HL7 FHIR Implementation Guide Dossier Farmaceutico
0.1.1 - ci-build Italy flag

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

Resource Profile: MedicationRequest - Dossier Farmaceutico

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:

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/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
.... 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)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATCrequiredVsAtc
https://www.hl7.it/fhir/terminology/ValueSet/who-atc
MedicationRequest.medication[x]:medicationCodeableConcept.coding:AICrequiredVsAifaAIC (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:gruppoEquivalenzarequiredVsGruppoEquivalenza
http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-ge
from this IG
MedicationRequest.reasonCode.coding:notaAIFArequiredVsNotaAifa (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:codiceDiagnosirequiredVsIcd9cm (a valid code from http://hl7.org/fhir/sid/icd-9-cm)
https://www.hl7.it/fhir/terminology/ValueSet/who-icd9cm
MedicationRequest.groupIdentifier.systemextensibleVsGroupIdentifierUri
http://hl7.it/fhir/dossier-pharma/ValueSet/groupIdentifierUri-it-dossierPharma
from this IG
MedicationRequest.substitution.allowed[x]:allowedCodeableConceptrequiredVsSubstitutionDossierPharma
http://hl7.it/fhir/dossier-pharma/ValueSet/substitution-it-dossierPharma
from this IG
MedicationRequest.substitution.reasonpreferredVsMotivazioniNonSost (a valid code from Motivazioni di non sostituibilità)
http://hl7.it/fhir/dossier-pharma/ValueSet/vs-motivazioni-non-sostituibilita
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/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
... 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

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:ATCrequiredVsAtc
https://www.hl7.it/fhir/terminology/ValueSet/who-atc
MedicationRequest.medication[x]:medicationCodeableConcept.coding:AICrequiredVsAifaAIC (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:gruppoEquivalenzarequiredVsGruppoEquivalenza
http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-ge
from this IG
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.groupIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationRequest.groupIdentifier.systemextensibleVsGroupIdentifierUri
http://hl7.it/fhir/dossier-pharma/ValueSet/groupIdentifierUri-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/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

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:ATCrequiredVsAtc
https://www.hl7.it/fhir/terminology/ValueSet/who-atc
MedicationRequest.medication[x]:medicationCodeableConcept.coding:AICrequiredVsAifaAIC (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:gruppoEquivalenzarequiredVsGruppoEquivalenza
http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-ge
from this IG
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:notaAIFArequiredVsNotaAifa (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:codiceDiagnosirequiredVsIcd9cm (a valid code from http://hl7.org/fhir/sid/icd-9-cm)
https://www.hl7.it/fhir/terminology/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/dossier-pharma/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/dossier-pharma/ValueSet/substitution-it-dossierPharma
from this IG
MedicationRequest.substitution.reasonpreferredVsMotivazioniNonSost (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:

  • 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/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
.... 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)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATCrequiredVsAtc
https://www.hl7.it/fhir/terminology/ValueSet/who-atc
MedicationRequest.medication[x]:medicationCodeableConcept.coding:AICrequiredVsAifaAIC (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:gruppoEquivalenzarequiredVsGruppoEquivalenza
http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-ge
from this IG
MedicationRequest.reasonCode.coding:notaAIFArequiredVsNotaAifa (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:codiceDiagnosirequiredVsIcd9cm (a valid code from http://hl7.org/fhir/sid/icd-9-cm)
https://www.hl7.it/fhir/terminology/ValueSet/who-icd9cm
MedicationRequest.groupIdentifier.systemextensibleVsGroupIdentifierUri
http://hl7.it/fhir/dossier-pharma/ValueSet/groupIdentifierUri-it-dossierPharma
from this IG
MedicationRequest.substitution.allowed[x]:allowedCodeableConceptrequiredVsSubstitutionDossierPharma
http://hl7.it/fhir/dossier-pharma/ValueSet/substitution-it-dossierPharma
from this IG
MedicationRequest.substitution.reasonpreferredVsMotivazioniNonSost (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

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/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
... 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

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:ATCrequiredVsAtc
https://www.hl7.it/fhir/terminology/ValueSet/who-atc
MedicationRequest.medication[x]:medicationCodeableConcept.coding:AICrequiredVsAifaAIC (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:gruppoEquivalenzarequiredVsGruppoEquivalenza
http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-ge
from this IG
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.groupIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationRequest.groupIdentifier.systemextensibleVsGroupIdentifierUri
http://hl7.it/fhir/dossier-pharma/ValueSet/groupIdentifierUri-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/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

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:ATCrequiredVsAtc
https://www.hl7.it/fhir/terminology/ValueSet/who-atc
MedicationRequest.medication[x]:medicationCodeableConcept.coding:AICrequiredVsAifaAIC (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:gruppoEquivalenzarequiredVsGruppoEquivalenza
http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-ge
from this IG
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:notaAIFArequiredVsNotaAifa (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:codiceDiagnosirequiredVsIcd9cm (a valid code from http://hl7.org/fhir/sid/icd-9-cm)
https://www.hl7.it/fhir/terminology/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/dossier-pharma/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/dossier-pharma/ValueSet/substitution-it-dossierPharma
from this IG
MedicationRequest.substitution.reasonpreferredVsMotivazioniNonSost (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:

  • 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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