HL7 FHIR Implementation Guide Dossier Farmaceutico
0.1.1 - ci-build
HL7 FHIR Implementation Guide Dossier Farmaceutico, published by HL7 Italia. This guide is not an authorized publication; it is the continuous build for version 0.1.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-it/dossier-pharma/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.it/fhir/dossier-pharma/StructureDefinition/MedicationRequest-it-dossierPharma | Version: 0.1.1 | |||
Draft as of 2024-06-24 | Computable Name: MedicationRequestItDossierPharma |
Profilo MedicationRequest per Dossier Farmaceutico
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MedicationRequest
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
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/dossier-pharma/StructureDefinition/medicationRequest-medicoTitolare | |
value[x] | 1..1 | Reference(PractitionerRole - Medico Prescrittore) | Value of extension | |
intent | 1..1 | code | order Fixed Value: order | |
Slices for medication[x] | 1..1 | CodeableConcept, Reference(Medication) | Medication to be taken Slice: Unordered, Open by type:$this | |
medication[x]:medicationReference | 0..1 | Reference(Medication - Dossier Farmaceutico) | Medication to be taken | |
medication[x]:medicationCodeableConcept | 0..1 | CodeableConcept | Medication to be taken | |
Slices for coding | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | |
coding:All Slices | Content/Rules for all slices | |||
system | 1..1 | uri | Identity of the terminology system | |
code | 1..1 | code | Symbol in syntax defined by the system | |
coding:ATC | 0..1 | Coding | Code defined by a terminology system Binding: WHO ATC (required) | |
coding:AIC | 0..1 | Coding | Code defined by a terminology system Binding: AIFA AIC (required) | |
coding:gruppoEquivalenza | 0..1 | Coding | Code defined by a terminology system Binding: AIFA Gruppo di Equivalenza (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 | 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 | |
requester | 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 | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | |
coding:All Slices | Content/Rules for all slices | |||
system | 1..1 | uri | Identity of the terminology system | |
code | 1..1 | code | Symbol in syntax defined by the system | |
coding:notaAIFA | 0..1 | Coding | Nota AIFA Binding: AIFA Note (required) | |
coding:codiceDiagnosi | 0..1 | Coding | Codice diagnosi Binding: WHO ICD-9-CM (required) | |
text | 0..1 | string | Descrizione diagnosi | |
reasonReference | 0..* | Reference(Condition | Observation) | Condizioni cliniche ed osservazioni che motivano la prescrizione (parametri vitali) | |
groupIdentifier | 1..1 | Identifier | Identificativo della prescrizione (e.g. NRE) | |
system | 1..1 | uri | The namespace for the identifier value Binding: Sistemi di identificazione per prescrizioni (extensible) | |
value | 0..1 | string | Identificativo della prescrizione (e.g. NRE) | |
insurance | 0..* | Reference(Coverage - base) | Associated insurance coverage | |
note | 0..* | Annotation | Informazioni circa la prescrizione | |
dosageInstruction | 0..* | Dosage | Modalità di assunzione del farmaco | |
dispenseRequest | 1..1 | BackboneElement | Medication supply authorization | |
validityPeriod | 0..1 | Period | Periodo di tempo per il quale è autorizzata la fornitura | |
quantity | 1..1 | SimpleQuantity | Amount of medication to supply per dispense | |
substitution | ||||
Slices for allowed[x] | 1..1 | CodeableConcept | Whether substitution is allowed or not Slice: Unordered, Open by type:$this | |
allowed[x]:allowedCodeableConcept | 1..1 | CodeableConcept | Whether substitution is allowed or not Binding: Regole di sostituzione (required) | |
reason | 0..1 | CodeableConcept | Motivo di non sostituibilità del farmaco Binding: Motivazioni di non sostituibilità (preferred) | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATC | required | VsAtchttps://www.hl7.it/fhir/terminology/ValueSet/who-atc | |
MedicationRequest.medication[x]:medicationCodeableConcept.coding:AIC | required | VsAifaAIC (a valid code from AIFA - Autorizzazione Immissione in Commercio)http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aic from this IG | |
MedicationRequest.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenza | required | VsGruppoEquivalenzahttp://hl7.it/fhir/dossier-pharma/ValueSet/aifa-ge from this IG | |
MedicationRequest.reasonCode.coding:notaAIFA | required | VsNotaAifa (a valid code from AIFA - Indicazioni terapeutiche (Nota AIFA))http://hl7.it/fhir/dossier-pharma/ValueSet/vs-aifa-nota from this IG | |
MedicationRequest.reasonCode.coding:codiceDiagnosi | required | VsIcd9cm (a valid code from http://hl7.org/fhir/sid/icd-9-cm )https://www.hl7.it/fhir/terminology/ValueSet/who-icd9cm | |
MedicationRequest.groupIdentifier.system | extensible | VsGroupIdentifierUrihttp://hl7.it/fhir/dossier-pharma/ValueSet/groupIdentifierUri-it-dossierPharma from this IG | |
MedicationRequest.substitution.allowed[x]:allowedCodeableConcept | required | VsSubstitutionDossierPharmahttp://hl7.it/fhir/dossier-pharma/ValueSet/substitution-it-dossierPharma from this IG | |
MedicationRequest.substitution.reason | preferred | VsMotivazioniNonSost (a valid code from Motivazioni di non sostituibilità)http://hl7.it/fhir/dossier-pharma/ValueSet/vs-motivazioni-non-sostituibilita from this IG |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
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/dossier-pharma/StructureDefinition/medicationRequest-medicoTitolare | |
extension | 0..0 | |||
url | 1..1 | uri | "http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-medicoTitolare" | |
value[x] | 1..1 | Reference(PractitionerRole - Medico Prescrittore) | Value of extension | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!Σ | 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. |
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] | Σ | 1..1 | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | |
medicationCodeableConcept | CodeableConcept | |||
medicationReference | Reference(Medication) | |||
medication[x]:medicationReference | Σ | 0..1 | Reference(Medication - Dossier Farmaceutico) | Medication to be taken |
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. |
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
coding:All Slices | Content/Rules for all slices | |||
system | Σ | 1..1 | uri | Identity of the terminology system |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
coding:ATC | Σ | 0..1 | Coding | Code defined by a terminology system Binding: WHO ATC (required) |
coding:AIC | Σ | 0..1 | Coding | Code defined by a terminology system Binding: AIFA AIC (required) |
coding:gruppoEquivalenza | Σ | 0..1 | Coding | Code defined by a terminology system Binding: AIFA Gruppo di Equivalenza (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 | Σ | 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 |
requester | Σ | 1..1 | Reference(PractitionerRole - Medico Prescrittore) | Who/What requested the Request |
identifier | Σ | 0..1 | Identifier | Valorizzato con identificativo del medico titolare o sostituto |
reasonReference | 0..* | Reference(Condition | Observation) | Condizioni cliniche ed osservazioni che motivano la prescrizione (parametri vitali) | |
groupIdentifier | Σ | 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 | 0..* | Reference(Coverage - base) | Associated insurance coverage | |
note | 0..* | Annotation | Informazioni circa la prescrizione | |
dosageInstruction | 0..* | Dosage | Modalità di assunzione del farmaco | |
dispenseRequest | 1..1 | BackboneElement | Medication supply authorization | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
validityPeriod | 0..1 | Period | Periodo di tempo per il quale è autorizzata la fornitura | |
quantity | 1..1 | SimpleQuantity | Amount of medication to supply per dispense | |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard | |
MedicationRequest.intent | required | Fixed Value: orderhttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard | |
MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | |
MedicationRequest.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | |
MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATC | required | VsAtchttps://www.hl7.it/fhir/terminology/ValueSet/who-atc | |
MedicationRequest.medication[x]:medicationCodeableConcept.coding:AIC | required | VsAifaAIC (a valid code from AIFA - Autorizzazione Immissione in Commercio)http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aic from this IG | |
MedicationRequest.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenza | required | VsGruppoEquivalenzahttp://hl7.it/fhir/dossier-pharma/ValueSet/aifa-ge from this IG | |
MedicationRequest.subject.type | extensible | Fixed Value: Patienthttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | |
MedicationRequest.subject.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | |
MedicationRequest.groupIdentifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | |
MedicationRequest.groupIdentifier.system | extensible | VsGroupIdentifierUrihttp://hl7.it/fhir/dossier-pharma/ValueSet/groupIdentifierUri-it-dossierPharma from this IG |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
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.
| |||||
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/dossier-pharma/StructureDefinition/medicationRequest-medicoTitolare | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "http://hl7.it/fhir/dossier-pharma/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 | ?!Σ | 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] | Σ | 1..1 | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | |||||
medicationCodeableConcept | CodeableConcept | |||||||
medicationReference | Reference(Medication) | |||||||
medication[x]:medicationReference | Σ | 0..1 | Reference(Medication - Dossier Farmaceutico) | Medication to be taken | ||||
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$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 | Σ | 1..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
coding:ATC | Σ | 0..1 | Coding | Code defined by a terminology system Binding: WHO ATC (required) | ||||
coding:AIC | Σ | 0..1 | Coding | Code defined by a terminology system Binding: AIFA AIC (required) | ||||
coding:gruppoEquivalenza | Σ | 0..1 | Coding | Code defined by a terminology system Binding: AIFA Gruppo di Equivalenza (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 | Σ | 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 | Σ | 0..1 | dateTime | When request was initially authored | ||||
requester | Σ | 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 | Σ | 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 | Σ | 1..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
coding:notaAIFA | Σ | 0..1 | Coding | Nota AIFA Binding: AIFA Note (required) | ||||
coding:codiceDiagnosi | Σ | 0..1 | Coding | Codice diagnosi Binding: WHO ICD-9-CM (required) | ||||
text | Σ | 0..1 | string | Descrizione diagnosi | ||||
reasonReference | 0..* | Reference(Condition | Observation) | Condizioni cliniche ed osservazioni che motivano la prescrizione (parametri vitali) | |||||
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 | Σ | 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 | 0..* | Reference(Coverage - base) | Associated insurance coverage | |||||
note | 0..* | Annotation | Informazioni circa la prescrizione | |||||
dosageInstruction | 0..* | Dosage | Modalità di assunzione del farmaco | |||||
dispenseRequest | 1..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 | Periodo di tempo per il quale è autorizzata la fornitura | |||||
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 | 1..1 | CodeableConcept | Whether substitution is allowed or not Binding: Regole di sostituzione (required) | |||||
reason | 0..1 | CodeableConcept | Motivo di non sostituibilità del farmaco Binding: Motivazioni di non sostituibilità (preferred) | |||||
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 | |||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
MedicationRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard | ||||
MedicationRequest.statusReason | example | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard | ||||
MedicationRequest.intent | required | Fixed Value: orderhttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard | ||||
MedicationRequest.category | example | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard | ||||
MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard | ||||
MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | ||||
MedicationRequest.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATC | required | VsAtchttps://www.hl7.it/fhir/terminology/ValueSet/who-atc | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:AIC | required | VsAifaAIC (a valid code from AIFA - Autorizzazione Immissione in Commercio)http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aic from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenza | required | VsGruppoEquivalenzahttp://hl7.it/fhir/dossier-pharma/ValueSet/aifa-ge from this IG | ||||
MedicationRequest.subject.type | extensible | Fixed Value: Patienthttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
MedicationRequest.subject.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
MedicationRequest.subject.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||
MedicationRequest.requester.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
MedicationRequest.performerType | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard | ||||
MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | ||||
MedicationRequest.reasonCode.coding:notaAIFA | required | VsNotaAifa (a valid code from AIFA - Indicazioni terapeutiche (Nota AIFA))http://hl7.it/fhir/dossier-pharma/ValueSet/vs-aifa-nota from this IG | ||||
MedicationRequest.reasonCode.coding:codiceDiagnosi | required | VsIcd9cm (a valid code from http://hl7.org/fhir/sid/icd-9-cm )https://www.hl7.it/fhir/terminology/ValueSet/who-icd9cm | ||||
MedicationRequest.groupIdentifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
MedicationRequest.groupIdentifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||
MedicationRequest.groupIdentifier.system | extensible | VsGroupIdentifierUrihttp://hl7.it/fhir/dossier-pharma/ValueSet/groupIdentifierUri-it-dossierPharma from this IG | ||||
MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy from the FHIR Standard | ||||
MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | ||||
MedicationRequest.substitution.allowed[x]:allowedCodeableConcept | required | VsSubstitutionDossierPharmahttp://hl7.it/fhir/dossier-pharma/ValueSet/substitution-it-dossierPharma from this IG | ||||
MedicationRequest.substitution.reason | preferred | VsMotivazioniNonSost (a valid code from Motivazioni di non sostituibilità)http://hl7.it/fhir/dossier-pharma/ValueSet/vs-motivazioni-non-sostituibilita from this IG |
This structure is derived from MedicationRequest
Summary
Mandatory: 8 elements(6 nested mandatory 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:
Differential View
This structure is derived from MedicationRequest
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
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/dossier-pharma/StructureDefinition/medicationRequest-medicoTitolare | |
value[x] | 1..1 | Reference(PractitionerRole - Medico Prescrittore) | Value of extension | |
intent | 1..1 | code | order Fixed Value: order | |
Slices for medication[x] | 1..1 | CodeableConcept, Reference(Medication) | Medication to be taken Slice: Unordered, Open by type:$this | |
medication[x]:medicationReference | 0..1 | Reference(Medication - Dossier Farmaceutico) | Medication to be taken | |
medication[x]:medicationCodeableConcept | 0..1 | CodeableConcept | Medication to be taken | |
Slices for coding | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | |
coding:All Slices | Content/Rules for all slices | |||
system | 1..1 | uri | Identity of the terminology system | |
code | 1..1 | code | Symbol in syntax defined by the system | |
coding:ATC | 0..1 | Coding | Code defined by a terminology system Binding: WHO ATC (required) | |
coding:AIC | 0..1 | Coding | Code defined by a terminology system Binding: AIFA AIC (required) | |
coding:gruppoEquivalenza | 0..1 | Coding | Code defined by a terminology system Binding: AIFA Gruppo di Equivalenza (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 | 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 | |
requester | 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 | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | |
coding:All Slices | Content/Rules for all slices | |||
system | 1..1 | uri | Identity of the terminology system | |
code | 1..1 | code | Symbol in syntax defined by the system | |
coding:notaAIFA | 0..1 | Coding | Nota AIFA Binding: AIFA Note (required) | |
coding:codiceDiagnosi | 0..1 | Coding | Codice diagnosi Binding: WHO ICD-9-CM (required) | |
text | 0..1 | string | Descrizione diagnosi | |
reasonReference | 0..* | Reference(Condition | Observation) | Condizioni cliniche ed osservazioni che motivano la prescrizione (parametri vitali) | |
groupIdentifier | 1..1 | Identifier | Identificativo della prescrizione (e.g. NRE) | |
system | 1..1 | uri | The namespace for the identifier value Binding: Sistemi di identificazione per prescrizioni (extensible) | |
value | 0..1 | string | Identificativo della prescrizione (e.g. NRE) | |
insurance | 0..* | Reference(Coverage - base) | Associated insurance coverage | |
note | 0..* | Annotation | Informazioni circa la prescrizione | |
dosageInstruction | 0..* | Dosage | Modalità di assunzione del farmaco | |
dispenseRequest | 1..1 | BackboneElement | Medication supply authorization | |
validityPeriod | 0..1 | Period | Periodo di tempo per il quale è autorizzata la fornitura | |
quantity | 1..1 | SimpleQuantity | Amount of medication to supply per dispense | |
substitution | ||||
Slices for allowed[x] | 1..1 | CodeableConcept | Whether substitution is allowed or not Slice: Unordered, Open by type:$this | |
allowed[x]:allowedCodeableConcept | 1..1 | CodeableConcept | Whether substitution is allowed or not Binding: Regole di sostituzione (required) | |
reason | 0..1 | CodeableConcept | Motivo di non sostituibilità del farmaco Binding: Motivazioni di non sostituibilità (preferred) | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATC | required | VsAtchttps://www.hl7.it/fhir/terminology/ValueSet/who-atc | |
MedicationRequest.medication[x]:medicationCodeableConcept.coding:AIC | required | VsAifaAIC (a valid code from AIFA - Autorizzazione Immissione in Commercio)http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aic from this IG | |
MedicationRequest.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenza | required | VsGruppoEquivalenzahttp://hl7.it/fhir/dossier-pharma/ValueSet/aifa-ge from this IG | |
MedicationRequest.reasonCode.coding:notaAIFA | required | VsNotaAifa (a valid code from AIFA - Indicazioni terapeutiche (Nota AIFA))http://hl7.it/fhir/dossier-pharma/ValueSet/vs-aifa-nota from this IG | |
MedicationRequest.reasonCode.coding:codiceDiagnosi | required | VsIcd9cm (a valid code from http://hl7.org/fhir/sid/icd-9-cm )https://www.hl7.it/fhir/terminology/ValueSet/who-icd9cm | |
MedicationRequest.groupIdentifier.system | extensible | VsGroupIdentifierUrihttp://hl7.it/fhir/dossier-pharma/ValueSet/groupIdentifierUri-it-dossierPharma from this IG | |
MedicationRequest.substitution.allowed[x]:allowedCodeableConcept | required | VsSubstitutionDossierPharmahttp://hl7.it/fhir/dossier-pharma/ValueSet/substitution-it-dossierPharma from this IG | |
MedicationRequest.substitution.reason | preferred | VsMotivazioniNonSost (a valid code from Motivazioni di non sostituibilità)http://hl7.it/fhir/dossier-pharma/ValueSet/vs-motivazioni-non-sostituibilita from this IG |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
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/dossier-pharma/StructureDefinition/medicationRequest-medicoTitolare | |
extension | 0..0 | |||
url | 1..1 | uri | "http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-medicoTitolare" | |
value[x] | 1..1 | Reference(PractitionerRole - Medico Prescrittore) | Value of extension | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!Σ | 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. |
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] | Σ | 1..1 | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | |
medicationCodeableConcept | CodeableConcept | |||
medicationReference | Reference(Medication) | |||
medication[x]:medicationReference | Σ | 0..1 | Reference(Medication - Dossier Farmaceutico) | Medication to be taken |
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. |
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
coding:All Slices | Content/Rules for all slices | |||
system | Σ | 1..1 | uri | Identity of the terminology system |
code | Σ | 1..1 | code | Symbol in syntax defined by the system |
coding:ATC | Σ | 0..1 | Coding | Code defined by a terminology system Binding: WHO ATC (required) |
coding:AIC | Σ | 0..1 | Coding | Code defined by a terminology system Binding: AIFA AIC (required) |
coding:gruppoEquivalenza | Σ | 0..1 | Coding | Code defined by a terminology system Binding: AIFA Gruppo di Equivalenza (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 | Σ | 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 |
requester | Σ | 1..1 | Reference(PractitionerRole - Medico Prescrittore) | Who/What requested the Request |
identifier | Σ | 0..1 | Identifier | Valorizzato con identificativo del medico titolare o sostituto |
reasonReference | 0..* | Reference(Condition | Observation) | Condizioni cliniche ed osservazioni che motivano la prescrizione (parametri vitali) | |
groupIdentifier | Σ | 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 | 0..* | Reference(Coverage - base) | Associated insurance coverage | |
note | 0..* | Annotation | Informazioni circa la prescrizione | |
dosageInstruction | 0..* | Dosage | Modalità di assunzione del farmaco | |
dispenseRequest | 1..1 | BackboneElement | Medication supply authorization | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
validityPeriod | 0..1 | Period | Periodo di tempo per il quale è autorizzata la fornitura | |
quantity | 1..1 | SimpleQuantity | Amount of medication to supply per dispense | |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard | |
MedicationRequest.intent | required | Fixed Value: orderhttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard | |
MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | |
MedicationRequest.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | |
MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATC | required | VsAtchttps://www.hl7.it/fhir/terminology/ValueSet/who-atc | |
MedicationRequest.medication[x]:medicationCodeableConcept.coding:AIC | required | VsAifaAIC (a valid code from AIFA - Autorizzazione Immissione in Commercio)http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aic from this IG | |
MedicationRequest.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenza | required | VsGruppoEquivalenzahttp://hl7.it/fhir/dossier-pharma/ValueSet/aifa-ge from this IG | |
MedicationRequest.subject.type | extensible | Fixed Value: Patienthttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | |
MedicationRequest.subject.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | |
MedicationRequest.groupIdentifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | |
MedicationRequest.groupIdentifier.system | extensible | VsGroupIdentifierUrihttp://hl7.it/fhir/dossier-pharma/ValueSet/groupIdentifierUri-it-dossierPharma from this IG |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
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.
| |||||
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/dossier-pharma/StructureDefinition/medicationRequest-medicoTitolare | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "http://hl7.it/fhir/dossier-pharma/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 | ?!Σ | 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] | Σ | 1..1 | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | |||||
medicationCodeableConcept | CodeableConcept | |||||||
medicationReference | Reference(Medication) | |||||||
medication[x]:medicationReference | Σ | 0..1 | Reference(Medication - Dossier Farmaceutico) | Medication to be taken | ||||
medication[x]:medicationCodeableConcept | Σ | 0..1 | CodeableConcept | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$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 | Σ | 1..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
coding:ATC | Σ | 0..1 | Coding | Code defined by a terminology system Binding: WHO ATC (required) | ||||
coding:AIC | Σ | 0..1 | Coding | Code defined by a terminology system Binding: AIFA AIC (required) | ||||
coding:gruppoEquivalenza | Σ | 0..1 | Coding | Code defined by a terminology system Binding: AIFA Gruppo di Equivalenza (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 | Σ | 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 | Σ | 0..1 | dateTime | When request was initially authored | ||||
requester | Σ | 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 | Σ | 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 | Σ | 1..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
coding:notaAIFA | Σ | 0..1 | Coding | Nota AIFA Binding: AIFA Note (required) | ||||
coding:codiceDiagnosi | Σ | 0..1 | Coding | Codice diagnosi Binding: WHO ICD-9-CM (required) | ||||
text | Σ | 0..1 | string | Descrizione diagnosi | ||||
reasonReference | 0..* | Reference(Condition | Observation) | Condizioni cliniche ed osservazioni che motivano la prescrizione (parametri vitali) | |||||
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 | Σ | 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 | 0..* | Reference(Coverage - base) | Associated insurance coverage | |||||
note | 0..* | Annotation | Informazioni circa la prescrizione | |||||
dosageInstruction | 0..* | Dosage | Modalità di assunzione del farmaco | |||||
dispenseRequest | 1..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 | Periodo di tempo per il quale è autorizzata la fornitura | |||||
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 | 1..1 | CodeableConcept | Whether substitution is allowed or not Binding: Regole di sostituzione (required) | |||||
reason | 0..1 | CodeableConcept | Motivo di non sostituibilità del farmaco Binding: Motivazioni di non sostituibilità (preferred) | |||||
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 | |||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
MedicationRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard | ||||
MedicationRequest.statusReason | example | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard | ||||
MedicationRequest.intent | required | Fixed Value: orderhttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard | ||||
MedicationRequest.category | example | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard | ||||
MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard | ||||
MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | ||||
MedicationRequest.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATC | required | VsAtchttps://www.hl7.it/fhir/terminology/ValueSet/who-atc | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:AIC | required | VsAifaAIC (a valid code from AIFA - Autorizzazione Immissione in Commercio)http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aic from this IG | ||||
MedicationRequest.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenza | required | VsGruppoEquivalenzahttp://hl7.it/fhir/dossier-pharma/ValueSet/aifa-ge from this IG | ||||
MedicationRequest.subject.type | extensible | Fixed Value: Patienthttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
MedicationRequest.subject.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
MedicationRequest.subject.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||
MedicationRequest.requester.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||
MedicationRequest.performerType | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard | ||||
MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | ||||
MedicationRequest.reasonCode.coding:notaAIFA | required | VsNotaAifa (a valid code from AIFA - Indicazioni terapeutiche (Nota AIFA))http://hl7.it/fhir/dossier-pharma/ValueSet/vs-aifa-nota from this IG | ||||
MedicationRequest.reasonCode.coding:codiceDiagnosi | required | VsIcd9cm (a valid code from http://hl7.org/fhir/sid/icd-9-cm )https://www.hl7.it/fhir/terminology/ValueSet/who-icd9cm | ||||
MedicationRequest.groupIdentifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
MedicationRequest.groupIdentifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||
MedicationRequest.groupIdentifier.system | extensible | VsGroupIdentifierUrihttp://hl7.it/fhir/dossier-pharma/ValueSet/groupIdentifierUri-it-dossierPharma from this IG | ||||
MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy from the FHIR Standard | ||||
MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | ||||
MedicationRequest.substitution.allowed[x]:allowedCodeableConcept | required | VsSubstitutionDossierPharmahttp://hl7.it/fhir/dossier-pharma/ValueSet/substitution-it-dossierPharma from this IG | ||||
MedicationRequest.substitution.reason | preferred | VsMotivazioniNonSost (a valid code from Motivazioni di non sostituibilità)http://hl7.it/fhir/dossier-pharma/ValueSet/vs-motivazioni-non-sostituibilita from this IG |
This structure is derived from MedicationRequest
Summary
Mandatory: 8 elements(6 nested mandatory 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:
Other representations of profile: CSV, Excel, Schematron