Guide d'implémentation de la ePrescription
0.1.0 - ci-build FRANCE

Guide d'implémentation de la ePrescription - version de développement local (intégration continue v0.1.0) construite par les outils de publication FHIR (HL7® FHIR® Standard). Voir le répertoire des versions publiées

## Resource Profile: FRMedicationRequest - Detailed Descriptions

Draft as of 2026-02-23

Definitions for the fr-medicationrequest resource profile.

- Differential Elements Table
- Key Elements Table
- Snapshot Elements Table

Des conseils sur l'interprétation du contenu de ce tableau peuvent être trouvésici

0. MedicationRequest
2. MedicationRequest.extension
Slicing | Cet élément introduit un ensemble de slices sur `MedicationRequest.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
4. MedicationRequest.extension:renderedDosageInstruction
Nom de la slice | renderedDosageInstruction
Court | Full representation of the dosage instructions
Contrôle | 0..1
Type | Extension(Extension Definition for MedicationRequest.renderedDosageInstruction for Version 5.0) (Type d'extension : markdown)
6. MedicationRequest.extension:treatmentIntent
Nom de la slice | treatmentIntent
Définition | the overall intention of the treatment
Court | overall treatment intent
Contrôle | 0..1
Type | Extension(MedicationRequest overall treatment intent) (Type d'extension : CodeableConcept)
Signification si manquant | overall intention of the treatment not specified
8. MedicationRequest.extension:treatmentIntent.value[x]
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
10. MedicationRequest.extension:treatmentIntent.value[x].coding
Définition | SNOMED CT code minimal value set for overall treatment intent (extensible)
12. MedicationRequest.medication[x]
Binding | Les codes DOIVENT (SHALL) être pris de value set Interop'Santé - Codes identifiant les médicaments (required to `https://interop.esante.gouv.fr/ig/fhir/eprescription/ValueSet/fr-medication-code` )
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Slicing | Cet élément introduit un ensemble de slices sur `MedicationRequest.medication[x]`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : type @ $this
14. MedicationRequest.medication[x]:medicationReference
Nom de la slice | medicationReference
Contrôle | 0..1
Type | Reference(FR Medication Non Compound, FR Medication Compound)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
16. MedicationRequest.subject
Type | Reference(FR Core Patient Profile)
18. MedicationRequest.encounter
Type | Reference(FR Core Encounter Profile)
20. MedicationRequest.authoredOn
Contrôle | 1..?
22. MedicationRequest.requester
Définition | The prescriber that initiated the request and has responsibility for its activation.
Court | Who requested the Request
Contrôle | 1..?
Type | Reference(FR Core Practitioner Profile)
24. MedicationRequest.dosageInstruction
Contrôle | 1..?
26. MedicationRequest.dosageInstruction.patientInstruction
Contrôle | 0..0
28. MedicationRequest.dosageInstruction.timing
30. MedicationRequest.dosageInstruction.timing.repeat
32. MedicationRequest.dosageInstruction.timing.repeat.extension:AdditionalWhenValues
Nom de la slice | AdditionalWhenValues
Contrôle | 0..1
Type | Extension(Additional values for when element) (Type d'extension : code)
34. MedicationRequest.dosageInstruction.route
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de French Route of Administration (extensible to `https://interop.esante.gouv.fr/ig/fhir/eprescription/ValueSet/fr-route-of-administration` )
36. MedicationRequest.dosageInstruction.method
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de French Method Of Administration (extensible to `https://interop.esante.gouv.fr/ig/fhir/eprescription/ValueSet/FrMethodOfAdministration` )
38. MedicationRequest.dosageInstruction.doseAndRate
40. MedicationRequest.dosageInstruction.doseAndRate.extension:BasisOfDoseComponent
Nom de la slice | BasisOfDoseComponent
Contrôle | 0..1
Type | Extension(Medication component Basis of dose) (Type d'extension : Reference(Medication))
42. MedicationRequest.dosageInstruction.doseAndRate.dose[x]
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Slicing | Cet élément introduit un ensemble de slices sur `MedicationRequest.dosageInstruction.doseAndRate.dose[x]`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : type @ $this
44. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange
Nom de la slice | doseRange
Contrôle | 0..1
Type | Range(Range with UCUM or EDQM codes if code is used)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
46. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity
Nom de la slice | doseQuantity
Contrôle | 0..1
Type | Quantity(SimpleQuantity with UCUM or EDQM codes or code not used)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
48. MedicationRequest.dosageInstruction.doseAndRate.rate[x]
Définition | Amount of medication per unit of time. Using a ratio, the denominator SHALL be a quantity of time. Using a simple quantity the UCUM unit SHALL be a unit of rate.
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Slicing | Cet élément introduit un ensemble de slices sur `MedicationRequest.dosageInstruction.doseAndRate.rate[x]`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : type @ $this
50. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio
Nom de la slice | rateRatio
Contrôle | 0..1
Type | Ratio(Ratio with UCUM or EDQM codes if code is used)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
52. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange
Nom de la slice | rateRange
Contrôle | 0..1
Type | Range(Range with UCUM or EDQM codes if code is used)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
54. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantity
Nom de la slice | rateQuantity
Contrôle | 0..1
Type | Quantity(SimpleQuantity with UCUM or EDQM codes or code not used)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
56. MedicationRequest.dosageInstruction.maxDosePerPeriod
58. MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator
Type | Quantity(SimpleQuantity with UCUM or EDQM codes or code not used)
60. MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator
Type | Quantity(SimpleQuantity with UCUM or EDQM codes or code not used)
62. MedicationRequest.dosageInstruction.maxDosePerAdministration
Type | Quantity(SimpleQuantity with UCUM or EDQM codes or code not used)
64. MedicationRequest.dosageInstruction.maxDosePerLifetime
Type | Quantity(SimpleQuantity with UCUM or EDQM codes or code not used)

Des conseils sur l'interprétation du contenu de ce tableau peuvent être trouvésici

0. MedicationRequest
Définition | An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "MedicationRequest" rather than "MedicationPrescription" or "MedicationOrder" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns.
Court | Ordering of medication for patient or group
Contrôle | 0..*
Est modificateur | false
Résumé | false
Noms alternatifs | Prescription, Order
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. MedicationRequest.implicitRules
Définition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Court | A set of rules under which this content was created
Commentaires | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Contrôle | 0..1
Type | uri
Est modificateur | true parce que This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. MedicationRequest.extension
Définition | An Extension May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | ExtensionAdditional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | Cet élément introduit un ensemble de slices sur `MedicationRequest.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
6. MedicationRequest.extension:renderedDosageInstruction
Nom de la slice | renderedDosageInstruction
Définition | Optional Extension Element - found in all resources.
Court | Full representation of the dosage instructions
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : ele-1
Type | Extension(Extension Definition for MedicationRequest.renderedDosageInstruction for Version 5.0) (Type d'extension : markdown)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
8. MedicationRequest.extension:treatmentIntent
Nom de la slice | treatmentIntent
Définition | the overall intention of the treatment
Court | overall treatment intent
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : ele-1
Type | Extension(MedicationRequest overall treatment intent) (Type d'extension : CodeableConcept)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
10. MedicationRequest.extension:treatmentIntent.extension
Définition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | ExtensionAdditional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..0*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | Cet élément introduit un ensemble de slices sur `MedicationRequest.extension.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
12. MedicationRequest.extension:treatmentIntent.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Court | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Contrôle | 1..1
Type | uri
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
Valeur fixe | `https://interop.esante.gouv.fr/ig/fhir/eprescription/StructureDefinition/fr-treatment-intent`
14. MedicationRequest.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Résumé | false
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
16. MedicationRequest.status
Définition | A code specifying the current state of the order. Generally, this will be active or completed state.
Court | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Commentaires | This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 (required to `http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1` ) A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
Type | code
Est modificateur | true parce que This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. MedicationRequest.intent
Définition | Whether the request is a proposal, plan, or an original order.
Court | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Commentaires | It is expected that the type of requester will be restricted for different stages of a MedicationRequest. For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device. Plans can be created by Practitioners, Patients, RelatedPersons and Devices. Original orders can be created by a Practitioner only. An instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record. This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de medicationRequest Intent http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 (required to `http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1` ) The kind of medication order.
Type | code
Est modificateur | true parce que This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. MedicationRequest.doNotPerform
Définition | If true indicates that the provider is asking for the medication request not to occur.
Court | True if request is prohibiting action
Commentaires | If do not perform is not specified, the request is a positive request e.g. "do perform".
Contrôle | 0..1
Type | boolean
Est modificateur | true parce que This element is labeled as a modifier because this element negates the request to occur (ie, this is a request for the medication not to be ordered or prescribed, etc)
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. MedicationRequest.medication[x]
Définition | Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications.
Court | Medication to be taken
Commentaires | If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource.
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de Pour des exemples de codes, voir value set Interop'Santé - Codes identifiant les médicaments http://hl7.org/fhir/ValueSet/medication-codes|4.0.1 (required to `https://interop.esante.gouv.fr/ig/fhir/eprescription/ValueSet/fr-medication-code` )
Type | Choix de : CodeableConcept, Reference(Medication)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | Cet élément introduit un ensemble de slices sur `MedicationRequest.medication[x]`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : type @ $this
24. MedicationRequest.medication[x]:medicationReference
Nom de la slice | medicationReference
Définition | Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications.
Court | Medication to be taken
Commentaires | If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource.
Contrôle | 01..1
Type | Reference(FR Medication Non Compound, FR Medication Compound, Medication), CodeableConcept
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. MedicationRequest.subject
Définition | A link to a resource representing the person or set of individuals to whom the medication will be given.
Court | Who or group medication request is for
Commentaires | The subject on a medication request is mandatory. For the secondary use case where the actual subject is not provided, there still must be an anonymized subject specified.
Contrôle | 1..1
Type | Reference(FR Core Patient Profile, Patient, Group)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. MedicationRequest.encounter
Définition | The Encounter during which this [x] was created or to which the creation of this record is tightly associated.
Court | Encounter created as part of encounter/admission/stay
Commentaires | This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter." If there is a need to link to episodes of care they will be handled with an extension.
Contrôle | 0..1
Type | Reference(FR Core Encounter Profile, Encounter)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. MedicationRequest.authoredOn
Définition | The date (and perhaps time) when the prescription was initially written or authored on.
Court | When request was initially authored
Contrôle | 10..1
Type | dateTime
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. MedicationRequest.requester
Définition | The prescriber that initiated the request and has responsibility for its activation. The individual, organization, or device that initiated the request and has responsibility for its activation.
Court | Who requested the RequestWho/What requested the Request
Contrôle | 10..1
Type | Reference(FR Core Practitioner Profile, Practitioner, PractitionerRole, Organization, Patient, RelatedPerson, Device)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. MedicationRequest.dosageInstruction
Définition | Indicates how the medication is to be used by the patient.
Court | How the medication should be taken
Commentaires | There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, "Ondansetron 8mg orally or IV twice a day as needed for nausea" or "Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed.
Contrôle | 10..*
Type | Dosage
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. MedicationRequest.dosageInstruction.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored even if unrecognized
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
38. MedicationRequest.dosageInstruction.patientInstruction
Définition | Instructions in terms that are understood by the patient or consumer.
Court | Patient or consumer oriented instructions
Contrôle | 0..01
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. MedicationRequest.dosageInstruction.route
Définition | How drug should enter body.
Court | How drug should enter body
Contrôle | 0..1
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de Pour des exemples de codes, voir French Route of Administration http://hl7.org/fhir/ValueSet/route-codes|4.0.1 (extensible to `https://interop.esante.gouv.fr/ig/fhir/eprescription/ValueSet/fr-route-of-administration` )
Type | CodeableConcept
Est modificateur | false
Résumé | true
Exigences | A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. MedicationRequest.dosageInstruction.method
Définition | Technique for administering medication.
Court | Technique for administering medication
Commentaires | Terminologies used often pre-coordinate this term with the route and or form of administration.
Contrôle | 0..1
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de Pour des exemples de codes, voir French Method Of Administration http://hl7.org/fhir/ValueSet/administration-method-codes|4.0.1 (extensible to `https://interop.esante.gouv.fr/ig/fhir/eprescription/ValueSet/FrMethodOfAdministration` )
Type | CodeableConcept
Est modificateur | false
Résumé | true
Exigences | A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections. For examples, Slow Push; Deep IV.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. MedicationRequest.dosageInstruction.maxDosePerAdministration
Définition | Upper limit on medication per administration.
Court | Upper limit on medication per administration
Commentaires | This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg.
Contrôle | 0..1
Type | Quantity(SimpleQuantity with UCUM or EDQM codes or code not used, SimpleQuantity)
Est modificateur | false
Résumé | true
Exigences | The maximum total quantity of a therapeutic substance that may be administered to a subject per administration.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. MedicationRequest.dosageInstruction.maxDosePerLifetime
Définition | Upper limit on medication per lifetime of the patient.
Court | Upper limit on medication per lifetime of the patient
Contrôle | 0..1
Type | Quantity(SimpleQuantity with UCUM or EDQM codes or code not used, SimpleQuantity)
Est modificateur | false
Résumé | true
Exigences | The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Des conseils sur l'interprétation du contenu de ce tableau peuvent être trouvésici

0. MedicationRequest
Définition | An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "MedicationRequest" rather than "MedicationPrescription" or "MedicationOrder" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns.
Court | Ordering of medication for patient or group
Contrôle | 0..*
Est modificateur | false
Résumé | false
Noms alternatifs | Prescription, Order
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (`contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`)
2. MedicationRequest.id
Définition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Court | Logical id of this artifact
Commentaires | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Contrôle | 0..1
Type | id
Est modificateur | false
Résumé | true
4. MedicationRequest.meta
Définition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Court | Metadata about the resource
Contrôle | 0..1
Type | Meta
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. MedicationRequest.implicitRules
Définition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Court | A set of rules under which this content was created
Commentaires | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Contrôle | 0..1
Type | uri
Est modificateur | true parce que This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. MedicationRequest.language
Définition | The base language in which the resource is written.
Court | Language of the resource content
Commentaires | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Contrôle | 0..1
Binding | Les codes DEVRAIENT (SHOULD) être pris de CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
10. MedicationRequest.text
Définition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Court | Text summary of the resource, for human interpretation
Commentaires | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Contrôle | 0..1
Type | Narrative
Est modificateur | false
Résumé | false
Noms alternatifs | narrative, html, xhtml, display
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. MedicationRequest.contained
Définition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Court | Contained, inline Resources
Commentaires | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Contrôle | 0..*
Type | Resource
Est modificateur | false
Résumé | false
Noms alternatifs | inline resources, anonymous resources, contained resources
14. MedicationRequest.extension
Définition | An Extension
Court | Extension
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Cet élément introduit un ensemble de slices sur `MedicationRequest.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
16. MedicationRequest.extension:renderedDosageInstruction
Nom de la slice | renderedDosageInstruction
Définition | Optional Extension Element - found in all resources.
Court | Full representation of the dosage instructions
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : ele-1
Type | Extension(Extension Definition for MedicationRequest.renderedDosageInstruction for Version 5.0) (Type d'extension : markdown)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
18. MedicationRequest.extension:treatmentIntent
Nom de la slice | treatmentIntent
Définition | the overall intention of the treatment
Court | overall treatment intent
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : ele-1
Type | Extension(MedicationRequest overall treatment intent) (Type d'extension : CodeableConcept)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
20. MedicationRequest.extension:treatmentIntent.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
22. MedicationRequest.extension:treatmentIntent.extension
Définition | An Extension
Court | Extension
Contrôle | 0..0
Type | Extension
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Cet élément introduit un ensemble de slices sur `MedicationRequest.extension.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
24. MedicationRequest.extension:treatmentIntent.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Court | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Contrôle | 1..1
Type | uri
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
Valeur fixe | `https://interop.esante.gouv.fr/ig/fhir/eprescription/StructureDefinition/fr-treatment-intent`
26. MedicationRequest.extension:treatmentIntent.value[x]
Définition | overall intention of treatment Coding. SNOMED CT code minimal value set for overall intention of treatment (extensible)
Court | Value of overall treatment intent
Contrôle | 0..1
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de French overall intention of the treatment (extensible to `https://interop.esante.gouv.fr/ig/fhir/eprescription/ValueSet/fr-treatment-intent` ) SNOMED CT encoded treatment overall intent
Type | CodeableConcept
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Résumé | false
Étiquette | TreatmentIntent
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
28. MedicationRequest.extension:treatmentIntent.value[x].id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
30. MedicationRequest.extension:treatmentIntent.value[x].extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Cet élément introduit un ensemble de slices sur `MedicationRequest.extension.value[x].extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
32. MedicationRequest.extension:treatmentIntent.value[x].coding
Définition | SNOMED CT code minimal value set for overall treatment intent (extensible)
Court | Code defined by a terminology system
Commentaires | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Contrôle | 0..*
Type | Coding
Est modificateur | false
Résumé | true
Exigences | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
34. MedicationRequest.extension:treatmentIntent.value[x].text
Définition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Court | Plain text representation of the concept
Commentaires | Very often the text is the same as a displayName of one of the codings.
Contrôle | 0..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
36. MedicationRequest.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Résumé | false
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
38. MedicationRequest.identifier
Définition | Identifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.
Court | External ids for this request
Commentaires | This is a business identifier, not a resource identifier.
Note | Ceci est un identifiant métier, pas un identifiant de ressource (voir discussion)
Contrôle | 0..*
Type | Identifier
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
40. MedicationRequest.status
Définition | A code specifying the current state of the order. Generally, this will be active or completed state.
Court | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Commentaires | This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de medicationrequest Status (required to `http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1` ) A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
Type | code
Est modificateur | true parce que This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
42. MedicationRequest.statusReason
Définition | Captures the reason for the current state of the MedicationRequest.
Court | Reason for current status
Commentaires | This is generally only used for "exception" statuses such as "suspended" or "cancelled". The reason why the MedicationRequest was created at all is captured in reasonCode, not here.
Contrôle | 0..1
Binding | Pour des exemples de codes, voir medicationRequest Status Reason Codes (example to `http://hl7.org/fhir/ValueSet/medicationrequest-status-reason|4.0.1` ) Identifies the reasons for a given status.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
44. MedicationRequest.intent
Définition | Whether the request is a proposal, plan, or an original order.
Court | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Commentaires | It is expected that the type of requester will be restricted for different stages of a MedicationRequest. For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device. Plans can be created by Practitioners, Patients, RelatedPersons and Devices. Original orders can be created by a Practitioner only. An instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record. This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de medicationRequest Intent (required to `http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1` ) The kind of medication order.
Type | code
Est modificateur | true parce que This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
46. MedicationRequest.category
Définition | Indicates the type of medication request (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)).
Court | Type of medication usage
Commentaires | The category can be used to include where the medication is expected to be consumed or other types of requests.
Contrôle | 0..*
Binding | Pour des exemples de codes, voir medicationRequest Category Codes (example to `http://hl7.org/fhir/ValueSet/medicationrequest-category|4.0.1` ) 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.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
48. MedicationRequest.priority
Définition | Indicates how quickly the Medication Request should be addressed with respect to other requests.
Court | routine | urgent | asap | stat
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de RequestPriority (required to `http://hl7.org/fhir/ValueSet/request-priority|4.0.1` ) Identifies the level of importance to be assigned to actioning the request.
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
50. MedicationRequest.doNotPerform
Définition | If true indicates that the provider is asking for the medication request not to occur.
Court | True if request is prohibiting action
Commentaires | If do not perform is not specified, the request is a positive request e.g. "do perform".
Contrôle | 0..1
Type | boolean
Est modificateur | true parce que This element is labeled as a modifier because this element negates the request to occur (ie, this is a request for the medication not to be ordered or prescribed, etc)
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
52. MedicationRequest.reported[x]
Définition | Indicates if this record was captured as a secondary 'reported' record rather than as an original primary source-of-truth record. It may also indicate the source of the report.
Court | Reported rather than primary record
Contrôle | 0..1
Type | Choix de : boolean, Reference(Patient, Practitioner, PractitionerRole, RelatedPerson, Organization)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
54. MedicationRequest.medication[x]
Définition | Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications.
Court | Medication to be taken
Commentaires | If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource.
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de value set Interop'Santé - Codes identifiant les médicaments (required to `https://interop.esante.gouv.fr/ig/fhir/eprescription/ValueSet/fr-medication-code` )
Type | Choix de : CodeableConcept, Reference(Medication)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | Cet élément introduit un ensemble de slices sur `MedicationRequest.medication[x]`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : type @ $this
56. MedicationRequest.medication[x]:medicationReference
Nom de la slice | medicationReference
Définition | Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications.
Court | Medication to be taken
Commentaires | If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource.
Contrôle | 0..1
Type | Reference(FR Medication Non Compound, FR Medication Compound)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
58. MedicationRequest.subject
Définition | A link to a resource representing the person or set of individuals to whom the medication will be given.
Court | Who or group medication request is for
Commentaires | The subject on a medication request is mandatory. For the secondary use case where the actual subject is not provided, there still must be an anonymized subject specified.
Contrôle | 1..1
Type | Reference(FR Core Patient Profile)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
60. MedicationRequest.encounter
Définition | The Encounter during which this [x] was created or to which the creation of this record is tightly associated.
Court | Encounter created as part of encounter/admission/stay
Commentaires | This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter." If there is a need to link to episodes of care they will be handled with an extension.
Contrôle | 0..1
Type | Reference(FR Core Encounter Profile)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
62. MedicationRequest.supportingInformation
Définition | Include additional information (for example, patient height and weight) that supports the ordering of the medication.
Court | Information to support ordering of the medication
Contrôle | 0..*
Type | Reference(Resource)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
64. MedicationRequest.authoredOn
Définition | The date (and perhaps time) when the prescription was initially written or authored on.
Court | When request was initially authored
Contrôle | 1..1
Type | dateTime
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
66. MedicationRequest.requester
Définition | The prescriber that initiated the request and has responsibility for its activation.
Court | Who requested the Request
Contrôle | 1..1
Type | Reference(FR Core Practitioner Profile)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
68. MedicationRequest.performer
Définition | The specified desired performer of the medication treatment (e.g. the performer of the medication administration).
Court | Intended performer of administration
Contrôle | 0..1
Type | Reference(Practitioner, PractitionerRole, Organization, Patient, Device, RelatedPerson, CareTeam)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
70. MedicationRequest.performerType
Définition | Indicates the type of performer of the administration of the medication.
Court | Desired kind of performer of the medication administration
Commentaires | If specified without indicating a performer, this indicates that the performer must be of the specified type. If specified with a performer then it indicates the requirements of the performer if the designated performer is not available.
Contrôle | 0..1
Binding | Pour des exemples de codes, voir ProcedurePerformerRoleCodes (example to `http://hl7.org/fhir/ValueSet/performer-role|4.0.1` ) Identifies the type of individual that is desired to administer the medication.
Type | CodeableConcept
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
72. MedicationRequest.recorder
Définition | The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.
Court | Person who entered the request
Contrôle | 0..1
Type | Reference(Practitioner, PractitionerRole)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
74. MedicationRequest.reasonCode
Définition | The reason or the indication for ordering or not ordering the medication.
Court | Reason or indication for ordering or not ordering the medication
Commentaires | This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonReference.
Contrôle | 0..*
Binding | Pour des exemples de codes, voir Condition/Problem/DiagnosisCodes (example to `http://hl7.org/fhir/ValueSet/condition-code|4.0.1` ) A coded concept indicating why the medication was ordered.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
76. MedicationRequest.reasonReference
Définition | Condition or observation that supports why the medication was ordered.
Court | Condition or observation that supports why the prescription is being written
Commentaires | This is a reference to a condition or observation that is the reason for the medication order. If only a code exists, use reasonCode.
Contrôle | 0..*
Type | Reference(Condition, Observation)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
78. MedicationRequest.instantiatesCanonical
Définition | The URL pointing to a protocol, guideline, orderset, or other definition that is adhered to in whole or in part by this MedicationRequest.
Court | Instantiates FHIR protocol or definition
Contrôle | 0..*
Type | canonical
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
80. MedicationRequest.instantiatesUri
Définition | The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this MedicationRequest.
Court | Instantiates external protocol or definition
Contrôle | 0..*
Type | uri
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
82. MedicationRequest.basedOn
Définition | A plan or request that is fulfilled in whole or in part by this medication request.
Court | What request fulfills
Contrôle | 0..*
Type | Reference(CarePlan, MedicationRequest, ServiceRequest, ImmunizationRecommendation)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
84. MedicationRequest.groupIdentifier
Définition | A shared identifier common to all requests that were authorized more or less simultaneously by a single author, representing the identifier of the requisition or prescription.
Court | Composite request this is part of
Contrôle | 0..1
Type | Identifier
Est modificateur | false
Résumé | true
Exigences | Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
86. MedicationRequest.courseOfTherapyType
Définition | The description of the overall patte3rn of the administration of the medication to the patient.
Court | Overall pattern of medication administration
Commentaires | This attribute should not be confused with the protocol of the medication.
Contrôle | 0..1
Binding | Pour des exemples de codes, voir medicationRequest Course of Therapy Codes (example to `http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy|4.0.1` ) Identifies the overall pattern of medication administratio.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
88. MedicationRequest.insurance
Définition | Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service.
Court | Associated insurance coverage
Contrôle | 0..*
Type | Reference(Coverage, ClaimResponse)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
90. MedicationRequest.note
Définition | Extra information about the prescription that could not be conveyed by the other attributes.
Court | Information about the prescription
Contrôle | 0..*
Type | Annotation
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
92. MedicationRequest.dosageInstruction
Définition | Indicates how the medication is to be used by the patient.
Court | How the medication should be taken
Commentaires | There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, "Ondansetron 8mg orally or IV twice a day as needed for nausea" or "Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed.
Contrôle | 1..*
Type | Dosage
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
94. MedicationRequest.dosageInstruction.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
96. MedicationRequest.dosageInstruction.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Cet élément introduit un ensemble de slices sur `MedicationRequest.dosageInstruction.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
98. MedicationRequest.dosageInstruction.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored even if unrecognized
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
100. MedicationRequest.dosageInstruction.sequence
Définition | Indicates the order in which the dosage instructions should be applied or interpreted.
Court | The order of the dosage instructions
Contrôle | 0..1
Type | integer
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent. If the sequence number is different, then the Dosages are intended to be sequential.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
102. MedicationRequest.dosageInstruction.text
Définition | Free text dosage instructions e.g. SIG.
Court | Free text dosage instructions e.g. SIG
Contrôle | 0..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | Free text dosage instructions can be used for cases where the instructions are too complex to code. The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated. If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing. Additional information about administration or preparation of the medication should be included as text.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
104. MedicationRequest.dosageInstruction.additionalInstruction
Définition | Supplemental instructions to the patient on how to take the medication (e.g. "with meals" or"take half to one hour before food") or warnings for the patient about the medication (e.g. "may cause drowsiness" or "avoid exposure of skin to direct sunlight or sunlamps").
Court | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Commentaires | Information about administration or preparation of the medication (e.g. "infuse as rapidly as possibly via intraperitoneal port" or "immediately following drug x") should be populated in dosage.text.
Contrôle | 0..*
Binding | Pour des exemples de codes, voir SNOMEDCTAdditionalDosageInstructions (example to `http://hl7.org/fhir/ValueSet/additional-instruction-codes|4.0.1` ) A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
Type | CodeableConcept
Est modificateur | false
Résumé | true
Exigences | Additional instruction is intended to be coded, but where no code exists, the element could include text. For example, "Swallow with plenty of water" which might or might not be coded.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
106. MedicationRequest.dosageInstruction.patientInstruction
Définition | Instructions in terms that are understood by the patient or consumer.
Court | Patient or consumer oriented instructions
Contrôle | 0..0
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
108. MedicationRequest.dosageInstruction.timing
Définition | When medication should be administered.
Court | When medication should be administered
Commentaires | This attribute might not always be populated while the Dosage.text is expected to be populated. If both are populated, then the Dosage.text should reflect the content of the Dosage.timing.
Contrôle | 0..1
Type | Timing
Est modificateur | false
Résumé | true
Exigences | The timing schedule for giving the medication to the patient. This data type allows many different expressions. For example: "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
110. MedicationRequest.dosageInstruction.timing.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
112. MedicationRequest.dosageInstruction.timing.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Cet élément introduit un ensemble de slices sur `MedicationRequest.dosageInstruction.timing.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
114. MedicationRequest.dosageInstruction.timing.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored even if unrecognized
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
116. MedicationRequest.dosageInstruction.timing.event
Définition | Identifies specific times when the event occurs.
Court | When the event occurs
Contrôle | 0..*
Type | dateTime
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | In a Medication Administration Record, for instance, you need to take a general specification, and turn it into a precise specification.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
118. MedicationRequest.dosageInstruction.timing.repeat
Définition | A set of rules that describe when the event is scheduled.
Court | When the event is to occur
Contrôle | 0..1
Type | Element
Est modificateur | false
Résumé | true
Exigences | Many timing schedules are determined by regular repetitions.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) tim-1: if there's a duration, there needs to be duration units (`duration.empty() or durationUnit.exists()`) tim-2: if there's a period, there needs to be period units (`period.empty() or periodUnit.exists()`) tim-4: duration SHALL be a non-negative value (`duration.exists() implies duration >= 0`) tim-5: period SHALL be a non-negative value (`period.exists() implies period >= 0`) tim-6: If there's a periodMax, there must be a period (`periodMax.empty() or period.exists()`) tim-7: If there's a durationMax, there must be a duration (`durationMax.empty() or duration.exists()`) tim-8: If there's a countMax, there must be a count (`countMax.empty() or count.exists()`) tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) (`offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))`) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa (`timeOfDay.empty() or when.empty()`)
120. MedicationRequest.dosageInstruction.timing.repeat.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
122. MedicationRequest.dosageInstruction.timing.repeat.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Cet élément introduit un ensemble de slices sur `MedicationRequest.dosageInstruction.timing.repeat.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
124. MedicationRequest.dosageInstruction.timing.repeat.extension:AdditionalWhenValues
Nom de la slice | AdditionalWhenValues
Définition | Specifies additional codes for time period of occurrence that are not in the event-timing value set
Court | Additional values for when element
Contrôle | 0..1
Type | Extension(Additional values for when element) (Type d'extension : code)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
126. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]
Définition | Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule.
Court | Length/Range of lengths, or (Start and/or end) limits
Contrôle | 0..1
Type | Choix de : Duration, Range, Period
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
128. MedicationRequest.dosageInstruction.timing.repeat.count
Définition | A total count of the desired number of repetitions across the duration of the entire timing specification. If countMax is present, this element indicates the lower bound of the allowed range of count values.
Court | Number of times to repeat
Commentaires | If you have both bounds and count, then this should be understood as within the bounds period, until count times happens.
Contrôle | 0..1
Type | positiveInt
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | Repetitions may be limited by end time or total occurrences.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
130. MedicationRequest.dosageInstruction.timing.repeat.countMax
Définition | If present, indicates that the count is a range - so to perform the action between [count] and [countMax] times.
Court | Maximum number of times to repeat
Contrôle | 0..1
Type | positiveInt
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
132. MedicationRequest.dosageInstruction.timing.repeat.duration
Définition | How long this thing happens for when it happens. If durationMax is present, this element indicates the lower bound of the allowed range of the duration.
Court | How long when it happens
Commentaires | For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).
Contrôle | 0..1
Type | decimal
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | Some activities are not instantaneous and need to be maintained for a period of time.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
134. MedicationRequest.dosageInstruction.timing.repeat.durationMax
Définition | If present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length.
Court | How long when it happens (Max)
Commentaires | For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).
Contrôle | 0..1
Type | decimal
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | Some activities are not instantaneous and need to be maintained for a period of time.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
136. MedicationRequest.dosageInstruction.timing.repeat.durationUnit
Définition | The units of time for the duration, in UCUM units.
Court | s | min | h | d | wk | mo | a - unit of time (UCUM)
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de UnitsOfTime (required to `http://hl7.org/fhir/ValueSet/units-of-time|4.0.1` ) A unit of time (units from UCUM).
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
138. MedicationRequest.dosageInstruction.timing.repeat.frequency
Définition | The number of times to repeat the action within the specified period. If frequencyMax is present, this element indicates the lower bound of the allowed range of the frequency.
Court | Event occurs frequency times per period
Contrôle | 0..1
Type | positiveInt
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Signification si manquant | If no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
140. MedicationRequest.dosageInstruction.timing.repeat.frequencyMax
Définition | If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range.
Court | Event occurs up to frequencyMax times per period
Contrôle | 0..1
Type | positiveInt
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
142. MedicationRequest.dosageInstruction.timing.repeat.period
Définition | Indicates the duration of time over which repetitions are to occur; e.g. to express "3 times per day", 3 would be the frequency and "1 day" would be the period. If periodMax is present, this element indicates the lower bound of the allowed range of the period length.
Court | Event occurs frequency times per period
Contrôle | 0..1
Type | decimal
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
144. MedicationRequest.dosageInstruction.timing.repeat.periodMax
Définition | If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as "do this once every 3-5 days.
Court | Upper limit of period (3-4 hours)
Contrôle | 0..1
Type | decimal
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
146. MedicationRequest.dosageInstruction.timing.repeat.periodUnit
Définition | The units of time for the period in UCUM units.
Court | s | min | h | d | wk | mo | a - unit of time (UCUM)
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de UnitsOfTime (required to `http://hl7.org/fhir/ValueSet/units-of-time|4.0.1` ) A unit of time (units from UCUM).
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
148. MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek
Définition | If one or more days of week is provided, then the action happens only on the specified day(s).
Court | mon | tue | wed | thu | fri | sat | sun
Commentaires | If no days are specified, the action is assumed to happen every day as otherwise specified. The elements frequency and period cannot be used as well as dayOfWeek.
Contrôle | 0..*
Binding | Les codes DOIVENT (SHALL) être pris de DaysOfWeek (required to `http://hl7.org/fhir/ValueSet/days-of-week|4.0.1` )
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
150. MedicationRequest.dosageInstruction.timing.repeat.timeOfDay
Définition | Specified time of day for action to take place.
Court | Time of day for action
Commentaires | When time of day is specified, it is inferred that the action happens every day (as filtered by dayofWeek) on the specified times. The elements when, frequency and period cannot be used as well as timeOfDay.
Contrôle | 0..*
Type | time
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
152. MedicationRequest.dosageInstruction.timing.repeat.when
Définition | An approximate time period during the day, potentially linked to an event of daily living that indicates when the action should occur.
Court | Code for time period of occurrence
Commentaires | When more than one event is listed, the event is tied to the union of the specified events.
Contrôle | 0..*
Binding | Les codes DOIVENT (SHALL) être pris de EventTiming (required to `http://hl7.org/fhir/ValueSet/event-timing|4.0.1` ) Real world event relating to the schedule.
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | Timings are frequently determined by occurrences such as waking, eating and sleep.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
154. MedicationRequest.dosageInstruction.timing.repeat.offset
Définition | The number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event.
Court | Minutes from event (before or after)
Contrôle | 0..1
Type | unsignedInt
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
156. MedicationRequest.dosageInstruction.timing.code
Définition | A code for the timing schedule (or just text in code.text). Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing, with the exception that .repeat.bounds still applies over the code (and is not contained in the code).
Court | BID | TID | QID | AM | PM | QD | QOD | +
Commentaires | BID etc. are defined as 'at institutionally specified times'. For example, an institution may choose that BID is "always at 7am and 6pm". If it is inappropriate for this choice to be made, the code BID should not be used. Instead, a distinct organization-specific code should be used in place of the HL7-defined BID code and/or a structured representation should be used (in this case, specifying the two event times).
Contrôle | 0..1
Binding | Les codes DEVRAIENT (SHOULD) être pris de TimingAbbreviation (preferred to `http://hl7.org/fhir/ValueSet/timing-abbreviation|4.0.1` ) Code for a known / defined timing pattern.
Type | CodeableConcept
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
158. MedicationRequest.dosageInstruction.asNeeded[x]
Définition | Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept).
Court | Take "as needed" (for x)
Commentaires | Can express "as needed" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express "as needed" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not "prn" or "as needed".
Contrôle | 0..1
Binding | Pour des exemples de codes, voir SNOMEDCTMedicationAsNeededReasonCodes (example to `http://hl7.org/fhir/ValueSet/medication-as-needed-reason|4.0.1` ) A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
Type | Choix de : boolean, CodeableConcept
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
160. MedicationRequest.dosageInstruction.site
Définition | Body site to administer to.
Court | Body site to administer to
Commentaires | If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both.
Contrôle | 0..1
Binding | Pour des exemples de codes, voir SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example to `http://hl7.org/fhir/ValueSet/approach-site-codes|4.0.1` ) A coded concept describing the site location the medicine enters into or onto the body.
Type | CodeableConcept
Est modificateur | false
Résumé | true
Exigences | A coded specification of the anatomic site where the medication first enters the body.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
162. MedicationRequest.dosageInstruction.route
Définition | How drug should enter body.
Court | How drug should enter body
Contrôle | 0..1
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de French Route of Administration (extensible to `https://interop.esante.gouv.fr/ig/fhir/eprescription/ValueSet/fr-route-of-administration` )
Type | CodeableConcept
Est modificateur | false
Résumé | true
Exigences | A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
164. MedicationRequest.dosageInstruction.method
Définition | Technique for administering medication.
Court | Technique for administering medication
Commentaires | Terminologies used often pre-coordinate this term with the route and or form of administration.
Contrôle | 0..1
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de French Method Of Administration (extensible to `https://interop.esante.gouv.fr/ig/fhir/eprescription/ValueSet/FrMethodOfAdministration` )
Type | CodeableConcept
Est modificateur | false
Résumé | true
Exigences | A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections. For examples, Slow Push; Deep IV.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
166. MedicationRequest.dosageInstruction.doseAndRate
Définition | The amount of medication administered.
Court | Amount of medication administered
Contrôle | 0..*
Type | Element
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
168. MedicationRequest.dosageInstruction.doseAndRate.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
170. MedicationRequest.dosageInstruction.doseAndRate.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Cet élément introduit un ensemble de slices sur `MedicationRequest.dosageInstruction.doseAndRate.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
172. MedicationRequest.dosageInstruction.doseAndRate.extension:BasisOfDoseComponent
Nom de la slice | BasisOfDoseComponent
Définition | When the medication element of the resource in which a dose applies is compound, this extension references the Medication resource component of the medication element which is the Basis of the dose quantity or volume.
Court | Medication component Basis of dose
Contrôle | 0..1
Type | Extension(Medication component Basis of dose) (Type d'extension : Reference(Medication))
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
174. MedicationRequest.dosageInstruction.doseAndRate.type
Définition | The kind of dose or rate specified, for example, ordered or calculated.
Court | The kind of dose or rate specified
Contrôle | 0..1
Binding | Pour des exemples de codes, voir DoseAndRateType (example to `http://hl7.org/fhir/ValueSet/dose-rate-type|4.0.1` ) The kind of dose or rate specified.
Type | CodeableConcept
Est modificateur | false
Résumé | true
Exigences | If the type is not populated, assume to be "ordered".
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
176. MedicationRequest.dosageInstruction.doseAndRate.dose[x]
Définition | Amount of medication per dose.
Court | Amount of medication per dose
Commentaires | Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.
Contrôle | 0..1
Type | Choix de : Range, Quantity(SimpleQuantity)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Résumé | true
Exigences | The amount of therapeutic or other substance given at one administration event.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | Cet élément introduit un ensemble de slices sur `MedicationRequest.dosageInstruction.doseAndRate.dose[x]`. Les slices sontNon ordonné et Closed, et peut être différencié en utilisant les discriminateurs suivants : type @ $this
178. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange
Nom de la slice | doseRange
Définition | Amount of medication per dose.
Court | Amount of medication per dose
Commentaires | Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.
Contrôle | 0..1
Type | Range(Range with UCUM or EDQM codes if code is used)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Résumé | true
Exigences | The amount of therapeutic or other substance given at one administration event.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
180. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity
Nom de la slice | doseQuantity
Définition | Amount of medication per dose.
Court | Amount of medication per dose
Commentaires | Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.
Contrôle | 0..1
Type | Quantity(SimpleQuantity with UCUM or EDQM codes or code not used)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Résumé | true
Exigences | The amount of therapeutic or other substance given at one administration event.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
182. MedicationRequest.dosageInstruction.doseAndRate.rate[x]
Définition | Amount of medication per unit of time. Using a ratio, the denominator SHALL be a quantity of time. Using a simple quantity the UCUM unit SHALL be a unit of rate.
Court | Amount of medication per unit of time
Commentaires | It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour.
Contrôle | 0..1
Type | Choix de : Ratio, Range, Quantity(SimpleQuantity)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Résumé | true
Exigences | Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | Cet élément introduit un ensemble de slices sur `MedicationRequest.dosageInstruction.doseAndRate.rate[x]`. Les slices sontNon ordonné et Closed, et peut être différencié en utilisant les discriminateurs suivants : type @ $this
184. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio
Nom de la slice | rateRatio
Définition | Amount of medication per unit of time.
Court | Amount of medication per unit of time
Commentaires | It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour.
Contrôle | 0..1
Type | Ratio(Ratio with UCUM or EDQM codes if code is used)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Résumé | true
Exigences | Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
186. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange
Nom de la slice | rateRange
Définition | Amount of medication per unit of time.
Court | Amount of medication per unit of time
Commentaires | It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour.
Contrôle | 0..1
Type | Range(Range with UCUM or EDQM codes if code is used)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Résumé | true
Exigences | Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
188. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantity
Nom de la slice | rateQuantity
Définition | Amount of medication per unit of time.
Court | Amount of medication per unit of time
Commentaires | It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour.
Contrôle | 0..1
Type | Quantity(SimpleQuantity with UCUM or EDQM codes or code not used)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Résumé | true
Exigences | Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
190. MedicationRequest.dosageInstruction.maxDosePerPeriod
Définition | Upper limit on medication per unit of time.
Court | Upper limit on medication per unit of time
Commentaires | This is intended for use as an adjunct to the dosage when there is an upper cap. For example "2 tablets every 4 hours to a maximum of 8/day".
Contrôle | 0..1
Type | Ratio
Est modificateur | false
Résumé | true
Exigences | The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
192. MedicationRequest.dosageInstruction.maxDosePerPeriod.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
194. MedicationRequest.dosageInstruction.maxDosePerPeriod.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Cet élément introduit un ensemble de slices sur `MedicationRequest.dosageInstruction.maxDosePerPeriod.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
196. MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator
Définition | The value of the numerator.
Court | Numerator value
Contrôle | 0..1
Type | Quantity(SimpleQuantity with UCUM or EDQM codes or code not used)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
198. MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator
Définition | The value of the denominator.
Court | Denominator value
Contrôle | 0..1
Type | Quantity(SimpleQuantity with UCUM or EDQM codes or code not used)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
200. MedicationRequest.dosageInstruction.maxDosePerAdministration
Définition | Upper limit on medication per administration.
Court | Upper limit on medication per administration
Commentaires | This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg.
Contrôle | 0..1
Type | Quantity(SimpleQuantity with UCUM or EDQM codes or code not used)
Est modificateur | false
Résumé | true
Exigences | The maximum total quantity of a therapeutic substance that may be administered to a subject per administration.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
202. MedicationRequest.dosageInstruction.maxDosePerLifetime
Définition | Upper limit on medication per lifetime of the patient.
Court | Upper limit on medication per lifetime of the patient
Contrôle | 0..1
Type | Quantity(SimpleQuantity with UCUM or EDQM codes or code not used)
Est modificateur | false
Résumé | true
Exigences | The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
204. MedicationRequest.dispenseRequest
Définition | Indicates the specific details for the dispense or medication supply part of a medication request (also known as a Medication Prescription or Medication Order). Note that this information is not always sent with the order. There may be in some settings (e.g. hospitals) institutional or system support for completing the dispense details in the pharmacy department.
Court | Medication supply authorization
Contrôle | 0..1
Type | BackboneElement
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
206. MedicationRequest.dispenseRequest.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
208. MedicationRequest.dispenseRequest.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
210. MedicationRequest.dispenseRequest.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored even if unrecognized
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
212. MedicationRequest.dispenseRequest.initialFill
Définition | Indicates the quantity or duration for the first dispense of the medication.
Court | First fill details
Commentaires | If populating this element, either the quantity or the duration must be included.
Contrôle | 0..1
Type | BackboneElement
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
214. MedicationRequest.dispenseRequest.initialFill.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
216. MedicationRequest.dispenseRequest.initialFill.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
218. MedicationRequest.dispenseRequest.initialFill.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored even if unrecognized
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
220. MedicationRequest.dispenseRequest.initialFill.quantity
Définition | The amount or quantity to provide as part of the first dispense.
Court | First fill quantity
Contrôle | 0..1
Type | Quantity(SimpleQuantity)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
222. MedicationRequest.dispenseRequest.initialFill.duration
Définition | The length of time that the first dispense is expected to last.
Court | First fill duration
Contrôle | 0..1
Type | Duration
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
224. MedicationRequest.dispenseRequest.dispenseInterval
Définition | The minimum period of time that must occur between dispenses of the medication.
Court | Minimum period of time between dispenses
Contrôle | 0..1
Type | Duration
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
226. MedicationRequest.dispenseRequest.validityPeriod
Définition | This indicates the validity period of a prescription (stale dating the Prescription).
Court | Time period supply is authorized for
Commentaires | It reflects the prescribers' perspective for the validity of the prescription. Dispenses must not be made against the prescription outside of this period. The lower-bound of the Dispensing Window signifies the earliest date that the prescription can be filled for the first time. If an upper-bound is not specified then the Prescription is open-ended or will default to a stale-date based on regulations.
Contrôle | 0..1
Type | Period
Est modificateur | false
Résumé | false
Exigences | Indicates when the Prescription becomes valid, and when it ceases to be a dispensable Prescription.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
228. MedicationRequest.dispenseRequest.numberOfRepeatsAllowed
Définition | An integer indicating the number of times, in addition to the original dispense, (aka refills or repeats) that the patient can receive the prescribed medication. Usage Notes: This integer does not include the original order dispense. This means that if an order indicates dispense 30 tablets plus "3 repeats", then the order can be dispensed a total of 4 times and the patient can receive a total of 120 tablets. A prescriber may explicitly say that zero refills are permitted after the initial dispense.
Court | Number of refills authorized
Commentaires | If displaying "number of authorized fills", add 1 to this number.
Contrôle | 0..1
Type | unsignedInt
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
230. MedicationRequest.dispenseRequest.quantity
Définition | The amount that is to be dispensed for one fill.
Court | Amount of medication to supply per dispense
Contrôle | 0..1
Type | Quantity(SimpleQuantity)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
232. MedicationRequest.dispenseRequest.expectedSupplyDuration
Définition | Identifies the period time over which the supplied product is expected to be used, or the length of time the dispense is expected to last.
Court | Number of days supply per dispense
Commentaires | In some situations, this attribute may be used instead of quantity to identify the amount supplied by how long it is expected to last, rather than the physical quantity issued, e.g. 90 days supply of medication (based on an ordered dosage). When possible, it is always better to specify quantity, as this tends to be more precise. expectedSupplyDuration will always be an estimate that can be influenced by external factors.
Contrôle | 0..1
Type | Duration
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
234. MedicationRequest.dispenseRequest.performer
Définition | Indicates the intended dispensing Organization specified by the prescriber.
Court | Intended dispenser
Contrôle | 0..1
Type | Reference(Organization)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
236. MedicationRequest.substitution
Définition | Indicates whether or not substitution can or should be part of the dispense. In some cases, substitution must happen, in other cases substitution must not happen. This block explains the prescriber's intent. If nothing is specified substitution may be done.
Court | Any restrictions on medication substitution
Contrôle | 0..1
Type | BackboneElement
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
238. MedicationRequest.substitution.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
240. MedicationRequest.substitution.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
242. MedicationRequest.substitution.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored even if unrecognized
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
244. MedicationRequest.substitution.allowed[x]
Définition | True if the prescriber allows a different drug to be dispensed from what was prescribed.
Court | Whether substitution is allowed or not
Commentaires | This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored.
Contrôle | 1..1
Binding | Pour des exemples de codes, voir ActSubstanceAdminSubstitutionCode (example to `http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode` ) Identifies the type of substitution allowed.
Type | Choix de : boolean, CodeableConcept
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
246. MedicationRequest.substitution.reason
Définition | Indicates the reason for the substitution, or why substitution must or must not be performed.
Court | Why should (not) substitution be made
Contrôle | 0..1
Binding | Pour des exemples de codes, voir SubstanceAdminSubstitutionReason (example to `http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason` ) A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
248. MedicationRequest.priorPrescription
Définition | A link to a resource representing an earlier order related order or prescription.
Court | An order/prescription that is being replaced
Contrôle | 0..1
Type | Reference(MedicationRequest)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
250. MedicationRequest.detectedIssue
Définition | Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, duplicate therapy, dosage alert etc.
Court | Clinical Issue with action
Commentaires | This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue.
Contrôle | 0..*
Type | Reference(DetectedIssue)
Est modificateur | false
Résumé | false
Noms alternatifs | Contraindication, Drug Utilization Review (DUR), Alert
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
252. MedicationRequest.eventHistory
Définition | Links to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource.
Court | A list of events of interest in the lifecycle
Commentaires | This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.).
Contrôle | 0..*
Type | Reference(Provenance)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)