regole di sostituzione (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATCrequiredhttp://terminology.hl7.it/ValueSet/who-atc
http://terminology.hl7.it/ValueSet/who-atc
MedicationRequest.medication[x]:medicationCodeableConcept.coding:AICrequiredhttp://terminology.hl7.it/ValueSet/aifa-aic
http://terminology.hl7.it/ValueSet/aifa-aic
MedicationRequest.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenzarequiredhttp://terminology.hl7.it/ValueSet/aifa-ge
http://terminology.hl7.it/ValueSet/aifa-ge
MedicationRequest.reasonCode.coding:notaAIFArequiredhttp://terminology.hl7.it/ValueSet/aifa-nota
http://terminology.hl7.it/ValueSet/aifa-nota
MedicationRequest.reasonCode.coding:codiceDiagnosirequiredhttp://terminology.hl7.it/ValueSet/who-icd9cm
http://terminology.hl7.it/ValueSet/who-icd9cm
MedicationRequest.groupIdentifier.systemextensibleVsGroupIdentifierUri
http://hl7.it/fhir/dossierPharma/ValueSet/groupIdentifierUri-it-dossierPharma
from this IG
MedicationRequest.substitution.allowed[x]:allowedCodeableConceptrequiredVsSubstitutionDossierPharma
http://hl7.it/fhir/dossierPharma/ValueSet/substitution--it-dossierPharma
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... medicoTitolare 0..1 (Complex) Medico titolare
URL: http://hl7.it/fhir/dossierPharma/StructureDefinition/medicationRequest-medicoTitolare
..... extension 0..0
..... url 1..1 uri "http://hl7.it/fhir/dossierPharma/StructureDefinition/medicationRequest-medicoTitolare"
..... value[x] 1..1 Reference(PractitionerRole - Medico Prescrittore) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... intent ?!Σ 1..1 code order
Binding: medicationRequest Intent (required): The kind of medication order.


Fixed Value: order
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... Slices for medication[x] SΣ 1..1 Medication to be taken
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.

.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference Σ 0..1 Reference(Medication - Dossier Farmaceutico) Medication to be taken
.... medication[x]:medicationCodeableConcept Σ 0..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
...... coding:All Slices Content/Rules for all slices
....... system SΣ 1..1 uri Identity of the terminology system
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display SΣ 0..1 string Representation defined by the system
...... coding:ATC SΣ 0..1 Coding Code defined by a terminology system
Binding: http://terminology.hl7.it/ValueSet/who-atc (required)
...... coding:AIC Σ 0..1 Coding Code defined by a terminology system
Binding: http://terminology.hl7.it/ValueSet/aifa-aic (required)
...... coding:gruppoEquivalenza Σ 0..1 Coding Code defined by a terminology system
Binding: http://terminology.hl7.it/ValueSet/aifa-ge (required)
...... coding:eccezioni Σ 0..1 Coding Code defined by a terminology system

Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: UNK
..... text Σ 0..1 string Descrizione testuale del farmaco
... subject SΣ 1..1 Reference(Patient - base) Who or group medication request is for
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).


Fixed Value: Patient
.... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://hl7.it/sid/codiceFiscale
..... value Σ 1..1 string Codice Fiscale
Example General: 123456
... authoredOn SΣ 0..1 dateTime When request was initially authored
... requester SΣ 1..1 Reference(PractitionerRole - Medico Prescrittore) Who/What requested the Request
.... identifier Σ 0..1 Identifier Valorizzato con identificativo del medico titolare o sostituto
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.


.... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:All Slices Content/Rules for all slices
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
..... coding:notaAIFA Σ 0..1 Coding Nota AIFA
Binding: http://terminology.hl7.it/ValueSet/aifa-nota (required)
..... coding:codiceDiagnosi Σ 0..1 Coding Codice diagnosi
Binding: http://terminology.hl7.it/ValueSet/who-icd9cm (required)
.... text Σ 0..1 string Descrizione diagnosi
... groupIdentifier SΣ 1..1 Identifier Identificativo della prescrizione (e.g. NRE)
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system Σ 1..1 uri The namespace for the identifier value
Binding: Sistemi di identificazione per prescrizioni (extensible)
Example General: http://www.acme.com/identifiers/patient
.... value Σ 0..1 string Identificativo della prescrizione (e.g. NRE)
Example General: 123456
... insurance S 0..* Reference(Coverage - base) Associated insurance coverage
... dispenseRequest S 0..1 BackboneElement Medication supply authorization
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... quantity 1..1 SimpleQuantity Amount of medication to supply per dispense
... substitution 0..1 BackboneElement Any restrictions on medication substitution
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Slices for allowed[x] 1..1 CodeableConcept Whether substitution is allowed or not
Slice: Unordered, Closed by type:$this
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.

..... allowed[x]:allowedCodeableConcept S 1..1 CodeableConcept Whether substitution is allowed or not
Binding: Regole di sostituzione (required)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.intentrequiredFixed Value: order
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConceptexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATCrequiredhttp://terminology.hl7.it/ValueSet/who-atc
http://terminology.hl7.it/ValueSet/who-atc
MedicationRequest.medication[x]:medicationCodeableConcept.coding:AICrequiredhttp://terminology.hl7.it/ValueSet/aifa-aic
http://terminology.hl7.it/ValueSet/aifa-aic
MedicationRequest.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenzarequiredhttp://terminology.hl7.it/ValueSet/aifa-ge
http://terminology.hl7.it/ValueSet/aifa-ge
MedicationRequest.subject.typeextensibleFixed Value: Patient
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.subject.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationRequest.reasonCode.coding:notaAIFArequiredhttp://terminology.hl7.it/ValueSet/aifa-nota
http://terminology.hl7.it/ValueSet/aifa-nota
MedicationRequest.reasonCode.coding:codiceDiagnosirequiredhttp://terminology.hl7.it/ValueSet/who-icd9cm
http://terminology.hl7.it/ValueSet/who-icd9cm
MedicationRequest.groupIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationRequest.groupIdentifier.systemextensibleVsGroupIdentifierUri
http://hl7.it/fhir/dossierPharma/ValueSet/groupIdentifierUri-it-dossierPharma
from this IG
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.allowed[x]:allowedCodeableConceptrequiredVsSubstitutionDossierPharma
http://hl7.it/fhir/dossierPharma/ValueSet/substitution--it-dossierPharma
from this IG

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... medicoTitolare 0..1 (Complex) Medico titolare
URL: http://hl7.it/fhir/dossierPharma/StructureDefinition/medicationRequest-medicoTitolare
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "http://hl7.it/fhir/dossierPharma/StructureDefinition/medicationRequest-medicoTitolare"
..... value[x] 1..1 Reference(PractitionerRole - Medico Prescrittore) Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External ids for this request
... status ?!SΣ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.

... statusReason 0..1 CodeableConcept Reason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

... intent ?!Σ 1..1 code order
Binding: medicationRequest Intent (required): The kind of medication order.


Fixed Value: 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.

... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... 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 Medication to be taken
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.

.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference Σ 0..1 Reference(Medication - Dossier Farmaceutico) Medication to be taken
.... medication[x]:medicationCodeableConcept Σ 0..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
...... coding:All Slices Content/Rules for all slices
....... 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
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display SΣ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:ATC SΣ 0..1 Coding Code defined by a terminology system
Binding: http://terminology.hl7.it/ValueSet/who-atc (required)
...... coding:AIC Σ 0..1 Coding Code defined by a terminology system
Binding: http://terminology.hl7.it/ValueSet/aifa-aic (required)
...... coding:gruppoEquivalenza Σ 0..1 Coding Code defined by a terminology system
Binding: http://terminology.hl7.it/ValueSet/aifa-ge (required)
...... coding:eccezioni Σ 0..1 Coding Code defined by a terminology 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
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: UNK
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Descrizione testuale del farmaco
... subject SΣ 1..1 Reference(Patient - base) Who or group medication request is for
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).


Fixed Value: Patient
.... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

..... type Σ 0..1 CodeableConcept Description of identifier
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.

..... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://hl7.it/sid/codiceFiscale
..... value Σ 1..1 string Codice Fiscale
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... display Σ 0..1 string Text alternative for the resource
... encounter 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
... authoredOn SΣ 0..1 dateTime When request was initially authored
... requester SΣ 1..1 Reference(PractitionerRole - Medico Prescrittore) Who/What requested the Request
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Valorizzato con identificativo del medico titolare o sostituto
.... display Σ 0..1 string Text alternative for the resource
... 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) Person who entered the request
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was 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 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... coding:All Slices Content/Rules for all slices
...... 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
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... coding:notaAIFA Σ 0..1 Coding Nota AIFA
Binding: http://terminology.hl7.it/ValueSet/aifa-nota (required)
..... coding:codiceDiagnosi Σ 0..1 Coding Codice diagnosi
Binding: http://terminology.hl7.it/ValueSet/who-icd9cm (required)
.... text Σ 0..1 string Descrizione diagnosi
... reasonReference 0..* Reference(Condition | Observation) Condition or observation that supports why the prescription is being written
... instantiatesCanonical Σ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) What request fulfills
... groupIdentifier SΣ 1..1 Identifier Identificativo della prescrizione (e.g. NRE)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ 0..1 CodeableConcept Description of identifier
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.

.... system Σ 1..1 uri The namespace for the identifier value
Binding: Sistemi di identificazione per prescrizioni (extensible)
Example General: http://www.acme.com/identifiers/patient
.... value Σ 0..1 string Identificativo della prescrizione (e.g. NRE)
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... courseOfTherapyType 0..1 CodeableConcept Overall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.

... insurance S 0..* Reference(Coverage - base) Associated insurance coverage
... note 0..* Annotation Information about the prescription
... dosageInstruction 0..* Dosage How the medication should be taken
... dispenseRequest S 0..1 BackboneElement Medication supply authorization
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... initialFill 0..1 BackboneElement First fill details
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... quantity 0..1 SimpleQuantity First fill quantity
..... duration 0..1 Duration First fill duration
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... validityPeriod 0..1 Period Time period supply is authorized for
.... numberOfRepeatsAllowed 0..1 unsignedInt Number of refills authorized
.... quantity 1..1 SimpleQuantity Amount of medication to supply per dispense
.... expectedSupplyDuration 0..1 Duration Number of days supply per dispense
.... performer 0..1 Reference(Organization) Intended dispenser
... substitution 0..1 BackboneElement Any restrictions on medication substitution
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... Slices for allowed[x] 1..1 CodeableConcept Whether substitution is allowed or not
Slice: Unordered, Closed by type:$this
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.

..... allowed[x]:allowedCodeableConcept S 1..1 CodeableConcept Whether substitution is allowed or not
Binding: Regole di sostituzione (required)
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.

... priorPrescription 0..1 Reference(MedicationRequest) An order/prescription that is being replaced
... detectedIssue 0..* Reference(DetectedIssue) Clinical Issue with action
... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
from the FHIR Standard
MedicationRequest.intentrequiredFixed Value: order
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.categoryexamplemedicationRequest Category Codes
http://hl7.org/fhir/ValueSet/medicationrequest-category
from the FHIR Standard
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
MedicationRequest.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConceptexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATCrequiredhttp://terminology.hl7.it/ValueSet/who-atc
http://terminology.hl7.it/ValueSet/who-atc
MedicationRequest.medication[x]:medicationCodeableConcept.coding:AICrequiredhttp://terminology.hl7.it/ValueSet/aifa-aic
http://terminology.hl7.it/ValueSet/aifa-aic
MedicationRequest.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenzarequiredhttp://terminology.hl7.it/ValueSet/aifa-ge
http://terminology.hl7.it/ValueSet/aifa-ge
MedicationRequest.subject.typeextensibleFixed Value: Patient
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.subject.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationRequest.subject.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationRequest.requester.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationRequest.reasonCode.coding:notaAIFArequiredhttp://terminology.hl7.it/ValueSet/aifa-nota
http://terminology.hl7.it/ValueSet/aifa-nota
MedicationRequest.reasonCode.coding:codiceDiagnosirequiredhttp://terminology.hl7.it/ValueSet/who-icd9cm
http://terminology.hl7.it/ValueSet/who-icd9cm
MedicationRequest.groupIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationRequest.groupIdentifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationRequest.groupIdentifier.systemextensibleVsGroupIdentifierUri
http://hl7.it/fhir/dossierPharma/ValueSet/groupIdentifierUri-it-dossierPharma
from this IG
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
from the FHIR Standard
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.allowed[x]:allowedCodeableConceptrequiredVsSubstitutionDossierPharma
http://hl7.it/fhir/dossierPharma/ValueSet/substitution--it-dossierPharma
from this IG
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

This structure is derived from MedicationRequest

Summary

Mandatory: 6 elements(7 nested mandatory elements)
Must-Support: 18 elements
Fixed: 3 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of MedicationRequest.medication[x]
  • The element 1 is sliced based on the value of MedicationRequest.medication[x].coding
  • The element 1 is sliced based on the value of MedicationRequest.reasonCode.coding
  • The element 1 is sliced based on the value of MedicationRequest.substitution.allowed[x]

 

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