| Active as of 2026-06-10 |
Definitions for the ISiKMedikationsVerordnung resource profile.
Guidance on how to interpret the contents of this table can be foundhere
| 0. MedicationRequest | |
| Definition | 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. |
| Short | Ordering of medication for patient or group |
| Control | 0..* |
| Is Modifier | false |
| Summary | false |
| Alternate Names | 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 | |
| Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
| Short | serverseitige, interne ID des DatensatzesLogical id of this artifact |
| Comments | bedingtes Pflichtfeld/bedingtes MS: Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine The only time that a resource does not have an id is when it is being submitted to the server using a create operation. |
| Control | 0..1 |
| Type | idstring |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| 4. MedicationRequest.implicitRules | |
| Definition | 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. |
| Short | Verweis auf die Regeln, nach denen die Ressource erstellt wurdeA set of rules under which this content was created |
| Comments | Begründung Constraint: In ISiK existiert kein Use-Case für dieses Element. Da es sich um ein Modifying Element handelt, wird es daher ausgeschlossen. Darüber hinaus werden die Regeln als URI vorgehalten. Dies führt dazu, dass sich hinter der URI eine beliebige Menge an Regeln befinden kann; wodurch nicht sichergestellt werden kann, dass alle Clients die Regeln korrekt interpretieren können. 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. |
| Control | 0..01 |
| Type | uri |
| Is Modifier | true because 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 |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 6. MedicationRequest.extension | |
| Definition | 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. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 8. MedicationRequest.extension:acceptedRisk | |
| Slice Name | acceptedRisk |
| Definition | An Extension |
| Short | akzeptiertes (in Kauf genommenes) Risiko |
| Comments | Begründung des Must-Support: Folgeinformation der AMTS-Bewertung, sollte auch an nachfolgende Behandelnde übermittelbar sein Hinweis: Hier kann ein im Rahmen der Medikation festgestelltes, aber in Kauf genommenes Risiko dokumentiert werden, speziell auch die Begründung und ggf. erforderliche Begleitmaßnahmen. |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | Extension(ISiK Accepted Risk) (Extension Type: string) |
| Is Modifier | false |
| Must Support | true |
| Summary | 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:acceptedRisk.extension | |
| Definition | 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. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | 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. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 12. MedicationRequest.extension:acceptedRisk.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk |
| 14. MedicationRequest.extension:acceptedRisk.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Type | string, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 16. MedicationRequest.extension:medikationsart | |
| Slice Name | medikationsart |
| Definition | An Extension |
| Short | Therapieart der Medikation |
| Comments | Begründung des Must-Support: von der Fachseite gewünschte Angabe Hinweis: Angabe Akut- oder Dauermedikation. |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | Extension(ISiK Medikationsart) (Extension Type: Coding) |
| Is Modifier | false |
| Must Support | true |
| Summary | 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()) |
| 18. MedicationRequest.extension:medikationsart.extension | |
| Definition | 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. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | 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. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 20. MedicationRequest.extension:medikationsart.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedikationsart |
| 22. MedicationRequest.extension:medikationsart.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Binding | The codes SHALL be taken from For codes, see ISiKMedikationsartVS (required to https://gematik.de/fhir/isik/ValueSet/ISiKMedikationsartVS) |
| Type | Coding, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 24. MedicationRequest.extension:medikationsart.value[x].system | |
| Definition | The identification of the code system that defines the meaning of the symbol in the code. |
| Short | Identity of the terminology system |
| Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. |
| Control | 10..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need to be unambiguous about the source of the definition of the symbol. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 26. MedicationRequest.extension:medikationsart.value[x].code | |
| Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). |
| Short | Symbol in syntax defined by the system |
| Control | 10..1 |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need to refer to a particular code in the system. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 28. MedicationRequest.extension:medikationsart.value[x].display | |
| Definition | A representation of the meaning of the code in the system, following the rules of the system. |
| Short | Representation defined by the system |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 30. MedicationRequest.extension:behandlungsziel | |
| Slice Name | behandlungsziel |
| Definition | An Extension |
| Short | Behandlungsziel (textuell) |
| Comments | Begründung des Must-Support: von der Fachseite gewünschte Angabe Hinweis: Freitext-Beschreibung des Behandlungsziels. |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | Extension(ISiK Behandlungsziel) (Extension Type: string) |
| Is Modifier | false |
| Must Support | true |
| Summary | 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()) |
| 32. MedicationRequest.extension:behandlungsziel.extension | |
| Definition | 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. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | 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. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 34. MedicationRequest.extension:behandlungsziel.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Fixed Value | https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKBehandlungsziel |
| 36. MedicationRequest.extension:behandlungsziel.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 10..1 |
| Type | string, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, code, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 38. MedicationRequest.modifierExtension | |
| Definition | 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). |
| Short | Extensions that cannot be ignored |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them |
| Summary | false |
| Requirements | 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. |
| Alternate Names | 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()) |
| 40. MedicationRequest.status | |
| Definition | A code specifying the current state of the order. Generally, this will be active or completed state. |
| Short | Status der Verordnungsinformationactive | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown |
| Comments | Begründung des Must-Support: Erforderliche Angabe im FHIR-Standard. Hinweis für Implementierende: Im Falle einer create-Operation kann der Server den .code in .status zunächst auf 'on-hold' setzen, z. B. im Falle einer asynchronen Prüfung, die im Rahmen einer textuellen Übergabe möglich ist. Ggf. kann hier zusätzlich ein Mechanismus etabliert werden, der eine anschließende Änderung des Status an den Client kommuniziert. Der Server kann zusätzlich den .code in .statusReason auf 'clarif' setzen ('Clarification is required before the order can be acted upon.'), um anzuzeigen, dass eine Klärung erforderlich ist, bevor die Verordnung ausgeführt werden kann. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. |
| Control | 1..1 |
| Binding | The codes SHALL be taken from medicationrequest Statushttp://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 |
| Is Modifier | true because 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 |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 42. MedicationRequest.intent | |
| Definition | Whether the request is a proposal, plan, or an original order. |
| Short | Ziel der Verordnungsinformationproposal | plan | order | original-order | reflex-order | filler-order | instance-order | option |
| Comments | Begründung des Must-Support: Erforderliche Angabe im FHIR-Standard Hinweis: i.d.R. 'order' 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. |
| Control | 1..1 |
| Binding | The codes SHALL be taken from medicationRequest Intenthttp://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 |
| Is Modifier | true because 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 |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 44. MedicationRequest.doNotPerform | |
| Definition | If true indicates that the provider is asking for the medication request not to occur. |
| Short | Nicht durchführenTrue if request is prohibiting action |
| Comments | Begründung MS: Die Kennzeichnung als Must-Support erfolgt, da es sich um ein als Modifier-Element markiertes Feld in der Kernspezifikation handelt. Und wegen der Kompatibilität mit eRezept und ePA Profilen, welche die Angabe von 'doNotPerform' nicht verbieten. If do not perform is not specified, the request is a positive request e.g. "do perform". |
| Control | 0..1 |
| Type | boolean |
| Is Modifier | true because 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) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 46. MedicationRequest.medication[x] | |
| Definition | 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. |
| Short | Medication to be taken |
| Comments | 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. |
| Control | 1..1 |
| Binding | For example codes, see SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes|4.0.1 (example to http://hl7.org/fhir/ValueSet/medication-codes|4.0.1)A coded concept identifying substance or product that can be ordered. |
| Type | Choice of: CodeableConcept, Reference(Medication) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| Slicing | This element introduces a set of slices on MedicationRequest.medication[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
| 48. MedicationRequest.medication[x]:medicationCodeableConcept | |
| Slice Name | medicationCodeableConcept |
| Definition | 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. |
| Short | Medikament in codierter Form oder ggf. als FreitextMedication to be taken |
| Comments | Begründung des Must-Support: Basisinformation Hinweis: kann verwendet werden, wenn keine detaillierten Informationen zum Medikament (z.B. Rezepturen) existieren. 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. |
| Control | 01..1 |
| Binding | For example codes, see SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes|4.0.1 (example to http://hl7.org/fhir/ValueSet/medication-codes|4.0.1)A coded concept identifying substance or product that can be ordered. |
| Type | CodeableConcept, Reference(Medication) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 50. MedicationRequest.medication[x]:medicationCodeableConcept.coding | |
| Definition | A reference to a code defined by a terminology system. |
| Short | Code defined by a terminology system |
| Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
| Control | 0..* |
| Type | Coding |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | 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())) |
| Slicing | This element introduces a set of slices on MedicationRequest.medication[x].coding. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 52. MedicationRequest.medication[x]:medicationCodeableConcept.coding:PZN | |
| Slice Name | PZN |
| Definition | A reference to a code defined by a terminology system. |
| Short | Code defined by a terminology system |
| Comments | Mehrfachcodierung ist zulässig, da für ein abstraktes Medikament auch mehrere PZN-Codes existieren können, z.B. existieren für Aspirin 3 verschiedene Packungsgrößen. 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. |
| Control | 0..* |
| Type | Coding(ISiKPZNCoding) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
| Pattern Value | { |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 54. MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATC-DE | |
| Slice Name | ATC-DE |
| Definition | A reference to a code defined by a terminology system. |
| Short | Code defined by a terminology system |
| Comments | Mehrfachcodierung ist zulässig, da für ein abstraktes Medikament auch mehrere ATC-Codes existieren können, z.B. existieren für Aspirin 4 verschiedene Codes, je nachdem wofür das Medikament angewendet wird. 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. |
| Control | 0..* |
| Type | Coding(ISiKATCCoding) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
| Pattern Value | { |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 56. MedicationRequest.medication[x]:medicationCodeableConcept.coding:SCT | |
| Slice Name | SCT |
| Definition | A reference to a code defined by a terminology system. |
| Short | Code defined by a terminology system |
| Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
| Control | 0..1* |
| Type | Coding(ISiKSnomedCTCoding) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
| Pattern Value | { |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 58. MedicationRequest.medication[x]:medicationCodeableConcept.text | |
| Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. |
| Short | Plain text representation of the concept |
| Comments | Very often the text is the same as a displayName of one of the codings. |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | 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())) |
| 60. MedicationRequest.medication[x]:medicationReference | |
| Slice Name | medicationReference |
| Definition | 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. |
| Short | Referenz auf das Medikament (Medication-Ressource)Medication to be taken |
| Comments | Begründung des Must-Support: Basisinformation Hinweis: wird verwendet, wenn detaillierte Informationen zum Medikament vorliegen 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. |
| Control | 01..1 |
| Type | Reference(Medication, Medication), CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 62. MedicationRequest.medication[x]:medicationReference.reference | |
| Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. |
| Short | Literal reference, Relative, internal or absolute URL |
| Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. |
| Control | 10..1 This element is affected by the following invariants: ref-1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 64. MedicationRequest.subject | |
| Definition | A link to a resource representing the person or set of individuals to whom the medication will be given. |
| Short | Referenz auf den PatientenWho or group medication request is for |
| Comments | Begründung des Must-Support: Basisinformation 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. |
| Control | 1..1 |
| Type | Reference(Patient, Patient, Group) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 66. MedicationRequest.subject.reference | |
| Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. |
| Short | Patienten-LinkLiteral reference, Relative, internal or absolute URL |
| Comments | Begründung MS: Die Verlinkung auf eine Patienten-Ressource dient der technischen Zuordnung der Dokumentation zu einem Patienten und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc. Im ISik Kontext MUSS die referenzierte Ressource konform zu ISiKPatient sein. Jenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden. Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. |
| Control | 10..1 This element is affected by the following invariants: ref-1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 68. MedicationRequest.encounter | |
| Definition | The Encounter during which this [x] was created or to which the creation of this record is tightly associated. |
| Short | Referenz auf den AbteilungskontaktEncounter created as part of encounter/admission/stay |
| Comments | Begründung des Must-Support: Basisinformation im Krankenhaus-Kontext 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. |
| Control | 0..1 |
| Type | Reference(Encounter) |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 70. MedicationRequest.encounter.reference | |
| Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. |
| Short | Literal reference, Relative, internal or absolute URL |
| Comments | Begründung MS: Die Verlinkung auf eine Encounter-Ressource dient der technischen Zuordnung der Dokumentation zu einem Aufenthalt und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc. Im ISik Kontext MUSS die referenzierte Ressource konform zu ISiKKontaktGesundheitseinrichtung sein. Jenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden. Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. |
| Control | 10..1 This element is affected by the following invariants: ref-1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 72. MedicationRequest.authoredOn | |
| Definition | The date (and perhaps time) when the prescription was initially written or authored on. |
| Short | Erstellungsdatum der VerordnungWhen request was initially authored |
| Comments | Begründung des Must-Support: Basisinformation |
| Control | 0..1 |
| Type | dateTime |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 74. MedicationRequest.requester | |
| Definition | The individual, organization, or device that initiated the request and has responsibility for its activation. |
| Short | Referenz auf die verordnende PersonWho/What requested the Request |
| Comments | Begründung des Must-Support: Nachvollziehbarkeit |
| Control | 0..1 |
| Type | Reference(Practitioner, PractitionerRole, Organization, Patient, RelatedPerson, Device) |
| Is Modifier | false |
| Must Support | true |
| Must Support Types | No must-support rules about the choice of types/profiles |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 76. MedicationRequest.requester.reference | |
| Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. |
| Short | Literal reference, Relative, internal or absolute URL |
| Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. |
| Control | 10..1 This element is affected by the following invariants: ref-1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 78. MedicationRequest.reasonCode | |
| Definition | The reason or the indication for ordering or not ordering the medication. |
| Short | Grund der Medikation (codiert)Reason or indication for ordering or not ordering the medication |
| Comments | Festlegung zum MS: Die Elemente .reasonCode und .reasonReference MÜSSEN nach OR-Logik in der Ausgabe verwendet werden, d.h. nur eines MUSS geliefert werden können. Weiterhin MÜSSEN beide Elemente interpretiert werden können. Begründung zu Must-Support: Konsolidierung mit MII Profil: https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationRequest This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonReference. |
| Control | 0..* |
| Binding | For example codes, see Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code|4.0.1 (example to http://hl7.org/fhir/ValueSet/condition-code|4.0.1)A coded concept indicating why the medication was ordered. |
| Type | CodeableConcept |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 80. MedicationRequest.reasonCode.coding | |
| Definition | A reference to a code defined by a terminology system. |
| Short | Code defined by a terminology system |
| Comments | Begründung des Must-Support: Falls der Grund kodierbar ist, sollte er auch kodiert werden. 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. |
| Control | 0..* |
| Type | Coding |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | 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())) |
| 82. MedicationRequest.reasonCode.coding.system | |
| Definition | The identification of the code system that defines the meaning of the symbol in the code. |
| Short | Identity of the terminology system |
| Comments | Begründung des Must-Support und Kardinalität: Ein Coding Element benötigt immer ein System um die Bedeutung des Codes zu definieren. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. |
| Control | 10..1 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need to be unambiguous about the source of the definition of the symbol. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 84. MedicationRequest.reasonCode.coding.code | |
| Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). |
| Short | Symbol in syntax defined by the system |
| Comments | Begründung des Must-Support und Kardinalität: Ein Coding Element benötigt immer einen Code um die Bedeutung des Codes zu definieren. |
| Control | 10..1 |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need to refer to a particular code in the system. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 86. MedicationRequest.reasonCode.coding.display | |
| Definition | A representation of the meaning of the code in the system, following the rules of the system. |
| Short | Representation defined by the system |
| Comments | Begründung des Must-Support: Ein Display Element ist für die Lesbarkeit der Information notwendig. |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 88. MedicationRequest.reasonCode.text | |
| Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. |
| Short | Plain text representation of the concept |
| Comments | Very often the text is the same as a displayName of one of the codings. |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | 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())) |
| 90. MedicationRequest.reasonReference | |
| Definition | Condition or observation that supports why the medication was ordered. |
| Short | Grund der Medikation (Referenz)Condition or observation that supports why the prescription is being written |
| Comments | Festlegung zum MS: Die Elemente .reasonCode und .reasonReference MÜSSEN nach OR-Logik in der Ausgabe verwendet werden, d.h. nur eines MUSS geliefert werden können. Weiterhin MÜSSEN beide Elemente interpretiert werden können. Begründung zu Must-Support: Konsolidierung mit MII. This is a reference to a condition or observation that is the reason for the medication order. If only a code exists, use reasonCode. |
| Control | 0..* |
| Type | Reference(Condition, Observation) |
| Is Modifier | false |
| Must Support | true |
| Must Support Types | No must-support rules about the choice of types/profiles |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 92. MedicationRequest.reasonReference.reference | |
| Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. |
| Short | Literal reference, Relative, internal or absolute URL |
| Comments | Begründung des Must-Support: Referenz auf die Diagnose oder Untersuchung, die die Medikation begründet. Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. |
| Control | 10..1 This element is affected by the following invariants: ref-1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 94. MedicationRequest.note | |
| Definition | Extra information about the prescription that could not be conveyed by the other attributes. |
| Short | Zusätzliche Anmerkungen zur MedikationInformation about the prescription |
| Comments | Begründung des Must-Support: Fachlich relevante Zusatzinformationen |
| Control | 0..* |
| Type | Annotation |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 96. MedicationRequest.note.text | |
| Definition | The text of the annotation in markdown format. |
| Short | Freitext-NotizThe annotation - text content (as markdown) |
| Comments | Begründung des Must-Support: Angabe zusätzlicher Informationen kann fachlich relevant sein |
| Control | 1..1 |
| Type | markdown |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 98. MedicationRequest.dosageInstruction | |
| Definition | Indicates how the medication is to be used by the patient. |
| Short | DosierungsangabenHow the medication should be taken |
| Comments | Begründung des Must-Support: Basisinformation. Zur vollständig strukturierten Abbildung der zahlreichen Möglichkeiten sind die hier mit Must-Support gekennzeichneten Unterelemente erforderlich gemäß Konsens der ISiK AG Medikation. Hinweis: Zahlreiche Beispiele zur Dosierungsanweisung sind im Implementierungsleitfaden Medikament von HL7 Deutschland dokumentiert. 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. |
| Control | 0..* |
| Type | Dosage(Dosage DE) |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) isik-dosage-as-needed-for: Wenn Indikationen für eine Bedarfsmedikation angegeben sind, MUSS asNeededBoolean vorhanden und true sein. ( extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').empty() or asNeededBoolean = true) |
| 100. MedicationRequest.dosageInstruction.extension | |
| Definition | 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. |
| Short | Indikation für die BedarfsmedikationAdditional content defined by implementations |
| Comments | Begründung des Must-Support: Ermöglicht die Angabe mehrerer Indikationen für die Bedarfsmedikation, z.B. 'Schmerzen', 'Fieber', 'Hustenreiz' etc. Diese Bedingungen sind ODER verknüpft, d.h. die Bedarfsmedikation soll bei Vorliegen einer ODER mehrerer dieser Bedingungen angewendet werden. 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.dosageInstruction.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 102. MedicationRequest.dosageInstruction.extension.extension | |
| Definition | 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. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | 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. |
| Control | 0..0* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.dosageInstruction.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 104. MedicationRequest.dosageInstruction.extension.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Short | identifies the meaning of the extension |
| Comments | 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. |
| Control | 1..1 |
| Type | uri |
| Is Modifier | false |
| XML Format | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 106. MedicationRequest.dosageInstruction.extension.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 0..1 |
| Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| Slicing | This element introduces a set of slices on MedicationRequest.dosageInstruction.extension.value[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 108. MedicationRequest.dosageInstruction.extension.value[x]:valueCodeableConcept | |
| Slice Name | valueCodeableConcept |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Short | Value of extension |
| Control | 0..1 |
| Type | CodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ParameterDefinition, dateTime, code, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 110. MedicationRequest.dosageInstruction.extension.value[x]:valueCodeableConcept.text | |
| Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. |
| Short | Indikation für die Bedarfsmedikation (Freitext)Plain text representation of the concept |
| Comments | Begründung des Must-Support: Ermöglicht die Angabe einer Indikation für die Bedarfsmedikation in Freitextform, eine Kodierung ist nicht verpflichtend. Es wird jedoch empfohlen, die Indikation zusätzlich in kodierter Form anzugeben, um die Interoperabilität zu erhöhen. Very often the text is the same as a displayName of one of the codings. |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | 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())) |
| 112. MedicationRequest.dosageInstruction.extension:asNeededFor | |
| Slice Name | asNeededFor |
| Definition | Optional Extension Element - found in all resources. |
| Short | Optional Extensions Element |
| Control | 0..* |
| Type | Extension(Dosage AsNeededFor) (Extension Type: CodeableConcept) |
| Is Modifier | false |
| Must Support | true |
| Summary | 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()) |
| 114. MedicationRequest.dosageInstruction.modifierExtension | |
| Definition | 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). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | 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. |
| Alternate Names | 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.text | |
| Definition | Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Stück bei Bedarf'. Als Quelle dient hier ausschließlich der Arzt oder Apotheker Free text dosage instructions e.g. SIG. |
| Short | Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Stück bei Bedarf'Free text dosage instructions e.g. SIG |
| Comments | Festlegung zum Must-Support: Die Verarbeitung MUSS unterstützt werden, indem empfangende Systeme die Freitext-Dosierungsinformation entweder direkt in der Textform persistieren, ODER die Informationen in eine alternative (strukturierte) Form umwandeln (ggf. unter Einwirkung geeigneter Nutzer). Im letzteren Fall KANN auf eine Persistierung in Textform verzichtet werden, um Inkonsistenzen zu vermeiden. |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | 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())) |
| 118. MedicationRequest.dosageInstruction.patientInstruction | |
| Definition | Instructions in terms that are understood by the patient or consumer. |
| Short | besondere Anweisungen für den PatientenPatient or consumer oriented instructions |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 120. MedicationRequest.dosageInstruction.timing | |
| Definition | Wann das Medikament verabreicht werden soll. When medication should be administered. |
| Short | Wann das Medikament verabreicht werden sollWhen medication should be administered |
| Comments | Um widersprüchliche Anweisungen zu vermeiden, ist entweder Dosage.timing oder Dosage.text zu befüllen. Falls eine strukturierte Dosierung als Text abgebildet werden soll ist dafür die GeneratedDosageInstructionsMeta Extension zu verwenden. 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. |
| Control | 0..1 |
| Type | Timing(Timing DE) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | 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())) |
| 122. MedicationRequest.dosageInstruction.timing.modifierExtension | |
| Definition | 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). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | 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. |
| Alternate Names | 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()) |
| 124. MedicationRequest.dosageInstruction.timing.event | |
| Definition | Identifies specific times when the event occurs. |
| Short | fester ZeitpunktWhen the event occurs |
| Control | 0..* |
| Type | dateTime |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | 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())) |
| 126. MedicationRequest.dosageInstruction.timing.repeat | |
| Definition | Eine Menge von Regeln, die beschreiben, wann das Ereignis geplant ist. A set of rules that describe when the event is scheduled. |
| Short | Wiederholungs-AngabenWhen the event is to occur |
| Control | 0..1 |
| Type | Element |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | 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())TimingSingleDosageForTimeOfDay: Wenn nur timeOfDay verwendet wird und täglich dosiert wird, ist die Angabe in einem einzigen Dosage-Element zu modellieren. Mehrere Dosage-Elemente sind nur zulässig, wenn sich die Dosis (Wert) unterscheidet. ( (
%resource.ofType(MedicationRequest).dosageInstruction
| %resource.ofType(MedicationDispense).dosageInstruction
| %resource.ofType(MedicationStatement).dosage
).all(
(
timing.repeat.dayOfWeek.empty() and
timing.repeat.timeOfDay.exists() and
timing.repeat.when.empty() and
(timing.repeat.period.exists() and timing.repeat.period = 1) and
(timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd')
)
implies
(
(
(
%resource.ofType(MedicationRequest).dosageInstruction
| %resource.ofType(MedicationDispense).dosageInstruction
| %resource.ofType(MedicationStatement).dosage
).where(
timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd')
).count() = 1
)
or
(
(
%resource.ofType(MedicationRequest).dosageInstruction
| %resource.ofType(MedicationDispense).dosageInstruction
| %resource.ofType(MedicationStatement).dosage
).where(
timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd')
).doseAndRate.dose.ofType(Quantity).value.distinct().count() > 1
)
)
))TimingSingleDosageForWhen: Wenn nur when verwendet wird und täglich dosiert wird, ist die Angabe in einem einzigen Dosage-Element zu modellieren. Mehrere Dosage-Elemente sind nur zulässig, wenn sich die Dosis (Wert) unterscheidet. ( (
%resource.ofType(MedicationRequest).dosageInstruction
| %resource.ofType(MedicationDispense).dosageInstruction
| %resource.ofType(MedicationStatement).dosage
).all(
(
timing.repeat.dayOfWeek.empty() and
timing.repeat.when.exists() and
timing.repeat.timeOfDay.empty() and
(timing.repeat.period.exists() and timing.repeat.period = 1) and
(timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd')
)
implies
(
(
(
%resource.ofType(MedicationRequest).dosageInstruction
| %resource.ofType(MedicationDispense).dosageInstruction
| %resource.ofType(MedicationStatement).dosage
).where(
timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd')
).count() = 1
)
or
(
(
%resource.ofType(MedicationRequest).dosageInstruction
| %resource.ofType(MedicationDispense).dosageInstruction
| %resource.ofType(MedicationStatement).dosage
).where(
timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd')
).doseAndRate.dose.ofType(Quantity).value.distinct().count() > 1
)
)
))TimingBoundsUnitMatchesCode: boundsDuration.unit muss zur UCUM boundsDuration.code passen (z. B. 'Woche(n)' nur mit code='wk'). ( bounds.ofType(Duration).exists().not() or (
(
bounds.ofType(Duration).code = 'd'
implies
(
bounds.ofType(Duration).unit = 'Tag(e)' or
bounds.ofType(Duration).unit = 'Tag' or
bounds.ofType(Duration).unit = 'Tage'
)
) and (
bounds.ofType(Duration).code = 'wk'
implies
(
bounds.ofType(Duration).unit = 'Woche(n)' or
bounds.ofType(Duration).unit = 'Woche' or
bounds.ofType(Duration).unit = 'Wochen'
)
) and (
bounds.ofType(Duration).code = 'mo'
implies
(
bounds.ofType(Duration).unit = 'Monat(e)' or
bounds.ofType(Duration).unit = 'Monat' or
bounds.ofType(Duration).unit = 'Monate'
)
) and (
bounds.ofType(Duration).code = 'a'
implies
(
bounds.ofType(Duration).unit = 'Jahr(e)' or
bounds.ofType(Duration).unit = 'Jahr' or
bounds.ofType(Duration).unit = 'Jahre'
)
)
))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()) |
| 128. MedicationRequest.dosageInstruction.timing.repeat.bounds[x] | |
| Definition | Entweder eine Dauer für die Länge des Zeitplans, ein Bereich möglicher Längen oder äußere Begrenzungen für Start- und/oder Endgrenzen des Zeitplans. 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. |
| Short | Länge/Bereich der Längen oder (Start- und/oder End-)GrenzenLength/Range of lengths, or (Start and/or end) limits |
| Comments | tbd |
| Control | 0..1 |
| Type | Choice of: Duration, Range, Period |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Must Support | true |
| Must Support Types | No must-support rules about the choice of types/profiles |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| Slicing | This element introduces a set of slices on MedicationRequest.dosageInstruction.timing.repeat.bounds[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
| 130. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration | |
| Slice Name | boundsDuration |
| Definition | 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. |
| Short | Begrenzung der DauerLength/Range of lengths, or (Start and/or end) limits |
| Control | 0..1 |
| Type | Duration, Period, Range |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Pattern Value | { |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 132. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.value | |
| Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value. |
| Short | Numerical value (with implicit precision) |
| Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). |
| Control | 10..1 |
| Type | decimal |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Precision is handled implicitly in almost all cases of measurement. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 134. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.comparator | |
| Definition | How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. |
| Short | < | <= | >= | > - how to understand the value |
| Control | 0..1 |
| Binding | The codes SHALL be taken from QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)How the Quantity should be understood and represented. |
| Type | code |
| Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. |
| Meaning if Missing | If there is no comparator, then there is no modification of the value |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 136. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.unit | |
| Definition | A human-readable form of the unit. |
| Short | Unit representation |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 138. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.system | |
| Definition | The identification of the system that provides the coded form of the unit. |
| Short | UCUM-Einheit für die DauerSystem that defines coded unit form |
| Comments | Die UCUM-Einheit für die Dauer, z. B. d für Tag, h für Stunde, min für Minute. |
| Control | 10..1 This element is affected by the following invariants: qty-3 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need to know the system that defines the coded form of the unit. |
| Fixed Value | http://unitsofmeasure.org |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 140. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.code | |
| Definition | A computer processable form of the unit in some unit representation system. |
| Short | Coded form of the unit |
| Comments | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. |
| Control | 10..1 |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 142. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange | |
| Slice Name | boundsRange |
| Definition | Entweder eine Dauer für die Länge des Zeitplans, ein Bereich möglicher Längen oder äußere Begrenzungen für Start- und/oder Endgrenzen des Zeitplans. 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. |
| Short | Bereich für die BegrenzungLength/Range of lengths, or (Start and/or end) limits |
| Comments | tbd |
| Control | 0..1 |
| Type | Range, Period, Duration |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 144. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low | |
| Definition | The low limit. The boundary is inclusive. |
| Short | Low limit |
| Comments | If the low element is missing, the low boundary is not known. |
| Control | 0..1 |
| Type | Quantity(SimpleQuantity) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Pattern Value | { |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 146. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.value | |
| Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value. |
| Short | Numerical value (with implicit precision) |
| Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). |
| Control | 10..1 |
| Type | decimal |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Precision is handled implicitly in almost all cases of measurement. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 148. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.comparator | |
| Definition | Not allowed to be used in this context How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. |
| Short | < | <= | >= | > - how to understand the value |
| Control | 0..01 |
| Binding | The codes SHALL be taken from QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)How the Quantity should be understood and represented. |
| Type | code |
| Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. |
| Meaning if Missing | If there is no comparator, then there is no modification of the value |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 150. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.unit | |
| Definition | A human-readable form of the unit. |
| Short | Unit representation |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 152. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.system | |
| Definition | The identification of the system that provides the coded form of the unit. |
| Short | System that defines coded unit form |
| Control | 10..1 This element is affected by the following invariants: qty-3 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need to know the system that defines the coded form of the unit. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 154. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.code | |
| Definition | A computer processable form of the unit in some unit representation system. |
| Short | Coded form of the unit |
| Comments | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. |
| Control | 10..1 |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 156. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high | |
| Definition | The high limit. The boundary is inclusive. |
| Short | High limit |
| Comments | If the high element is missing, the high boundary is not known. |
| Control | 0..1 |
| Type | Quantity(SimpleQuantity) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Pattern Value | { |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 158. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.value | |
| Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value. |
| Short | Numerical value (with implicit precision) |
| Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). |
| Control | 10..1 |
| Type | decimal |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Precision is handled implicitly in almost all cases of measurement. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 160. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.comparator | |
| Definition | Not allowed to be used in this context How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. |
| Short | < | <= | >= | > - how to understand the value |
| Control | 0..01 |
| Binding | The codes SHALL be taken from QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)How the Quantity should be understood and represented. |
| Type | code |
| Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. |
| Meaning if Missing | If there is no comparator, then there is no modification of the value |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 162. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.unit | |
| Definition | A human-readable form of the unit. |
| Short | Unit representation |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 164. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.system | |
| Definition | The identification of the system that provides the coded form of the unit. |
| Short | System that defines coded unit form |
| Control | 10..1 This element is affected by the following invariants: qty-3 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need to know the system that defines the coded form of the unit. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 166. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.code | |
| Definition | A computer processable form of the unit in some unit representation system. |
| Short | Coded form of the unit |
| Comments | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. |
| Control | 10..1 |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 168. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod | |
| Slice Name | boundsPeriod |
| Definition | Entweder eine Dauer für die Länge des Zeitplans, ein Bereich möglicher Längen oder äußere Begrenzungen für Start- und/oder Endgrenzen des Zeitplans. 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. |
| Short | begrenzender ZeitraumLength/Range of lengths, or (Start and/or end) limits |
| Comments | tbd |
| Control | 0..1 |
| Type | Period, Duration, Range |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 170. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.start | |
| Definition | The start of the period. The boundary is inclusive. |
| Short | Starting time with inclusive boundary |
| Comments | If the low element is missing, the meaning is that the low boundary is not known. |
| Control | 0..1 This element is affected by the following invariants: per-1 |
| Type | dateTime |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 172. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.end | |
| Definition | The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time. |
| Short | End time with inclusive boundary, if not ongoing |
| Comments | The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03. |
| Control | 0..1 This element is affected by the following invariants: per-1 |
| Type | dateTime |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Meaning if Missing | If the end of the period is missing, it means that the period is ongoing |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 174. MedicationRequest.dosageInstruction.timing.repeat.count | |
| Definition | 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. |
| Short | Anzahl WiederholungenNumber of times to repeat |
| Comments | If you have both bounds and count, then this should be understood as within the bounds period, until count times happens. |
| Control | 0..1 |
| Type | positiveInt |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | 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())) |
| 176. MedicationRequest.dosageInstruction.timing.repeat.countMax | |
| Definition | If present, indicates that the count is a range - so to perform the action between [count] and [countMax] times. |
| Short | maximale Anzahl WiederholungenMaximum number of times to repeat |
| Control | 0..1 |
| Type | positiveInt |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 178. MedicationRequest.dosageInstruction.timing.repeat.duration | |
| Definition | 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. |
| Short | Dauer der VerabreichungHow long when it happens |
| Comments | 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). |
| Control | 0..1 |
| Type | decimal |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | 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())) |
| 180. MedicationRequest.dosageInstruction.timing.repeat.durationMax | |
| Definition | If present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length. |
| Short | maximale Dauer der VerabreichungHow long when it happens (Max) |
| Comments | 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). |
| Control | 0..1 |
| Type | decimal |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | 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())) |
| 182. MedicationRequest.dosageInstruction.timing.repeat.durationUnit | |
| Definition | The units of time for the duration, in UCUM units. |
| Short | Einheit der Dauers | min | h | d | wk | mo | a - unit of time (UCUM) |
| Control | 0..1 |
| Binding | The codes SHALL be taken from UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 (required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1)A unit of time (units from UCUM). |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 184. MedicationRequest.dosageInstruction.timing.repeat.frequency | |
| Definition | Die Anzahl der Wiederholungen innerhalb des angegebenen Zeitraums. Falls frequencyMax vorhanden ist, gibt dieses Element die Untergrenze des zulässigen Bereichs der Häufigkeit an. 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. |
| Short | Frequenz (Anzahl der Gaben pro Periode)Event occurs frequency times per period |
| Control | 0..1 |
| Type | positiveInt |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Meaning if Missing | 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())) |
| 186. MedicationRequest.dosageInstruction.timing.repeat.frequencyMax | |
| Definition | If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range. |
| Short | maximale FrequenzEvent occurs up to frequencyMax times per period |
| Control | 0..1 |
| Type | positiveInt |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 188. MedicationRequest.dosageInstruction.timing.repeat.period | |
| Definition | Gibt die Zeitspanne an, über die die Wiederholungen stattfinden sollen; z. B. um „3-mal täglich“ auszudrücken, wäre 3 die Häufigkeit und „1 Tag“ der Zeitraum. Falls periodMax vorhanden ist, gibt dieses Element die Untergrenze des zulässigen Bereichs der Zeitspanne an. 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. |
| Short | Zeitperiode zur FrequenzEvent occurs frequency times per period |
| Control | 0..1 |
| Type | decimal |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 190. MedicationRequest.dosageInstruction.timing.repeat.periodMax | |
| Definition | 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. |
| Short | maximale Zeitperiode zur FrequenzUpper limit of period (3-4 hours) |
| Control | 0..1 |
| Type | decimal |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 192. MedicationRequest.dosageInstruction.timing.repeat.periodUnit | |
| Definition | Die Zeiteinheit für den Zeitraum, in UCUM-Einheiten. The units of time for the period in UCUM units. |
| Short | Einheit der Zeitperiodes | min | h | d | wk | mo | a - unit of time (UCUM) |
| Control | 0..1 |
| Binding | The codes SHALL be taken from UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 (required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1)A unit of time (units from UCUM). |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 194. MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek | |
| Definition | Wenn ein oder mehrere Wochentage angegeben sind, findet die Aktion nur an den angegebenen Tagen statt. If one or more days of week is provided, then the action happens only on the specified day(s). |
| Short | Wochentagmon | tue | wed | thu | fri | sat | sun |
| Comments | Wenn keine Tage angegeben sind, wird angenommen, dass die Aktion an jedem Tag wie sonst angegeben stattfindet. 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. |
| Control | 0..* |
| Binding | The codes SHALL be taken from DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|4.0.1 (required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1) |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 196. MedicationRequest.dosageInstruction.timing.repeat.timeOfDay | |
| Definition | Angegebene Tageszeit, zu der die Aktion stattfinden soll. Specified time of day for action to take place. |
| Short | TageszeitTime of day for action |
| Comments | Wenn eine Tageszeit angegeben ist, wird angenommen, dass die Aktion jeden Tag (ggf. gefiltert durch dayOfWeek) zu den angegebenen Zeiten stattfindet. 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. |
| Control | 0..* |
| Type | time |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 198. MedicationRequest.dosageInstruction.timing.repeat.when | |
| Definition | Ein ungefährer Zeitraum während des Tages, der möglicherweise mit einem Ereignis des täglichen Lebens verknüpft ist und angibt, wann die Aktion stattfinden soll. An approximate time period during the day, potentially linked to an event of daily living that indicates when the action should occur. |
| Short | Tageszeitpunkt codiertCode for time period of occurrence |
| Comments | Wenn mehr als ein Ereignis angegeben ist, bezieht sich das Ereignis auf die Vereinigung der angegebenen Ereignisse. When more than one event is listed, the event is tied to the union of the specified events. |
| Control | 0..* |
| Binding | The codes SHALL be taken from EventTiminghttp://hl7.org/fhir/ValueSet/event-timing|4.0.1 (required to http://hl7.org/fhir/ValueSet/event-timing|4.0.1)Real world event relating to the schedule. |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | 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())) |
| 200. MedicationRequest.dosageInstruction.timing.repeat.offset | |
| Definition | 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. |
| Short | zeitlicher Abstand der Gabe zum beschriebenen ZeitpunktMinutes from event (before or after) |
| Control | 0..1 |
| Type | unsignedInt |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 202. MedicationRequest.dosageInstruction.asNeeded[x] | |
| Definition | 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). |
| Short | Bedarfsmedikation (ja/nein)Take "as needed" (for x) |
| Comments | Begründung des Must-Support: Abbildung einer Bedarfsmedikation. 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". |
| Control | 0..1 |
| Type | boolean, CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 204. MedicationRequest.dosageInstruction.site | |
| Definition | Body site to administer to. |
| Short | Körperstelle der VerabreichungBody site to administer to |
| Comments | 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. |
| Control | 0..1 |
| Binding | For example codes, see SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codes|4.0.1 (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 |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | 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())) |
| 206. MedicationRequest.dosageInstruction.site.coding | |
| Definition | A reference to a code defined by a terminology system. |
| Short | Code defined by a terminology system |
| Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
| Control | 0..* |
| Type | Coding |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | 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())) |
| Slicing | This element introduces a set of slices on MedicationRequest.dosageInstruction.site.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 208. MedicationRequest.dosageInstruction.site.coding:SNOMED-CT | |
| Slice Name | SNOMED-CT |
| Definition | A reference to a code defined by a terminology system. |
| Short | Code defined by a terminology system |
| Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
| Control | 0..1* |
| Type | Coding(ISiKSnomedCTCoding) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
| Pattern Value | { |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 210. MedicationRequest.dosageInstruction.site.text | |
| Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. |
| Short | Plain text representation of the concept |
| Comments | Very often the text is the same as a displayName of one of the codings. |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | 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())) |
| 212. MedicationRequest.dosageInstruction.route | |
| Definition | How drug should enter body. |
| Short | RouteHow drug should enter body |
| Control | 0..1 |
| Binding | For example codes, see SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codes|4.0.1 (example to http://hl7.org/fhir/ValueSet/route-codes|4.0.1)A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. |
| Type | CodeableConcept |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | 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())) |
| 214. MedicationRequest.dosageInstruction.route.coding | |
| Definition | A reference to a code defined by a terminology system. |
| Short | Code defined by a terminology system |
| Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
| Control | 0..* |
| Type | Coding |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | 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())) |
| Slicing | This element introduces a set of slices on MedicationRequest.dosageInstruction.route.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 216. MedicationRequest.dosageInstruction.route.coding:EDQM | |
| Slice Name | EDQM |
| Definition | A reference to a code defined by a terminology system. |
| Short | Code defined by a terminology system |
| Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
| Control | 0..1* |
| Binding | The codes SHALL be taken from For codes, see Medicine EDQM Route of Administration - IPS (required to http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration) |
| Type | Coding(ISiKCoding) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
| Pattern Value | { |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 218. MedicationRequest.dosageInstruction.route.coding:SNOMED-CT | |
| Slice Name | SNOMED-CT |
| Definition | A reference to a code defined by a terminology system. |
| Short | Code defined by a terminology system |
| Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
| Control | 0..1* |
| Binding | The codes SHALL be taken from For codes, see SctRouteOfAdministration (required to https://gematik.de/fhir/isik/ValueSet/SctRouteOfAdministration) |
| Type | Coding(ISiKSnomedCTCoding) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
| Pattern Value | { |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 220. MedicationRequest.dosageInstruction.route.text | |
| Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. |
| Short | Plain text representation of the concept |
| Comments | Very often the text is the same as a displayName of one of the codings. |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | 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())) |
| 222. MedicationRequest.dosageInstruction.doseAndRate | |
| Definition | Die verabreichte Menge des Medikaments. The amount of medication administered. |
| Short | Menge des verabreichten MedikamentsAmount of medication administered |
| Control | 0..* |
| Type | Element |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 224. MedicationRequest.dosageInstruction.doseAndRate.dose[x] | |
| Definition | Amount of medication per dose. |
| Short | Amount of medication per dose |
| Comments | 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. |
| Control | 0..1 |
| Type | Choice of: Range, Quantity(SimpleQuantity) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Summary | true |
| Requirements | 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 | This element introduces a set of slices on MedicationRequest.dosageInstruction.doseAndRate.dose[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
| 226. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity | |
| Slice Name | doseQuantity |
| Definition | Menge des Medikaments pro Dosis. Amount of medication per dose. |
| Short | DosisAmount of medication per dose |
| Comments | Das Must-Support-Flag auf doseQuantity bedeutet, dass produzierende Systeme zur Kodierung der Dosisangaben nach eigenem Ermessen entweder den Datentyp Quantity oder Ratio verwenden können. Beim Empfang und Verarbeitung der eingehenden Daten müssen dagegen beide Datentypen interpretiert werden können. 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. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from For codes, see Dosage DoseQuantity ValueSet (required to http://ig.fhir.de/igs/medication/ValueSet/DosageDoseQuantityDE) |
| Type | Quantity(SimpleQuantity, SimpleQuantity), Range |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | 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())) |
| 228. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.value | |
| Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value. |
| Short | DosiswertNumerical value (with implicit precision) |
| Comments | Begründung MS: Der Dosiswert ist notwendig, um die Dosisangabe korrekt interpretieren zu können. The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). |
| Control | 0..1 |
| Type | decimal |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Precision is handled implicitly in almost all cases of measurement. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 230. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.comparator | |
| Definition | Not allowed to be used in this context How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. |
| Short | < | <= | >= | > - how to understand the value |
| Control | 0..01 |
| Binding | The codes SHALL be taken from QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)How the Quantity should be understood and represented. |
| Type | code |
| Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. |
| Meaning if Missing | If there is no comparator, then there is no modification of the value |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 232. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.unit | |
| Definition | A human-readable form of the unit. |
| Short | Menschenlesbare Dosis-EinheitUnit representation |
| Comments | Begründung MS: Die menschenlesbare Dosis-Einheit ist notwendig, um die Dosisangabe korrekt interpretieren zu können. |
| Control | 0..1 |
| Type | string |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 234. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.system | |
| Definition | The identification of the system that provides the coded form of the unit. |
| Short | CodeSystem der DosisangabeSystem that defines coded unit form |
| Comments | Begründung MS: Das CodeSystem der Dosisangabe ist notwendig, um die Dosisangabe korrekt interpretieren zu können. |
| Control | 0..1 This element is affected by the following invariants: qty-3 |
| Type | uri |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need to know the system that defines the coded form of the unit. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 236. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.code | |
| Definition | A computer processable form of the unit in some unit representation system. |
| Short | Code der DosisangabeCoded form of the unit |
| Comments | Begründung MS: Der Code der Dosisangabe ist notwendig, um die Dosisangabe korrekt interpretieren zu können. The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. |
| Control | 0..1 |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | true |
| Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 238. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange | |
| Slice Name | doseRange |
| Definition | Amount of medication per dose. |
| Short | DosisbereichAmount of medication per dose |
| Comments | 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. |
| Control | 0..1 |
| Type | Range, Quantity(SimpleQuantity) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | 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())) |
| 240. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low | |
| Definition | The low limit. The boundary is inclusive. |
| Short | Low limit |
| Comments | If the low element is missing, the low boundary is not known. |
| Control | 0..1 |
| Type | Quantity(Medication Quantity Dose Form, SimpleQuantity) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 242. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high | |
| Definition | The high limit. The boundary is inclusive. |
| Short | High limit |
| Comments | If the high element is missing, the high boundary is not known. |
| Control | 0..1 |
| Type | Quantity(Medication Quantity Dose Form, SimpleQuantity) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 244. MedicationRequest.dosageInstruction.doseAndRate.rate[x] | |
| Definition | Amount of medication per unit of time. |
| Short | Amount of medication per unit of time |
| Comments | 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. |
| Control | 0..1 |
| Type | Choice of: Ratio, Range, Quantity(SimpleQuantity) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Summary | true |
| Requirements | 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 | This element introduces a set of slices on MedicationRequest.dosageInstruction.doseAndRate.rate[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
| 246. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio | |
| Slice Name | rateRatio |
| Definition | Amount of medication per unit of time. |
| Short | Raten-VerhältnisAmount of medication per unit of time |
| Comments | Das Must-Support-Flag auf rateRatio bzw. rateQuantity bedeutet, dass produzierende Systeme zur Kodierung der Ratenangaben nach eigenem Ermessen entweder den Datentyp Ratio oder Quantity verwenden können. Beim Empfang und Verarbeitung der eingehenden Daten müssen dagegen beide Datentypen interpretiert werden können. 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. |
| Control | 0..1 |
| Type | Ratio, Quantity(SimpleQuantity), Range |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | 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())) |
| 248. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator | |
| Definition | The value of the numerator. |
| Short | Numerator value |
| Control | 10..1 |
| Type | Quantity(Medication Quantity Dose Form) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 250. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator | |
| Definition | The value of the denominator. |
| Short | Denominator value |
| Control | 10..1 |
| Type | Quantity(Medication Quantity) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 252. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange | |
| Slice Name | rateRange |
| Definition | Amount of medication per unit of time. |
| Short | Raten-BereichAmount of medication per unit of time |
| Comments | 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. |
| Control | 0..1 |
| Type | Range, Quantity(SimpleQuantity), Ratio |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | 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())) |
| 254. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.low | |
| Definition | The low limit. The boundary is inclusive. |
| Short | Low limit |
| Comments | If the low element is missing, the low boundary is not known. |
| Control | 0..1 |
| Type | Quantity(Medication Quantity Dose Form, SimpleQuantity) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 256. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.high | |
| Definition | The high limit. The boundary is inclusive. |
| Short | High limit |
| Comments | If the high element is missing, the high boundary is not known. |
| Control | 0..1 |
| Type | Quantity(Medication Quantity Dose Form, SimpleQuantity) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 258. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantity | |
| Slice Name | rateQuantity |
| Definition | Amount of medication per unit of time. |
| Short | RateAmount of medication per unit of time |
| Comments | Das Must-Support-Flag auf rateRatio bzw. rateQuantity bedeutet, dass produzierende Systeme zur Kodierung der Ratenangaben nach eigenem Ermessen entweder den Datentyp Ratio oder Quantity verwenden können. Beim Empfang und Verarbeitung der eingehenden Daten müssen dagegen beide Datentypen interpretiert werden können. 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. |
| Control | 0..1 |
| Type | Quantity(Medication Quantity, SimpleQuantity), Ratio, Range |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | 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())) |
| 260. MedicationRequest.dosageInstruction.maxDosePerPeriod | |
| Definition | Upper limit on medication per unit of time. |
| Short | Maximaldosis (Zähler) pro Zeitraum (Nenner)Upper limit on medication per unit of time |
| Comments | 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". |
| Control | 0..1 |
| Type | Ratio |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | 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())) |
| 262. MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator | |
| Definition | The value of the numerator. |
| Short | Numerator value |
| Control | 10..1 |
| Type | Quantity(Medication Quantity Dose Form) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 264. MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator | |
| Definition | The value of the denominator. |
| Short | Denominator value |
| Control | 10..1 |
| Type | Quantity(Medication Quantity) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 266. MedicationRequest.dosageInstruction.maxDosePerAdministration | |
| Definition | Upper limit on medication per administration. |
| Short | Maximaldosis pro VerabreichungUpper limit on medication per administration |
| Comments | 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. |
| Control | 0..1 |
| Type | Quantity(Medication Quantity Dose Form, SimpleQuantity) |
| Is Modifier | false |
| Must Support | true |
| Summary | true |
| Requirements | 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())) |
| 268. MedicationRequest.dispenseRequest | |
| Definition | 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. |
| Short | angeforderte AbgabemengeMedication supply authorization |
| Comments | Begründung des Must-Support: Basisinformation |
| Control | 0..1 |
| Type | BackboneElement |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 270. MedicationRequest.dispenseRequest.modifierExtension | |
| Definition | 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). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | 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. |
| Alternate Names | 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()) |
| 272. MedicationRequest.dispenseRequest.quantity | |
| Definition | The amount that is to be dispensed for one fill. |
| Short | angeforderte AbgabemengeAmount of medication to supply per dispense |
| Comments | Begründung des Must-Support: Basisinformation |
| Control | 0..1 |
| Type | Quantity(Medication Quantity Dose Form, SimpleQuantity) |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 274. MedicationRequest.substitution | |
| Definition | 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. |
| Short | Ersatz zulässigAny restrictions on medication substitution |
| Comments | Begründung des Must-Support: Alignment mit dem (E-)Rezept |
| Control | 0..1 |
| Type | BackboneElement |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 276. MedicationRequest.substitution.modifierExtension | |
| Definition | 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). |
| Short | Extensions that cannot be ignored even if unrecognized |
| Comments | 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. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
| Summary | true |
| Requirements | 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. |
| Alternate Names | 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()) |
| 278. MedicationRequest.substitution.allowed[x] | |
| Definition | True if the prescriber allows a different drug to be dispensed from what was prescribed. |
| Short | Whether substitution is allowed or not |
| Comments | This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored. |
| Control | 1..1 |
| Binding | For example codes, see V3 Value SetActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode (example to http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode)Identifies the type of substitution allowed. |
| Type | Choice of: boolean, CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| Slicing | This element introduces a set of slices on MedicationRequest.substitution.allowed[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 280. MedicationRequest.substitution.allowed[x]:allowedBoolean | |
| Slice Name | allowedBoolean |
| Definition | True if the prescriber allows a different drug to be dispensed from what was prescribed. |
| Short | Whether substitution is allowed or not |
| Comments | This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored. |
| Control | 01..1 |
| Type | boolean, CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 282. MedicationRequest.priorPrescription | |
| Definition | A link to a resource representing an earlier order related order or prescription. |
| Short | Vorherige Verordnung mit Bezug zur aktuellen VerordnungAn order/prescription that is being replaced |
| Comments | Begründung des Must-Support: Erforderlich zur Abbildung des fachlichen Zusammenhangs zwischen Verordnungen (z. B. Fortführung, Änderung oder Ersetzung) und zur Nachvollziehbarkeit der Medikationshistorie. |
| Control | 0..1 |
| Type | Reference(MedicationRequest) |
| Is Modifier | false |
| Must Support | true |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Guidance on how to interpret the contents of this table can be foundhere
| 0. MedicationRequest | |
| 2. MedicationRequest.id | |
| Short | serverseitige, interne ID des Datensatzes |
| Comments | bedingtes Pflichtfeld/bedingtes MS: Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine |
| Must Support | true |
| 4. MedicationRequest.meta | |
| 6. MedicationRequest.meta.versionId | |
| Short | Eindeutiger Name der serverseitigen Version des Datensatzes |
| Comments | Alle von einem Server bereitgestellten Ressourcen SOLLEN über eine |
| 8. MedicationRequest.meta.lastUpdated | |
| Short | Zeitpunkt der letzten Änderung |
| Comments | Alle von einem Server bereitgestellten Ressourcen SOLLEN über ein |
| 10. MedicationRequest.implicitRules | |
| Short | Verweis auf die Regeln, nach denen die Ressource erstellt wurde |
| Comments | Begründung Constraint: In ISiK existiert kein Use-Case für dieses Element. Da es sich um ein Modifying Element handelt, wird es daher ausgeschlossen. Darüber hinaus werden die Regeln als URI vorgehalten. Dies führt dazu, dass sich hinter der URI eine beliebige Menge an Regeln befinden kann; wodurch nicht sichergestellt werden kann, dass alle Clients die Regeln korrekt interpretieren können. |
| Control | 0..0 |
| 12. MedicationRequest.extension | |
| Must Support | true |
| Slicing | This element introduces a set of slices on MedicationRequest.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 14. MedicationRequest.extension:acceptedRisk | |
| Slice Name | acceptedRisk |
| Short | akzeptiertes (in Kauf genommenes) Risiko |
| Comments | Begründung des Must-Support: Folgeinformation der AMTS-Bewertung, sollte auch an nachfolgende Behandelnde übermittelbar sein Hinweis: Hier kann ein im Rahmen der Medikation festgestelltes, aber in Kauf genommenes Risiko dokumentiert werden, speziell auch die Begründung und ggf. erforderliche Begleitmaßnahmen. |
| Control | 0..1 |
| Type | Extension(ISiK Accepted Risk) (Extension Type: string) |
| Must Support | true |
| 16. MedicationRequest.extension:acceptedRisk.value[x] | |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Must Support | true |
| 18. MedicationRequest.extension:medikationsart | |
| Slice Name | medikationsart |
| Short | Therapieart der Medikation |
| Comments | Begründung des Must-Support: von der Fachseite gewünschte Angabe Hinweis: Angabe Akut- oder Dauermedikation. |
| Control | 0..1 |
| Type | Extension(ISiK Medikationsart) (Extension Type: Coding) |
| Must Support | true |
| 20. MedicationRequest.extension:medikationsart.value[x] | |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 22. MedicationRequest.extension:medikationsart.value[x].system | |
| Must Support | true |
| 24. MedicationRequest.extension:medikationsart.value[x].code | |
| Must Support | true |
| 26. MedicationRequest.extension:medikationsart.value[x].display | |
| Must Support | true |
| 28. MedicationRequest.extension:behandlungsziel | |
| Slice Name | behandlungsziel |
| Short | Behandlungsziel (textuell) |
| Comments | Begründung des Must-Support: von der Fachseite gewünschte Angabe Hinweis: Freitext-Beschreibung des Behandlungsziels. |
| Control | 0..1 |
| Type | Extension(ISiK Behandlungsziel) (Extension Type: string) |
| Must Support | true |
| 30. MedicationRequest.extension:behandlungsziel.value[x] | |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Must Support | true |
| 32. MedicationRequest.status | |
| Short | Status der Verordnungsinformation |
| Comments | Begründung des Must-Support: Erforderliche Angabe im FHIR-Standard. Hinweis für Implementierende: Im Falle einer create-Operation kann der Server den .code in .status zunächst auf 'on-hold' setzen, z. B. im Falle einer asynchronen Prüfung, die im Rahmen einer textuellen Übergabe möglich ist. Ggf. kann hier zusätzlich ein Mechanismus etabliert werden, der eine anschließende Änderung des Status an den Client kommuniziert. Der Server kann zusätzlich den .code in .statusReason auf 'clarif' setzen ('Clarification is required before the order can be acted upon.'), um anzuzeigen, dass eine Klärung erforderlich ist, bevor die Verordnung ausgeführt werden kann. |
| Must Support | true |
| 34. MedicationRequest.intent | |
| Short | Ziel der Verordnungsinformation |
| Comments | Begründung des Must-Support: Erforderliche Angabe im FHIR-Standard Hinweis: i.d.R. 'order' |
| Must Support | true |
| 36. MedicationRequest.doNotPerform | |
| Short | Nicht durchführen |
| Comments | Begründung MS: Die Kennzeichnung als Must-Support erfolgt, da es sich um ein als Modifier-Element markiertes Feld in der Kernspezifikation handelt. Und wegen der Kompatibilität mit eRezept und ePA Profilen, welche die Angabe von 'doNotPerform' nicht verbieten. |
| Must Support | true |
| 38. MedicationRequest.medication[x] | |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Slicing | This element introduces a set of slices on MedicationRequest.medication[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 40. MedicationRequest.medication[x]:medicationCodeableConcept | |
| Slice Name | medicationCodeableConcept |
| Short | Medikament in codierter Form oder ggf. als Freitext |
| Comments | Begründung des Must-Support: Basisinformation Hinweis: kann verwendet werden, wenn keine detaillierten Informationen zum Medikament (z.B. Rezepturen) existieren. |
| Control | 0..1 |
| Type | CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Must Support | true |
| 42. MedicationRequest.medication[x]:medicationCodeableConcept.coding | |
| Must Support | true |
| Slicing | This element introduces a set of slices on MedicationRequest.medication[x].coding. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 44. MedicationRequest.medication[x]:medicationCodeableConcept.coding:PZN | |
| Slice Name | PZN |
| Comments | Mehrfachcodierung ist zulässig, da für ein abstraktes Medikament auch mehrere PZN-Codes existieren können, z.B. existieren für Aspirin 3 verschiedene Packungsgrößen. |
| Control | 0..* |
| Type | Coding(ISiKPZNCoding) |
| Must Support | true |
| Pattern Value | { |
| 46. MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATC-DE | |
| Slice Name | ATC-DE |
| Comments | Mehrfachcodierung ist zulässig, da für ein abstraktes Medikament auch mehrere ATC-Codes existieren können, z.B. existieren für Aspirin 4 verschiedene Codes, je nachdem wofür das Medikament angewendet wird. |
| Control | 0..* |
| Type | Coding(ISiKATCCoding) |
| Must Support | true |
| Pattern Value | { |
| 48. MedicationRequest.medication[x]:medicationCodeableConcept.coding:SCT | |
| Slice Name | SCT |
| Control | 0..1 |
| Type | Coding(ISiKSnomedCTCoding) |
| Must Support | true |
| Pattern Value | { |
| 50. MedicationRequest.medication[x]:medicationCodeableConcept.text | |
| Must Support | true |
| 52. MedicationRequest.medication[x]:medicationReference | |
| Slice Name | medicationReference |
| Short | Referenz auf das Medikament (Medication-Ressource) |
| Comments | Begründung des Must-Support: Basisinformation Hinweis: wird verwendet, wenn detaillierte Informationen zum Medikament vorliegen |
| Control | 0..1 |
| Type | Reference(Medication) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Must Support | true |
| 54. MedicationRequest.medication[x]:medicationReference.reference | |
| Control | 1..? |
| Must Support | true |
| 56. MedicationRequest.subject | |
| Short | Referenz auf den Patienten |
| Comments | Begründung des Must-Support: Basisinformation |
| Type | Reference(Patient) |
| Must Support | true |
| 58. MedicationRequest.subject.reference | |
| Short | Patienten-Link |
| Comments | Begründung MS: Die Verlinkung auf eine Patienten-Ressource dient der technischen Zuordnung der Dokumentation zu einem Patienten und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc. Im ISik Kontext MUSS die referenzierte Ressource konform zu ISiKPatient sein. Jenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden. |
| Control | 1..? |
| Must Support | true |
| 60. MedicationRequest.encounter | |
| Short | Referenz auf den Abteilungskontakt |
| Comments | Begründung des Must-Support: Basisinformation im Krankenhaus-Kontext |
| Must Support | true |
| 62. MedicationRequest.encounter.reference | |
| Comments | Begründung MS: Die Verlinkung auf eine Encounter-Ressource dient der technischen Zuordnung der Dokumentation zu einem Aufenthalt und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc. Im ISik Kontext MUSS die referenzierte Ressource konform zu ISiKKontaktGesundheitseinrichtung sein. Jenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden. |
| Control | 1..? |
| Must Support | true |
| 64. MedicationRequest.authoredOn | |
| Short | Erstellungsdatum der Verordnung |
| Comments | Begründung des Must-Support: Basisinformation |
| Must Support | true |
| 66. MedicationRequest.requester | |
| Short | Referenz auf die verordnende Person |
| Comments | Begründung des Must-Support: Nachvollziehbarkeit |
| Must Support | true |
| 68. MedicationRequest.requester.reference | |
| Control | 1..? |
| Must Support | true |
| 70. MedicationRequest.reasonCode | |
| Short | Grund der Medikation (codiert) |
| Comments | Festlegung zum MS: Die Elemente .reasonCode und .reasonReference MÜSSEN nach OR-Logik in der Ausgabe verwendet werden, d.h. nur eines MUSS geliefert werden können. Weiterhin MÜSSEN beide Elemente interpretiert werden können. Begründung zu Must-Support: Konsolidierung mit MII Profil: https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationRequest |
| Must Support | true |
| 72. MedicationRequest.reasonCode.coding | |
| Comments | Begründung des Must-Support: Falls der Grund kodierbar ist, sollte er auch kodiert werden. |
| Must Support | true |
| 74. MedicationRequest.reasonCode.coding.system | |
| Comments | Begründung des Must-Support und Kardinalität: Ein Coding Element benötigt immer ein System um die Bedeutung des Codes zu definieren. |
| Control | 1..? |
| Must Support | true |
| 76. MedicationRequest.reasonCode.coding.code | |
| Comments | Begründung des Must-Support und Kardinalität: Ein Coding Element benötigt immer einen Code um die Bedeutung des Codes zu definieren. |
| Control | 1..? |
| Must Support | true |
| 78. MedicationRequest.reasonCode.coding.display | |
| Comments | Begründung des Must-Support: Ein Display Element ist für die Lesbarkeit der Information notwendig. |
| Must Support | true |
| 80. MedicationRequest.reasonCode.text | |
| Must Support | true |
| 82. MedicationRequest.reasonReference | |
| Short | Grund der Medikation (Referenz) |
| Comments | Festlegung zum MS: Die Elemente .reasonCode und .reasonReference MÜSSEN nach OR-Logik in der Ausgabe verwendet werden, d.h. nur eines MUSS geliefert werden können. Weiterhin MÜSSEN beide Elemente interpretiert werden können. Begründung zu Must-Support: Konsolidierung mit MII. |
| Must Support | true |
| 84. MedicationRequest.reasonReference.reference | |
| Comments | Begründung des Must-Support: Referenz auf die Diagnose oder Untersuchung, die die Medikation begründet. |
| Control | 1..? |
| Must Support | true |
| 86. MedicationRequest.note | |
| Short | Zusätzliche Anmerkungen zur Medikation |
| Comments | Begründung des Must-Support: Fachlich relevante Zusatzinformationen |
| Must Support | true |
| 88. MedicationRequest.note.text | |
| Short | Freitext-Notiz |
| Comments | Begründung des Must-Support: Angabe zusätzlicher Informationen kann fachlich relevant sein |
| Must Support | true |
| 90. MedicationRequest.dosageInstruction | |
| Short | Dosierungsangaben |
| Comments | Begründung des Must-Support: Basisinformation. Zur vollständig strukturierten Abbildung der zahlreichen Möglichkeiten sind die hier mit Must-Support gekennzeichneten Unterelemente erforderlich gemäß Konsens der ISiK AG Medikation. Hinweis: Zahlreiche Beispiele zur Dosierungsanweisung sind im Implementierungsleitfaden Medikament von HL7 Deutschland dokumentiert. |
| Type | Dosage(Dosage DE) |
| Must Support | true |
| Invariants | isik-dosage-as-needed-for: Wenn Indikationen für eine Bedarfsmedikation angegeben sind, MUSS asNeededBoolean vorhanden und true sein. (extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').empty() or asNeededBoolean = true) |
| 92. MedicationRequest.dosageInstruction.extension | |
| Short | Indikation für die Bedarfsmedikation |
| Comments | Begründung des Must-Support: Ermöglicht die Angabe mehrerer Indikationen für die Bedarfsmedikation, z.B. 'Schmerzen', 'Fieber', 'Hustenreiz' etc. Diese Bedingungen sind ODER verknüpft, d.h. die Bedarfsmedikation soll bei Vorliegen einer ODER mehrerer dieser Bedingungen angewendet werden. |
| 94. MedicationRequest.dosageInstruction.extension.extension | |
| Control | 0..0 |
| 96. MedicationRequest.dosageInstruction.extension.value[x] | |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Slicing | This element introduces a set of slices on MedicationRequest.dosageInstruction.extension.value[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 98. MedicationRequest.dosageInstruction.extension.value[x]:valueCodeableConcept | |
| Slice Name | valueCodeableConcept |
| Control | 0..1 |
| Type | CodeableConcept |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 100. MedicationRequest.dosageInstruction.extension.value[x]:valueCodeableConcept.text | |
| Short | Indikation für die Bedarfsmedikation (Freitext) |
| Comments | Begründung des Must-Support: Ermöglicht die Angabe einer Indikation für die Bedarfsmedikation in Freitextform, eine Kodierung ist nicht verpflichtend. Es wird jedoch empfohlen, die Indikation zusätzlich in kodierter Form anzugeben, um die Interoperabilität zu erhöhen. |
| Must Support | true |
| 102. MedicationRequest.dosageInstruction.extension:asNeededFor | |
| Slice Name | asNeededFor |
| Control | 0..* |
| Type | Extension(Dosage AsNeededFor) (Extension Type: CodeableConcept) |
| Must Support | true |
| 104. MedicationRequest.dosageInstruction.text | |
| Comments | Festlegung zum Must-Support: Die Verarbeitung MUSS unterstützt werden, indem empfangende Systeme die Freitext-Dosierungsinformation entweder direkt in der Textform persistieren, ODER die Informationen in eine alternative (strukturierte) Form umwandeln (ggf. unter Einwirkung geeigneter Nutzer). Im letzteren Fall KANN auf eine Persistierung in Textform verzichtet werden, um Inkonsistenzen zu vermeiden. |
| 106. MedicationRequest.dosageInstruction.patientInstruction | |
| Short | besondere Anweisungen für den Patienten |
| Must Support | true |
| 108. MedicationRequest.dosageInstruction.timing | |
| 110. MedicationRequest.dosageInstruction.timing.event | |
| Short | fester Zeitpunkt |
| Must Support | true |
| 112. MedicationRequest.dosageInstruction.timing.repeat | |
| Short | Wiederholungs-Angaben |
| 114. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration | |
| Slice Name | boundsDuration |
| Short | Begrenzung der Dauer |
| Type | Duration |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Pattern Value | { |
| 116. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.value | |
| Control | 1..? |
| 118. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.system | |
| Control | 1..? |
| 120. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.code | |
| Control | 1..? |
| 122. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange | |
| Slice Name | boundsRange |
| Short | Bereich für die Begrenzung |
| Control | 0..1 |
| Type | Range |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Must Support | true |
| 124. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low | |
| Must Support | true |
| Pattern Value | { |
| 126. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.value | |
| Control | 1..? |
| Must Support | true |
| 128. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.unit | |
| Must Support | true |
| 130. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.system | |
| Control | 1..? |
| Must Support | true |
| 132. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.code | |
| Control | 1..? |
| Must Support | true |
| 134. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high | |
| Must Support | true |
| Pattern Value | { |
| 136. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.value | |
| Control | 1..? |
| Must Support | true |
| 138. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.unit | |
| Must Support | true |
| 140. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.system | |
| Control | 1..? |
| Must Support | true |
| 142. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.code | |
| Control | 1..? |
| Must Support | true |
| 144. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod | |
| Slice Name | boundsPeriod |
| Short | begrenzender Zeitraum |
| Control | 0..1 |
| Type | Period |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Must Support | true |
| 146. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.start | |
| Must Support | true |
| 148. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.end | |
| Must Support | true |
| 150. MedicationRequest.dosageInstruction.timing.repeat.count | |
| Short | Anzahl Wiederholungen |
| Must Support | true |
| 152. MedicationRequest.dosageInstruction.timing.repeat.countMax | |
| Short | maximale Anzahl Wiederholungen |
| Must Support | true |
| 154. MedicationRequest.dosageInstruction.timing.repeat.duration | |
| Short | Dauer der Verabreichung |
| Must Support | true |
| 156. MedicationRequest.dosageInstruction.timing.repeat.durationMax | |
| Short | maximale Dauer der Verabreichung |
| Must Support | true |
| 158. MedicationRequest.dosageInstruction.timing.repeat.durationUnit | |
| Short | Einheit der Dauer |
| Must Support | true |
| 160. MedicationRequest.dosageInstruction.timing.repeat.frequency | |
| Short | Frequenz (Anzahl der Gaben pro Periode) |
| 162. MedicationRequest.dosageInstruction.timing.repeat.frequencyMax | |
| Short | maximale Frequenz |
| Must Support | true |
| 164. MedicationRequest.dosageInstruction.timing.repeat.period | |
| Short | Zeitperiode zur Frequenz |
| 166. MedicationRequest.dosageInstruction.timing.repeat.periodMax | |
| Short | maximale Zeitperiode zur Frequenz |
| Must Support | true |
| 168. MedicationRequest.dosageInstruction.timing.repeat.periodUnit | |
| Short | Einheit der Zeitperiode |
| 170. MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek | |
| Short | Wochentag |
| 172. MedicationRequest.dosageInstruction.timing.repeat.timeOfDay | |
| Short | Tageszeit |
| 174. MedicationRequest.dosageInstruction.timing.repeat.when | |
| Short | Tageszeitpunkt codiert |
| 176. MedicationRequest.dosageInstruction.timing.repeat.offset | |
| Short | zeitlicher Abstand der Gabe zum beschriebenen Zeitpunkt |
| Must Support | true |
| 178. MedicationRequest.dosageInstruction.asNeeded[x] | |
| Short | Bedarfsmedikation (ja/nein) |
| Comments | Begründung des Must-Support: Abbildung einer Bedarfsmedikation. |
| Type | boolean |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| 180. MedicationRequest.dosageInstruction.site | |
| Short | Körperstelle der Verabreichung |
| Must Support | true |
| 182. MedicationRequest.dosageInstruction.site.coding | |
| Must Support | true |
| Slicing | This element introduces a set of slices on MedicationRequest.dosageInstruction.site.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 184. MedicationRequest.dosageInstruction.site.coding:SNOMED-CT | |
| Slice Name | SNOMED-CT |
| Control | 0..1 |
| Type | Coding(ISiKSnomedCTCoding) |
| Must Support | true |
| Pattern Value | { |
| 186. MedicationRequest.dosageInstruction.site.text | |
| Must Support | true |
| 188. MedicationRequest.dosageInstruction.route | |
| Short | Route |
| Must Support | true |
| 190. MedicationRequest.dosageInstruction.route.coding | |
| Must Support | true |
| Slicing | This element introduces a set of slices on MedicationRequest.dosageInstruction.route.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 192. MedicationRequest.dosageInstruction.route.coding:EDQM | |
| Slice Name | EDQM |
| Control | 0..1 |
| Binding | The codes SHALL be taken from Medicine EDQM Route of Administration - IPS (required to http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration) |
| Type | Coding(ISiKCoding) |
| Must Support | true |
| Pattern Value | { |
| 194. MedicationRequest.dosageInstruction.route.coding:SNOMED-CT | |
| Slice Name | SNOMED-CT |
| Control | 0..1 |
| Binding | The codes SHALL be taken from SctRouteOfAdministration (required to https://gematik.de/fhir/isik/ValueSet/SctRouteOfAdministration) |
| Type | Coding(ISiKSnomedCTCoding) |
| Must Support | true |
| Pattern Value | { |
| 196. MedicationRequest.dosageInstruction.route.text | |
| Must Support | true |
| 198. MedicationRequest.dosageInstruction.doseAndRate | |
| 200. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity | |
| Slice Name | doseQuantity |
| Short | Dosis |
| Comments | Das Must-Support-Flag auf doseQuantity bedeutet, dass produzierende Systeme zur Kodierung der Dosisangaben nach eigenem Ermessen entweder den Datentyp Quantity oder Ratio verwenden können. Beim Empfang und Verarbeitung der eingehenden Daten müssen dagegen beide Datentypen interpretiert werden können. |
| Type | Quantity(SimpleQuantity) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| 202. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.value | |
| Short | Dosiswert |
| Comments | Begründung MS: Der Dosiswert ist notwendig, um die Dosisangabe korrekt interpretieren zu können. |
| Must Support | true |
| 204. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.unit | |
| Short | Menschenlesbare Dosis-Einheit |
| Comments | Begründung MS: Die menschenlesbare Dosis-Einheit ist notwendig, um die Dosisangabe korrekt interpretieren zu können. |
| Must Support | true |
| 206. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.system | |
| Short | CodeSystem der Dosisangabe |
| Comments | Begründung MS: Das CodeSystem der Dosisangabe ist notwendig, um die Dosisangabe korrekt interpretieren zu können. |
| Must Support | true |
| 208. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.code | |
| Short | Code der Dosisangabe |
| Comments | Begründung MS: Der Code der Dosisangabe ist notwendig, um die Dosisangabe korrekt interpretieren zu können. |
| Must Support | true |
| 210. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange | |
| Slice Name | doseRange |
| Short | Dosisbereich |
| Control | 0..1 |
| Type | Range |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Must Support | true |
| 212. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low | |
| Type | Quantity(Medication Quantity Dose Form) |
| Must Support | true |
| 214. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high | |
| Type | Quantity(Medication Quantity Dose Form) |
| Must Support | true |
| 216. MedicationRequest.dosageInstruction.doseAndRate.rate[x] | |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Slicing | This element introduces a set of slices on MedicationRequest.dosageInstruction.doseAndRate.rate[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 218. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio | |
| Slice Name | rateRatio |
| Short | Raten-Verhältnis |
| Comments | Das Must-Support-Flag auf rateRatio bzw. rateQuantity bedeutet, dass produzierende Systeme zur Kodierung der Ratenangaben nach eigenem Ermessen entweder den Datentyp Ratio oder Quantity verwenden können. Beim Empfang und Verarbeitung der eingehenden Daten müssen dagegen beide Datentypen interpretiert werden können. |
| Control | 0..1 |
| Type | Ratio |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Must Support | true |
| 220. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator | |
| Control | 1..? |
| Type | Quantity(Medication Quantity Dose Form) |
| Must Support | true |
| 222. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator | |
| Control | 1..? |
| Type | Quantity(Medication Quantity) |
| Must Support | true |
| 224. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange | |
| Slice Name | rateRange |
| Short | Raten-Bereich |
| Control | 0..1 |
| Type | Range |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Must Support | true |
| 226. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.low | |
| Type | Quantity(Medication Quantity Dose Form) |
| Must Support | true |
| 228. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.high | |
| Type | Quantity(Medication Quantity Dose Form) |
| Must Support | true |
| 230. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantity | |
| Slice Name | rateQuantity |
| Short | Rate |
| Comments | Das Must-Support-Flag auf rateRatio bzw. rateQuantity bedeutet, dass produzierende Systeme zur Kodierung der Ratenangaben nach eigenem Ermessen entweder den Datentyp Ratio oder Quantity verwenden können. Beim Empfang und Verarbeitung der eingehenden Daten müssen dagegen beide Datentypen interpretiert werden können. |
| Control | 0..1 |
| Type | Quantity(Medication Quantity) |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Must Support | true |
| 232. MedicationRequest.dosageInstruction.maxDosePerPeriod | |
| Short | Maximaldosis (Zähler) pro Zeitraum (Nenner) |
| Must Support | true |
| 234. MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator | |
| Control | 1..? |
| Type | Quantity(Medication Quantity Dose Form) |
| Must Support | true |
| 236. MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator | |
| Control | 1..? |
| Type | Quantity(Medication Quantity) |
| Must Support | true |
| 238. MedicationRequest.dosageInstruction.maxDosePerAdministration | |
| Short | Maximaldosis pro Verabreichung |
| Type | Quantity(Medication Quantity Dose Form) |
| Must Support | true |
| 240. MedicationRequest.dispenseRequest | |
| Short | angeforderte Abgabemenge |
| Comments | Begründung des Must-Support: Basisinformation |
| Must Support | true |
| 242. MedicationRequest.dispenseRequest.quantity | |
| Short | angeforderte Abgabemenge |
| Comments | Begründung des Must-Support: Basisinformation |
| Type | Quantity(Medication Quantity Dose Form) |
| Must Support | true |
| 244. MedicationRequest.substitution | |
| Short | Ersatz zulässig |
| Comments | Begründung des Must-Support: Alignment mit dem (E-)Rezept |
| Must Support | true |
| 246. MedicationRequest.substitution.allowed[x] | |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Slicing | This element introduces a set of slices on MedicationRequest.substitution.allowed[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 248. MedicationRequest.substitution.allowed[x]:allowedBoolean | |
| Slice Name | allowedBoolean |
| Control | 0..1 |
| Type | boolean |
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Must Support | true |
| 250. MedicationRequest.priorPrescription | |
| Short | Vorherige Verordnung mit Bezug zur aktuellen Verordnung |
| Comments | Begründung des Must-Support: Erforderlich zur Abbildung des fachlichen Zusammenhangs zwischen Verordnungen (z. B. Fortführung, Änderung oder Ersetzung) und zur Nachvollziehbarkeit der Medikationshistorie. |
| Must Support | true |
Guidance on how to interpret the contents of this table can be foundhere
| 0. MedicationRequest | |||||
| Definition | 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. | ||||
| Short | Ordering of medication for patient or group | ||||
| Control | 0..* | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | 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 | |||||
| Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
| Short | serverseitige, interne ID des Datensatzes | ||||
| Comments | bedingtes Pflichtfeld/bedingtes MS: Alle von einem Server bereitgestellten Ressourcen MÜSSEN über eine | ||||
| Control | 0..1 | ||||
| Type | id | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| 4. MedicationRequest.meta | |||||
| Definition | 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. | ||||
| Short | Metadata about the resource | ||||
| Control | 0..1 | ||||
| Type | Meta | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 6. MedicationRequest.meta.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 8. MedicationRequest.meta.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.meta.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 10. MedicationRequest.meta.versionId | |||||
| Definition | The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. | ||||
| Short | Eindeutiger Name der serverseitigen Version des Datensatzes | ||||
| Comments | Alle von einem Server bereitgestellten Ressourcen SOLLEN über eine | ||||
| Control | 0..1 | ||||
| Type | id | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 12. MedicationRequest.meta.lastUpdated | |||||
| Definition | When the resource last changed - e.g. when the version changed. | ||||
| Short | Zeitpunkt der letzten Änderung | ||||
| Comments | Alle von einem Server bereitgestellten Ressourcen SOLLEN über ein | ||||
| Control | 0..1 | ||||
| Type | instant | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 14. MedicationRequest.meta.source | |||||
| Definition | A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. | ||||
| Short | Identifies where the resource comes from | ||||
| Comments | In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL. | ||||
| Control | 0..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 16. MedicationRequest.meta.profile | |||||
| Definition | A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. | ||||
| Short | Profiles this resource claims to conform to | ||||
| Comments | It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. | ||||
| Control | 0..* | ||||
| Type | canonical(StructureDefinition) | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 18. MedicationRequest.meta.security | |||||
| Definition | Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. | ||||
| Short | Security Labels applied to this resource | ||||
| Comments | The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. | ||||
| Control | 0..* | ||||
| Binding | Unless not suitable, these codes SHALL be taken from All Security Labels (extensible to http://hl7.org/fhir/ValueSet/security-labels|4.0.1)Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 20. MedicationRequest.meta.tag | |||||
| Definition | Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. | ||||
| Short | Tags applied to this resource | ||||
| Comments | The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. | ||||
| Control | 0..* | ||||
| Binding | For example codes, see CommonTags (example to http://hl7.org/fhir/ValueSet/common-tags|4.0.1)Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 22. MedicationRequest.implicitRules | |||||
| Definition | 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. | ||||
| Short | Verweis auf die Regeln, nach denen die Ressource erstellt wurde | ||||
| Comments | Begründung Constraint: In ISiK existiert kein Use-Case für dieses Element. Da es sich um ein Modifying Element handelt, wird es daher ausgeschlossen. Darüber hinaus werden die Regeln als URI vorgehalten. Dies führt dazu, dass sich hinter der URI eine beliebige Menge an Regeln befinden kann; wodurch nicht sichergestellt werden kann, dass alle Clients die Regeln korrekt interpretieren können. | ||||
| Control | 0..0 | ||||
| Type | uri | ||||
| Is Modifier | true because 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 | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 24. MedicationRequest.language | |||||
| Definition | The base language in which the resource is written. | ||||
| Short | Language of the resource content | ||||
| Comments | 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). | ||||
| Control | 0..1 | ||||
| Binding | The codes SHOULD be taken from CommonLanguages (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)A human language.
| ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 26. MedicationRequest.text | |||||
| Definition | 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. | ||||
| Short | Text summary of the resource, for human interpretation | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Type | Narrative | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | narrative, html, xhtml, display | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 28. MedicationRequest.contained | |||||
| Definition | 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. | ||||
| Short | Contained, inline Resources | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Resource | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | inline resources, anonymous resources, contained resources | ||||
| 30. MedicationRequest.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | 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 | This element introduces a set of slices on MedicationRequest.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 32. MedicationRequest.extension:acceptedRisk | |||||
| Slice Name | acceptedRisk | ||||
| Definition | An Extension | ||||
| Short | akzeptiertes (in Kauf genommenes) Risiko | ||||
| Comments | Begründung des Must-Support: Folgeinformation der AMTS-Bewertung, sollte auch an nachfolgende Behandelnde übermittelbar sein Hinweis: Hier kann ein im Rahmen der Medikation festgestelltes, aber in Kauf genommenes Risiko dokumentiert werden, speziell auch die Begründung und ggf. erforderliche Begleitmaßnahmen. | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(ISiK Accepted Risk) (Extension Type: string) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | 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()) | ||||
| 34. MedicationRequest.extension:acceptedRisk.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 36. MedicationRequest.extension:acceptedRisk.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | 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 | This element introduces a set of slices on MedicationRequest.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 38. MedicationRequest.extension:acceptedRisk.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | 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. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKAcceptedRisk | ||||
| 40. MedicationRequest.extension:acceptedRisk.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 42. MedicationRequest.extension:medikationsart | |||||
| Slice Name | medikationsart | ||||
| Definition | An Extension | ||||
| Short | Therapieart der Medikation | ||||
| Comments | Begründung des Must-Support: von der Fachseite gewünschte Angabe Hinweis: Angabe Akut- oder Dauermedikation. | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(ISiK Medikationsart) (Extension Type: Coding) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | 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()) | ||||
| 44. MedicationRequest.extension:medikationsart.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 46. MedicationRequest.extension:medikationsart.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | 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 | This element introduces a set of slices on MedicationRequest.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 48. MedicationRequest.extension:medikationsart.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | 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. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKMedikationsart | ||||
| 50. MedicationRequest.extension:medikationsart.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 1..1 | ||||
| Binding | The codes SHALL be taken from ISiKMedikationsartVS (required to https://gematik.de/fhir/isik/ValueSet/ISiKMedikationsartVS) | ||||
| Type | Coding | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 52. MedicationRequest.extension:medikationsart.value[x].id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 54. MedicationRequest.extension:medikationsart.value[x].extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.extension.value[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 56. MedicationRequest.extension:medikationsart.value[x].system | |||||
| Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
| Short | Identity of the terminology system | ||||
| Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 58. MedicationRequest.extension:medikationsart.value[x].version | |||||
| Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
| Short | Version of the system - if relevant | ||||
| Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
| Note | This is a business version Id, not a resource version Id (see discussion) | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 60. MedicationRequest.extension:medikationsart.value[x].code | |||||
| Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||||
| Short | Symbol in syntax defined by the system | ||||
| Control | 1..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need to refer to a particular code in the system. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 62. MedicationRequest.extension:medikationsart.value[x].display | |||||
| Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
| Short | Representation defined by the system | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 64. MedicationRequest.extension:medikationsart.value[x].userSelected | |||||
| Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). | ||||
| Short | If this coding was chosen directly by the user | ||||
| Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
| Control | 0..1 | ||||
| Type | boolean | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 66. MedicationRequest.extension:behandlungsziel | |||||
| Slice Name | behandlungsziel | ||||
| Definition | An Extension | ||||
| Short | Behandlungsziel (textuell) | ||||
| Comments | Begründung des Must-Support: von der Fachseite gewünschte Angabe Hinweis: Freitext-Beschreibung des Behandlungsziels. | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(ISiK Behandlungsziel) (Extension Type: string) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | 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()) | ||||
| 68. MedicationRequest.extension:behandlungsziel.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 70. MedicationRequest.extension:behandlungsziel.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | 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 | This element introduces a set of slices on MedicationRequest.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 72. MedicationRequest.extension:behandlungsziel.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | 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. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| Fixed Value | https://gematik.de/fhir/isik/StructureDefinition/ExtensionISiKBehandlungsziel | ||||
| 74. MedicationRequest.extension:behandlungsziel.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 1..1 | ||||
| Type | string | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 76. MedicationRequest.modifierExtension | |||||
| Definition | 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). | ||||
| Short | Extensions that cannot be ignored | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
| Summary | false | ||||
| Requirements | 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. | ||||
| Alternate Names | 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()) | ||||
| 78. MedicationRequest.identifier | |||||
| Definition | 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. | ||||
| Short | External ids for this request | ||||
| Comments | This is a business identifier, not a resource identifier. | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..* | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 80. MedicationRequest.status | |||||
| Definition | A code specifying the current state of the order. Generally, this will be active or completed state. | ||||
| Short | Status der Verordnungsinformation | ||||
| Comments | Begründung des Must-Support: Erforderliche Angabe im FHIR-Standard. Hinweis für Implementierende: Im Falle einer create-Operation kann der Server den .code in .status zunächst auf 'on-hold' setzen, z. B. im Falle einer asynchronen Prüfung, die im Rahmen einer textuellen Übergabe möglich ist. Ggf. kann hier zusätzlich ein Mechanismus etabliert werden, der eine anschließende Änderung des Status an den Client kommuniziert. Der Server kann zusätzlich den .code in .statusReason auf 'clarif' setzen ('Clarification is required before the order can be acted upon.'), um anzuzeigen, dass eine Klärung erforderlich ist, bevor die Verordnung ausgeführt werden kann. | ||||
| Control | 1..1 | ||||
| Binding | The codes SHALL be taken from 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 | ||||
| Is Modifier | true because 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 | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 82. MedicationRequest.statusReason | |||||
| Definition | Captures the reason for the current state of the MedicationRequest. | ||||
| Short | Reason for current status | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Binding | For example codes, see 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 | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 84. MedicationRequest.intent | |||||
| Definition | Whether the request is a proposal, plan, or an original order. | ||||
| Short | Ziel der Verordnungsinformation | ||||
| Comments | Begründung des Must-Support: Erforderliche Angabe im FHIR-Standard Hinweis: i.d.R. 'order' | ||||
| Control | 1..1 | ||||
| Binding | The codes SHALL be taken from medicationRequest Intent (required to http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1)The kind of medication order. | ||||
| Type | code | ||||
| Is Modifier | true because 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 | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 86. MedicationRequest.category | |||||
| Definition | Indicates the type of medication request (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)). | ||||
| Short | Type of medication usage | ||||
| Comments | The category can be used to include where the medication is expected to be consumed or other types of requests. | ||||
| Control | 0..* | ||||
| Binding | For example codes, see 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 | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 88. MedicationRequest.priority | |||||
| Definition | Indicates how quickly the Medication Request should be addressed with respect to other requests. | ||||
| Short | routine | urgent | asap | stat | ||||
| Control | 0..1 | ||||
| Binding | The codes SHALL be taken from 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 | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 90. MedicationRequest.doNotPerform | |||||
| Definition | If true indicates that the provider is asking for the medication request not to occur. | ||||
| Short | Nicht durchführen | ||||
| Comments | Begründung MS: Die Kennzeichnung als Must-Support erfolgt, da es sich um ein als Modifier-Element markiertes Feld in der Kernspezifikation handelt. Und wegen der Kompatibilität mit eRezept und ePA Profilen, welche die Angabe von 'doNotPerform' nicht verbieten. | ||||
| Control | 0..1 | ||||
| Type | boolean | ||||
| Is Modifier | true because 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) | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 92. MedicationRequest.reported[x] | |||||
| Definition | 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. | ||||
| Short | Reported rather than primary record | ||||
| Control | 0..1 | ||||
| Type | Choice of: boolean, Reference(Patient, Practitioner, PractitionerRole, RelatedPerson, Organization) | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 94. MedicationRequest.medication[x] | |||||
| Definition | 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. | ||||
| Short | Medication to be taken | ||||
| Comments | 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. | ||||
| Control | 1..1 | ||||
| Binding | For example codes, see SNOMEDCTMedicationCodes (example to http://hl7.org/fhir/ValueSet/medication-codes|4.0.1)A coded concept identifying substance or product that can be ordered. | ||||
| Type | Choice of: CodeableConcept, Reference(Medication) | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| Slicing | This element introduces a set of slices on MedicationRequest.medication[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
| 96. MedicationRequest.medication[x]:medicationCodeableConcept | |||||
| Slice Name | medicationCodeableConcept | ||||
| Definition | 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. | ||||
| Short | Medikament in codierter Form oder ggf. als Freitext | ||||
| Comments | Begründung des Must-Support: Basisinformation Hinweis: kann verwendet werden, wenn keine detaillierten Informationen zum Medikament (z.B. Rezepturen) existieren. | ||||
| Control | 0..1 | ||||
| Binding | For example codes, see SNOMEDCTMedicationCodes (example to http://hl7.org/fhir/ValueSet/medication-codes|4.0.1)A coded concept identifying substance or product that can be ordered. | ||||
| Type | CodeableConcept | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 98. MedicationRequest.medication[x]:medicationCodeableConcept.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 100. MedicationRequest.medication[x]:medicationCodeableConcept.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.medication[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 102. MedicationRequest.medication[x]:medicationCodeableConcept.coding | |||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code defined by a terminology system | ||||
| Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
| Control | 0..* | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| Slicing | This element introduces a set of slices on MedicationRequest.medication[x].coding. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 104. MedicationRequest.medication[x]:medicationCodeableConcept.coding:PZN | |||||
| Slice Name | PZN | ||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code defined by a terminology system | ||||
| Comments | Mehrfachcodierung ist zulässig, da für ein abstraktes Medikament auch mehrere PZN-Codes existieren können, z.B. existieren für Aspirin 3 verschiedene Packungsgrößen. | ||||
| Control | 0..* | ||||
| Type | Coding(ISiKPZNCoding) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Pattern Value | { | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 106. MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATC-DE | |||||
| Slice Name | ATC-DE | ||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code defined by a terminology system | ||||
| Comments | Mehrfachcodierung ist zulässig, da für ein abstraktes Medikament auch mehrere ATC-Codes existieren können, z.B. existieren für Aspirin 4 verschiedene Codes, je nachdem wofür das Medikament angewendet wird. | ||||
| Control | 0..* | ||||
| Type | Coding(ISiKATCCoding) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Pattern Value | { | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 108. MedicationRequest.medication[x]:medicationCodeableConcept.coding:SCT | |||||
| Slice Name | SCT | ||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code defined by a terminology system | ||||
| Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
| Control | 0..1 | ||||
| Type | Coding(ISiKSnomedCTCoding) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Pattern Value | { | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 110. MedicationRequest.medication[x]:medicationCodeableConcept.text | |||||
| Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. | ||||
| Short | Plain text representation of the concept | ||||
| Comments | Very often the text is the same as a displayName of one of the codings. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| 112. MedicationRequest.medication[x]:medicationReference | |||||
| Slice Name | medicationReference | ||||
| Definition | 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. | ||||
| Short | Referenz auf das Medikament (Medication-Ressource) | ||||
| Comments | Begründung des Must-Support: Basisinformation Hinweis: wird verwendet, wenn detaillierte Informationen zum Medikament vorliegen | ||||
| Control | 0..1 | ||||
| Type | Reference(Medication) | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 114. MedicationRequest.medication[x]:medicationReference.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 116. MedicationRequest.medication[x]:medicationReference.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.medication[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 118. MedicationRequest.medication[x]:medicationReference.reference | |||||
| Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. | ||||
| Short | Literal reference, Relative, internal or absolute URL | ||||
| Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. | ||||
| Control | 1..1 This element is affected by the following invariants: ref-1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 120. MedicationRequest.medication[x]:medicationReference.type | |||||
| Definition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). | ||||
| Short | Type the reference refers to (e.g. "Patient") | ||||
| Comments | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. | ||||
| Control | 0..1 | ||||
| Binding | Unless not suitable, these codes SHALL be taken from ResourceType (extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)Aa resource (or, for logical models, the URI of the logical model). | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 122. MedicationRequest.medication[x]:medicationReference.identifier | |||||
| Definition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. | ||||
| Short | Logical reference, when literal reference is not known | ||||
| Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..1 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 124. MedicationRequest.medication[x]:medicationReference.display | |||||
| Definition | Plain text narrative that identifies the resource in addition to the resource reference. | ||||
| Short | Text alternative for the resource | ||||
| Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 126. MedicationRequest.subject | |||||
| Definition | A link to a resource representing the person or set of individuals to whom the medication will be given. | ||||
| Short | Referenz auf den Patienten | ||||
| Comments | Begründung des Must-Support: Basisinformation | ||||
| Control | 1..1 | ||||
| Type | Reference(Patient) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 128. MedicationRequest.subject.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 130. MedicationRequest.subject.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.subject.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 132. MedicationRequest.subject.reference | |||||
| Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. | ||||
| Short | Patienten-Link | ||||
| Comments | Begründung MS: Die Verlinkung auf eine Patienten-Ressource dient der technischen Zuordnung der Dokumentation zu einem Patienten und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc. Im ISik Kontext MUSS die referenzierte Ressource konform zu ISiKPatient sein. Jenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden. | ||||
| Control | 1..1 This element is affected by the following invariants: ref-1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 134. MedicationRequest.subject.type | |||||
| Definition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). | ||||
| Short | Type the reference refers to (e.g. "Patient") | ||||
| Comments | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. | ||||
| Control | 0..1 | ||||
| Binding | Unless not suitable, these codes SHALL be taken from ResourceType (extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)Aa resource (or, for logical models, the URI of the logical model). | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 136. MedicationRequest.subject.identifier | |||||
| Definition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. | ||||
| Short | Logical reference, when literal reference is not known | ||||
| Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..1 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 138. MedicationRequest.subject.display | |||||
| Definition | Plain text narrative that identifies the resource in addition to the resource reference. | ||||
| Short | Text alternative for the resource | ||||
| Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 140. MedicationRequest.encounter | |||||
| Definition | The Encounter during which this [x] was created or to which the creation of this record is tightly associated. | ||||
| Short | Referenz auf den Abteilungskontakt | ||||
| Comments | Begründung des Must-Support: Basisinformation im Krankenhaus-Kontext | ||||
| Control | 0..1 | ||||
| Type | Reference(Encounter) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 142. MedicationRequest.encounter.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 144. MedicationRequest.encounter.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.encounter.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 146. MedicationRequest.encounter.reference | |||||
| Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. | ||||
| Short | Literal reference, Relative, internal or absolute URL | ||||
| Comments | Begründung MS: Die Verlinkung auf eine Encounter-Ressource dient der technischen Zuordnung der Dokumentation zu einem Aufenthalt und ermöglicht wichtige API-Funktionen wie verkettete Suche, (Reverse-)Include etc. Im ISik Kontext MUSS die referenzierte Ressource konform zu ISiKKontaktGesundheitseinrichtung sein. Jenseits von ISiK KÖNNEN weitere Instanzen mit anderen Profilen referenziert werden. | ||||
| Control | 1..1 This element is affected by the following invariants: ref-1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 148. MedicationRequest.encounter.type | |||||
| Definition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). | ||||
| Short | Type the reference refers to (e.g. "Patient") | ||||
| Comments | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. | ||||
| Control | 0..1 | ||||
| Binding | Unless not suitable, these codes SHALL be taken from ResourceType (extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)Aa resource (or, for logical models, the URI of the logical model). | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 150. MedicationRequest.encounter.identifier | |||||
| Definition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. | ||||
| Short | Logical reference, when literal reference is not known | ||||
| Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..1 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 152. MedicationRequest.encounter.display | |||||
| Definition | Plain text narrative that identifies the resource in addition to the resource reference. | ||||
| Short | Text alternative for the resource | ||||
| Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 154. MedicationRequest.supportingInformation | |||||
| Definition | Include additional information (for example, patient height and weight) that supports the ordering of the medication. | ||||
| Short | Information to support ordering of the medication | ||||
| Control | 0..* | ||||
| Type | Reference(Resource) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 156. MedicationRequest.authoredOn | |||||
| Definition | The date (and perhaps time) when the prescription was initially written or authored on. | ||||
| Short | Erstellungsdatum der Verordnung | ||||
| Comments | Begründung des Must-Support: Basisinformation | ||||
| Control | 0..1 | ||||
| Type | dateTime | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 158. MedicationRequest.requester | |||||
| Definition | The individual, organization, or device that initiated the request and has responsibility for its activation. | ||||
| Short | Referenz auf die verordnende Person | ||||
| Comments | Begründung des Must-Support: Nachvollziehbarkeit | ||||
| Control | 0..1 | ||||
| Type | Reference(Practitioner, PractitionerRole, Organization, Patient, RelatedPerson, Device) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Must Support Types | No must-support rules about the choice of types/profiles | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 160. MedicationRequest.requester.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 162. MedicationRequest.requester.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.requester.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 164. MedicationRequest.requester.reference | |||||
| Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. | ||||
| Short | Literal reference, Relative, internal or absolute URL | ||||
| Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. | ||||
| Control | 1..1 This element is affected by the following invariants: ref-1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 166. MedicationRequest.requester.type | |||||
| Definition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). | ||||
| Short | Type the reference refers to (e.g. "Patient") | ||||
| Comments | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. | ||||
| Control | 0..1 | ||||
| Binding | Unless not suitable, these codes SHALL be taken from ResourceType (extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)Aa resource (or, for logical models, the URI of the logical model). | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 168. MedicationRequest.requester.identifier | |||||
| Definition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. | ||||
| Short | Logical reference, when literal reference is not known | ||||
| Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..1 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 170. MedicationRequest.requester.display | |||||
| Definition | Plain text narrative that identifies the resource in addition to the resource reference. | ||||
| Short | Text alternative for the resource | ||||
| Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 172. MedicationRequest.performer | |||||
| Definition | The specified desired performer of the medication treatment (e.g. the performer of the medication administration). | ||||
| Short | Intended performer of administration | ||||
| Control | 0..1 | ||||
| Type | Reference(Practitioner, PractitionerRole, Organization, Patient, Device, RelatedPerson, CareTeam) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 174. MedicationRequest.performerType | |||||
| Definition | Indicates the type of performer of the administration of the medication. | ||||
| Short | Desired kind of performer of the medication administration | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Binding | For example codes, see 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 | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 176. MedicationRequest.recorder | |||||
| Definition | The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order. | ||||
| Short | Person who entered the request | ||||
| Control | 0..1 | ||||
| Type | Reference(Practitioner, PractitionerRole) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 178. MedicationRequest.reasonCode | |||||
| Definition | The reason or the indication for ordering or not ordering the medication. | ||||
| Short | Grund der Medikation (codiert) | ||||
| Comments | Festlegung zum MS: Die Elemente .reasonCode und .reasonReference MÜSSEN nach OR-Logik in der Ausgabe verwendet werden, d.h. nur eines MUSS geliefert werden können. Weiterhin MÜSSEN beide Elemente interpretiert werden können. Begründung zu Must-Support: Konsolidierung mit MII Profil: https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationRequest | ||||
| Control | 0..* | ||||
| Binding | For example codes, see 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 | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 180. MedicationRequest.reasonCode.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 182. MedicationRequest.reasonCode.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.reasonCode.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 184. MedicationRequest.reasonCode.coding | |||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code defined by a terminology system | ||||
| Comments | Begründung des Must-Support: Falls der Grund kodierbar ist, sollte er auch kodiert werden. | ||||
| Control | 0..* | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| 186. MedicationRequest.reasonCode.coding.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 188. MedicationRequest.reasonCode.coding.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.reasonCode.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 190. MedicationRequest.reasonCode.coding.system | |||||
| Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
| Short | Identity of the terminology system | ||||
| Comments | Begründung des Must-Support und Kardinalität: Ein Coding Element benötigt immer ein System um die Bedeutung des Codes zu definieren. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 192. MedicationRequest.reasonCode.coding.version | |||||
| Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
| Short | Version of the system - if relevant | ||||
| Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
| Note | This is a business version Id, not a resource version Id (see discussion) | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 194. MedicationRequest.reasonCode.coding.code | |||||
| Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||||
| Short | Symbol in syntax defined by the system | ||||
| Comments | Begründung des Must-Support und Kardinalität: Ein Coding Element benötigt immer einen Code um die Bedeutung des Codes zu definieren. | ||||
| Control | 1..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need to refer to a particular code in the system. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 196. MedicationRequest.reasonCode.coding.display | |||||
| Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
| Short | Representation defined by the system | ||||
| Comments | Begründung des Must-Support: Ein Display Element ist für die Lesbarkeit der Information notwendig. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 198. MedicationRequest.reasonCode.coding.userSelected | |||||
| Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). | ||||
| Short | If this coding was chosen directly by the user | ||||
| Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
| Control | 0..1 | ||||
| Type | boolean | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 200. MedicationRequest.reasonCode.text | |||||
| Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. | ||||
| Short | Plain text representation of the concept | ||||
| Comments | Very often the text is the same as a displayName of one of the codings. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| 202. MedicationRequest.reasonReference | |||||
| Definition | Condition or observation that supports why the medication was ordered. | ||||
| Short | Grund der Medikation (Referenz) | ||||
| Comments | Festlegung zum MS: Die Elemente .reasonCode und .reasonReference MÜSSEN nach OR-Logik in der Ausgabe verwendet werden, d.h. nur eines MUSS geliefert werden können. Weiterhin MÜSSEN beide Elemente interpretiert werden können. Begründung zu Must-Support: Konsolidierung mit MII. | ||||
| Control | 0..* | ||||
| Type | Reference(Condition, Observation) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Must Support Types | No must-support rules about the choice of types/profiles | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 204. MedicationRequest.reasonReference.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 206. MedicationRequest.reasonReference.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.reasonReference.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 208. MedicationRequest.reasonReference.reference | |||||
| Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. | ||||
| Short | Literal reference, Relative, internal or absolute URL | ||||
| Comments | Begründung des Must-Support: Referenz auf die Diagnose oder Untersuchung, die die Medikation begründet. | ||||
| Control | 1..1 This element is affected by the following invariants: ref-1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 210. MedicationRequest.reasonReference.type | |||||
| Definition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). | ||||
| Short | Type the reference refers to (e.g. "Patient") | ||||
| Comments | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. | ||||
| Control | 0..1 | ||||
| Binding | Unless not suitable, these codes SHALL be taken from ResourceType (extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)Aa resource (or, for logical models, the URI of the logical model). | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 212. MedicationRequest.reasonReference.identifier | |||||
| Definition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. | ||||
| Short | Logical reference, when literal reference is not known | ||||
| Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..1 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 214. MedicationRequest.reasonReference.display | |||||
| Definition | Plain text narrative that identifies the resource in addition to the resource reference. | ||||
| Short | Text alternative for the resource | ||||
| Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 216. MedicationRequest.instantiatesCanonical | |||||
| Definition | The URL pointing to a protocol, guideline, orderset, or other definition that is adhered to in whole or in part by this MedicationRequest. | ||||
| Short | Instantiates FHIR protocol or definition | ||||
| Control | 0..* | ||||
| Type | canonical | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 218. MedicationRequest.instantiatesUri | |||||
| Definition | 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. | ||||
| Short | Instantiates external protocol or definition | ||||
| Control | 0..* | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 220. MedicationRequest.basedOn | |||||
| Definition | A plan or request that is fulfilled in whole or in part by this medication request. | ||||
| Short | What request fulfills | ||||
| Control | 0..* | ||||
| Type | Reference(CarePlan, MedicationRequest, ServiceRequest, ImmunizationRecommendation) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 222. MedicationRequest.groupIdentifier | |||||
| Definition | 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. | ||||
| Short | Composite request this is part of | ||||
| Control | 0..1 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| 224. MedicationRequest.courseOfTherapyType | |||||
| Definition | The description of the overall patte3rn of the administration of the medication to the patient. | ||||
| Short | Overall pattern of medication administration | ||||
| Comments | This attribute should not be confused with the protocol of the medication. | ||||
| Control | 0..1 | ||||
| Binding | For example codes, see 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 | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 226. MedicationRequest.insurance | |||||
| Definition | Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service. | ||||
| Short | Associated insurance coverage | ||||
| Control | 0..* | ||||
| Type | Reference(Coverage, ClaimResponse) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 228. MedicationRequest.note | |||||
| Definition | Extra information about the prescription that could not be conveyed by the other attributes. | ||||
| Short | Zusätzliche Anmerkungen zur Medikation | ||||
| Comments | Begründung des Must-Support: Fachlich relevante Zusatzinformationen | ||||
| Control | 0..* | ||||
| Type | Annotation | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 230. MedicationRequest.note.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 232. MedicationRequest.note.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.note.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 234. MedicationRequest.note.author[x] | |||||
| Definition | The individual responsible for making the annotation. | ||||
| Short | Individual responsible for the annotation | ||||
| Comments | Organization is used when there's no need for specific attribution as to who made the comment. | ||||
| Control | 0..1 | ||||
| Type | Choice of: Reference(Practitioner, Patient, RelatedPerson, Organization), string | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 236. MedicationRequest.note.time | |||||
| Definition | Indicates when this particular annotation was made. | ||||
| Short | When the annotation was made | ||||
| Control | 0..1 | ||||
| Type | dateTime | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 238. MedicationRequest.note.text | |||||
| Definition | The text of the annotation in markdown format. | ||||
| Short | Freitext-Notiz | ||||
| Comments | Begründung des Must-Support: Angabe zusätzlicher Informationen kann fachlich relevant sein | ||||
| Control | 1..1 | ||||
| Type | markdown | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 240. MedicationRequest.dosageInstruction | |||||
| Definition | Indicates how the medication is to be used by the patient. | ||||
| Short | Dosierungsangaben | ||||
| Comments | Begründung des Must-Support: Basisinformation. Zur vollständig strukturierten Abbildung der zahlreichen Möglichkeiten sind die hier mit Must-Support gekennzeichneten Unterelemente erforderlich gemäß Konsens der ISiK AG Medikation. Hinweis: Zahlreiche Beispiele zur Dosierungsanweisung sind im Implementierungsleitfaden Medikament von HL7 Deutschland dokumentiert. | ||||
| Control | 0..* | ||||
| Type | Dosage(Dosage DE) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))isik-dosage-as-needed-for: Wenn Indikationen für eine Bedarfsmedikation angegeben sind, MUSS asNeededBoolean vorhanden und true sein. ( extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').empty() or asNeededBoolean = true) | ||||
| 242. MedicationRequest.dosageInstruction.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 244. MedicationRequest.dosageInstruction.extension | |||||
| Definition | An Extension | ||||
| Short | Indikation für die Bedarfsmedikation | ||||
| Comments | Begründung des Must-Support: Ermöglicht die Angabe mehrerer Indikationen für die Bedarfsmedikation, z.B. 'Schmerzen', 'Fieber', 'Hustenreiz' etc. Diese Bedingungen sind ODER verknüpft, d.h. die Bedarfsmedikation soll bei Vorliegen einer ODER mehrerer dieser Bedingungen angewendet werden. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | 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 | This element introduces a set of slices on MedicationRequest.dosageInstruction.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 246. MedicationRequest.dosageInstruction.extension.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 248. MedicationRequest.dosageInstruction.extension.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..0 | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | 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 | This element introduces a set of slices on MedicationRequest.dosageInstruction.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 250. MedicationRequest.dosageInstruction.extension.url | |||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
| Short | identifies the meaning of the extension | ||||
| Comments | 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. | ||||
| Control | 1..1 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 252. MedicationRequest.dosageInstruction.extension.value[x] | |||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 0..1 | ||||
| Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| Slicing | This element introduces a set of slices on MedicationRequest.dosageInstruction.extension.value[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 254. MedicationRequest.dosageInstruction.extension.value[x]:valueCodeableConcept | |||||
| Slice Name | valueCodeableConcept | ||||
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). | ||||
| Short | Value of extension | ||||
| Control | 0..1 | ||||
| Type | CodeableConcept | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 256. MedicationRequest.dosageInstruction.extension.value[x]:valueCodeableConcept.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 258. MedicationRequest.dosageInstruction.extension.value[x]:valueCodeableConcept.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.dosageInstruction.extension.value[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 260. MedicationRequest.dosageInstruction.extension.value[x]:valueCodeableConcept.coding | |||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code defined by a terminology system | ||||
| Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
| Control | 0..* | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| 262. MedicationRequest.dosageInstruction.extension.value[x]:valueCodeableConcept.text | |||||
| Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. | ||||
| Short | Indikation für die Bedarfsmedikation (Freitext) | ||||
| Comments | Begründung des Must-Support: Ermöglicht die Angabe einer Indikation für die Bedarfsmedikation in Freitextform, eine Kodierung ist nicht verpflichtend. Es wird jedoch empfohlen, die Indikation zusätzlich in kodierter Form anzugeben, um die Interoperabilität zu erhöhen. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| 264. MedicationRequest.dosageInstruction.extension:asNeededFor | |||||
| Slice Name | asNeededFor | ||||
| Definition | Optional Extension Element - found in all resources. | ||||
| Short | Optional Extensions Element | ||||
| Control | 0..* | ||||
| Type | Extension(Dosage AsNeededFor) (Extension Type: CodeableConcept) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | 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()) | ||||
| 266. MedicationRequest.dosageInstruction.modifierExtension | |||||
| Definition | 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). | ||||
| Short | Extensions that cannot be ignored even if unrecognized | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
| Summary | true | ||||
| Requirements | 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. | ||||
| Alternate Names | 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()) | ||||
| 268. MedicationRequest.dosageInstruction.sequence | |||||
| Definition | Indicates the order in which the dosage instructions should be applied or interpreted. | ||||
| Short | The order of the dosage instructions | ||||
| Control | 0..1 | ||||
| Type | integer | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| 270. MedicationRequest.dosageInstruction.text | |||||
| Definition | Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Stück bei Bedarf'. Als Quelle dient hier ausschließlich der Arzt oder Apotheker | ||||
| Short | Freitext-Dosierungsanweisungen, z. B. 'Maximal 3x täglich 1 Stück bei Bedarf' | ||||
| Comments | Festlegung zum Must-Support: Die Verarbeitung MUSS unterstützt werden, indem empfangende Systeme die Freitext-Dosierungsinformation entweder direkt in der Textform persistieren, ODER die Informationen in eine alternative (strukturierte) Form umwandeln (ggf. unter Einwirkung geeigneter Nutzer). Im letzteren Fall KANN auf eine Persistierung in Textform verzichtet werden, um Inkonsistenzen zu vermeiden. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| 272. MedicationRequest.dosageInstruction.additionalInstruction | |||||
| Definition | 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"). | ||||
| Short | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Binding | For example codes, see 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 | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| 274. MedicationRequest.dosageInstruction.patientInstruction | |||||
| Definition | Instructions in terms that are understood by the patient or consumer. | ||||
| Short | besondere Anweisungen für den Patienten | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 276. MedicationRequest.dosageInstruction.timing | |||||
| Definition | Wann das Medikament verabreicht werden soll. | ||||
| Short | Wann das Medikament verabreicht werden soll | ||||
| Comments | Um widersprüchliche Anweisungen zu vermeiden, ist entweder Dosage.timing oder Dosage.text zu befüllen. Falls eine strukturierte Dosierung als Text abgebildet werden soll ist dafür die GeneratedDosageInstructionsMeta Extension zu verwenden. | ||||
| Control | 0..1 | ||||
| Type | Timing(Timing DE) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| 278. MedicationRequest.dosageInstruction.timing.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 280. MedicationRequest.dosageInstruction.timing.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.dosageInstruction.timing.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 282. MedicationRequest.dosageInstruction.timing.modifierExtension | |||||
| Definition | 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). | ||||
| Short | Extensions that cannot be ignored even if unrecognized | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
| Summary | true | ||||
| Requirements | 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. | ||||
| Alternate Names | 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()) | ||||
| 284. MedicationRequest.dosageInstruction.timing.event | |||||
| Definition | Identifies specific times when the event occurs. | ||||
| Short | fester Zeitpunkt | ||||
| Control | 0..* | ||||
| Type | dateTime | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| 286. MedicationRequest.dosageInstruction.timing.repeat | |||||
| Definition | Eine Menge von Regeln, die beschreiben, wann das Ereignis geplant ist. | ||||
| Short | Wiederholungs-Angaben | ||||
| Control | 0..1 | ||||
| Type | Element | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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())TimingSingleDosageForTimeOfDay: Wenn nur timeOfDay verwendet wird und täglich dosiert wird, ist die Angabe in einem einzigen Dosage-Element zu modellieren. Mehrere Dosage-Elemente sind nur zulässig, wenn sich die Dosis (Wert) unterscheidet. ( (
%resource.ofType(MedicationRequest).dosageInstruction
| %resource.ofType(MedicationDispense).dosageInstruction
| %resource.ofType(MedicationStatement).dosage
).all(
(
timing.repeat.dayOfWeek.empty() and
timing.repeat.timeOfDay.exists() and
timing.repeat.when.empty() and
(timing.repeat.period.exists() and timing.repeat.period = 1) and
(timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd')
)
implies
(
(
(
%resource.ofType(MedicationRequest).dosageInstruction
| %resource.ofType(MedicationDispense).dosageInstruction
| %resource.ofType(MedicationStatement).dosage
).where(
timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd')
).count() = 1
)
or
(
(
%resource.ofType(MedicationRequest).dosageInstruction
| %resource.ofType(MedicationDispense).dosageInstruction
| %resource.ofType(MedicationStatement).dosage
).where(
timing.repeat.dayOfWeek.empty() and timing.repeat.timeOfDay.exists() and timing.repeat.when.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd')
).doseAndRate.dose.ofType(Quantity).value.distinct().count() > 1
)
)
))TimingSingleDosageForWhen: Wenn nur when verwendet wird und täglich dosiert wird, ist die Angabe in einem einzigen Dosage-Element zu modellieren. Mehrere Dosage-Elemente sind nur zulässig, wenn sich die Dosis (Wert) unterscheidet. ( (
%resource.ofType(MedicationRequest).dosageInstruction
| %resource.ofType(MedicationDispense).dosageInstruction
| %resource.ofType(MedicationStatement).dosage
).all(
(
timing.repeat.dayOfWeek.empty() and
timing.repeat.when.exists() and
timing.repeat.timeOfDay.empty() and
(timing.repeat.period.exists() and timing.repeat.period = 1) and
(timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd')
)
implies
(
(
(
%resource.ofType(MedicationRequest).dosageInstruction
| %resource.ofType(MedicationDispense).dosageInstruction
| %resource.ofType(MedicationStatement).dosage
).where(
timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd')
).count() = 1
)
or
(
(
%resource.ofType(MedicationRequest).dosageInstruction
| %resource.ofType(MedicationDispense).dosageInstruction
| %resource.ofType(MedicationStatement).dosage
).where(
timing.repeat.dayOfWeek.empty() and timing.repeat.when.exists() and timing.repeat.timeOfDay.empty() and (timing.repeat.period.exists() and timing.repeat.period = 1) and (timing.repeat.periodUnit.exists() and timing.repeat.periodUnit = 'd')
).doseAndRate.dose.ofType(Quantity).value.distinct().count() > 1
)
)
))TimingBoundsUnitMatchesCode: boundsDuration.unit muss zur UCUM boundsDuration.code passen (z. B. 'Woche(n)' nur mit code='wk'). ( bounds.ofType(Duration).exists().not() or (
(
bounds.ofType(Duration).code = 'd'
implies
(
bounds.ofType(Duration).unit = 'Tag(e)' or
bounds.ofType(Duration).unit = 'Tag' or
bounds.ofType(Duration).unit = 'Tage'
)
) and (
bounds.ofType(Duration).code = 'wk'
implies
(
bounds.ofType(Duration).unit = 'Woche(n)' or
bounds.ofType(Duration).unit = 'Woche' or
bounds.ofType(Duration).unit = 'Wochen'
)
) and (
bounds.ofType(Duration).code = 'mo'
implies
(
bounds.ofType(Duration).unit = 'Monat(e)' or
bounds.ofType(Duration).unit = 'Monat' or
bounds.ofType(Duration).unit = 'Monate'
)
) and (
bounds.ofType(Duration).code = 'a'
implies
(
bounds.ofType(Duration).unit = 'Jahr(e)' or
bounds.ofType(Duration).unit = 'Jahr' or
bounds.ofType(Duration).unit = 'Jahre'
)
)
)) | ||||
| 288. MedicationRequest.dosageInstruction.timing.repeat.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 290. MedicationRequest.dosageInstruction.timing.repeat.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.dosageInstruction.timing.repeat.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 292. MedicationRequest.dosageInstruction.timing.repeat.bounds[x] | |||||
| Definition | Entweder eine Dauer für die Länge des Zeitplans, ein Bereich möglicher Längen oder äußere Begrenzungen für Start- und/oder Endgrenzen des Zeitplans. | ||||
| Short | Länge/Bereich der Längen oder (Start- und/oder End-)Grenzen | ||||
| Comments | tbd | ||||
| Control | 0..1 | ||||
| Type | Choice of: Duration, Range, Period | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Must Support Types | No must-support rules about the choice of types/profiles | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| Slicing | This element introduces a set of slices on MedicationRequest.dosageInstruction.timing.repeat.bounds[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
| 294. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration | |||||
| Slice Name | boundsDuration | ||||
| Definition | 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. | ||||
| Short | Begrenzung der Dauer | ||||
| Control | 0..1 | ||||
| Type | Duration | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Pattern Value | { | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 296. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 298. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.dosageInstruction.timing.repeat.bounds[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 300. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.value | |||||
| Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value. | ||||
| Short | Numerical value (with implicit precision) | ||||
| Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). | ||||
| Control | 1..1 | ||||
| Type | decimal | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Precision is handled implicitly in almost all cases of measurement. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 302. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.comparator | |||||
| Definition | How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. | ||||
| Short | < | <= | >= | > - how to understand the value | ||||
| Control | 0..1 | ||||
| Binding | The codes SHALL be taken from QuantityComparator (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)How the Quantity should be understood and represented. | ||||
| Type | code | ||||
| Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. | ||||
| Meaning if Missing | If there is no comparator, then there is no modification of the value | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 304. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.unit | |||||
| Definition | A human-readable form of the unit. | ||||
| Short | Unit representation | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 306. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.system | |||||
| Definition | The identification of the system that provides the coded form of the unit. | ||||
| Short | UCUM-Einheit für die Dauer | ||||
| Comments | Die UCUM-Einheit für die Dauer, z. B. d für Tag, h für Stunde, min für Minute. | ||||
| Control | 1..1 This element is affected by the following invariants: qty-3 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need to know the system that defines the coded form of the unit. | ||||
| Fixed Value | http://unitsofmeasure.org | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 308. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsDuration.code | |||||
| Definition | A computer processable form of the unit in some unit representation system. | ||||
| Short | Coded form of the unit | ||||
| Comments | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. | ||||
| Control | 1..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 310. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange | |||||
| Slice Name | boundsRange | ||||
| Definition | Entweder eine Dauer für die Länge des Zeitplans, ein Bereich möglicher Längen oder äußere Begrenzungen für Start- und/oder Endgrenzen des Zeitplans. | ||||
| Short | Bereich für die Begrenzung | ||||
| Comments | tbd | ||||
| Control | 0..1 | ||||
| Type | Range | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 312. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 314. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.dosageInstruction.timing.repeat.bounds[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 316. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low | |||||
| Definition | The low limit. The boundary is inclusive. | ||||
| Short | Low limit | ||||
| Comments | If the low element is missing, the low boundary is not known. | ||||
| Control | 0..1 | ||||
| Type | Quantity(SimpleQuantity) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Pattern Value | { | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 318. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 320. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.dosageInstruction.timing.repeat.bounds[x].low.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 322. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.value | |||||
| Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value. | ||||
| Short | Numerical value (with implicit precision) | ||||
| Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). | ||||
| Control | 1..1 | ||||
| Type | decimal | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Precision is handled implicitly in almost all cases of measurement. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 324. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.comparator | |||||
| Definition | Not allowed to be used in this context | ||||
| Short | < | <= | >= | > - how to understand the value | ||||
| Control | 0..0 | ||||
| Binding | The codes SHALL be taken from QuantityComparator (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)How the Quantity should be understood and represented. | ||||
| Type | code | ||||
| Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. | ||||
| Meaning if Missing | If there is no comparator, then there is no modification of the value | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 326. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.unit | |||||
| Definition | A human-readable form of the unit. | ||||
| Short | Unit representation | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 328. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.system | |||||
| Definition | The identification of the system that provides the coded form of the unit. | ||||
| Short | System that defines coded unit form | ||||
| Control | 1..1 This element is affected by the following invariants: qty-3 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need to know the system that defines the coded form of the unit. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 330. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low.code | |||||
| Definition | A computer processable form of the unit in some unit representation system. | ||||
| Short | Coded form of the unit | ||||
| Comments | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. | ||||
| Control | 1..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 332. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high | |||||
| Definition | The high limit. The boundary is inclusive. | ||||
| Short | High limit | ||||
| Comments | If the high element is missing, the high boundary is not known. | ||||
| Control | 0..1 | ||||
| Type | Quantity(SimpleQuantity) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Pattern Value | { | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 334. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 336. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.dosageInstruction.timing.repeat.bounds[x].high.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 338. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.value | |||||
| Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value. | ||||
| Short | Numerical value (with implicit precision) | ||||
| Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). | ||||
| Control | 1..1 | ||||
| Type | decimal | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Precision is handled implicitly in almost all cases of measurement. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 340. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.comparator | |||||
| Definition | Not allowed to be used in this context | ||||
| Short | < | <= | >= | > - how to understand the value | ||||
| Control | 0..0 | ||||
| Binding | The codes SHALL be taken from QuantityComparator (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)How the Quantity should be understood and represented. | ||||
| Type | code | ||||
| Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. | ||||
| Meaning if Missing | If there is no comparator, then there is no modification of the value | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 342. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.unit | |||||
| Definition | A human-readable form of the unit. | ||||
| Short | Unit representation | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 344. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.system | |||||
| Definition | The identification of the system that provides the coded form of the unit. | ||||
| Short | System that defines coded unit form | ||||
| Control | 1..1 This element is affected by the following invariants: qty-3 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need to know the system that defines the coded form of the unit. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 346. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high.code | |||||
| Definition | A computer processable form of the unit in some unit representation system. | ||||
| Short | Coded form of the unit | ||||
| Comments | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. | ||||
| Control | 1..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 348. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod | |||||
| Slice Name | boundsPeriod | ||||
| Definition | Entweder eine Dauer für die Länge des Zeitplans, ein Bereich möglicher Längen oder äußere Begrenzungen für Start- und/oder Endgrenzen des Zeitplans. | ||||
| Short | begrenzender Zeitraum | ||||
| Comments | tbd | ||||
| Control | 0..1 | ||||
| Type | Period | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 350. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 352. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.dosageInstruction.timing.repeat.bounds[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 354. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.start | |||||
| Definition | The start of the period. The boundary is inclusive. | ||||
| Short | Starting time with inclusive boundary | ||||
| Comments | If the low element is missing, the meaning is that the low boundary is not known. | ||||
| Control | 0..1 This element is affected by the following invariants: per-1 | ||||
| Type | dateTime | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 356. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.end | |||||
| Definition | The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time. | ||||
| Short | End time with inclusive boundary, if not ongoing | ||||
| Comments | The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03. | ||||
| Control | 0..1 This element is affected by the following invariants: per-1 | ||||
| Type | dateTime | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Meaning if Missing | If the end of the period is missing, it means that the period is ongoing | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 358. MedicationRequest.dosageInstruction.timing.repeat.count | |||||
| Definition | 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. | ||||
| Short | Anzahl Wiederholungen | ||||
| Comments | If you have both bounds and count, then this should be understood as within the bounds period, until count times happens. | ||||
| Control | 0..1 | ||||
| Type | positiveInt | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| 360. MedicationRequest.dosageInstruction.timing.repeat.countMax | |||||
| Definition | If present, indicates that the count is a range - so to perform the action between [count] and [countMax] times. | ||||
| Short | maximale Anzahl Wiederholungen | ||||
| Control | 0..1 | ||||
| Type | positiveInt | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 362. MedicationRequest.dosageInstruction.timing.repeat.duration | |||||
| Definition | 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. | ||||
| Short | Dauer der Verabreichung | ||||
| Comments | 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). | ||||
| Control | 0..1 | ||||
| Type | decimal | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| 364. MedicationRequest.dosageInstruction.timing.repeat.durationMax | |||||
| Definition | If present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length. | ||||
| Short | maximale Dauer der Verabreichung | ||||
| Comments | 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). | ||||
| Control | 0..1 | ||||
| Type | decimal | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| 366. MedicationRequest.dosageInstruction.timing.repeat.durationUnit | |||||
| Definition | The units of time for the duration, in UCUM units. | ||||
| Short | Einheit der Dauer | ||||
| Control | 0..1 | ||||
| Binding | The codes SHALL be taken from UnitsOfTime (required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1)A unit of time (units from UCUM). | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 368. MedicationRequest.dosageInstruction.timing.repeat.frequency | |||||
| Definition | Die Anzahl der Wiederholungen innerhalb des angegebenen Zeitraums. Falls frequencyMax vorhanden ist, gibt dieses Element die Untergrenze des zulässigen Bereichs der Häufigkeit an. | ||||
| Short | Frequenz (Anzahl der Gaben pro Periode) | ||||
| Control | 0..1 | ||||
| Type | positiveInt | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Meaning if Missing | 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())) | ||||
| 370. MedicationRequest.dosageInstruction.timing.repeat.frequencyMax | |||||
| Definition | If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range. | ||||
| Short | maximale Frequenz | ||||
| Control | 0..1 | ||||
| Type | positiveInt | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 372. MedicationRequest.dosageInstruction.timing.repeat.period | |||||
| Definition | Gibt die Zeitspanne an, über die die Wiederholungen stattfinden sollen; z. B. um „3-mal täglich“ auszudrücken, wäre 3 die Häufigkeit und „1 Tag“ der Zeitraum. Falls periodMax vorhanden ist, gibt dieses Element die Untergrenze des zulässigen Bereichs der Zeitspanne an. | ||||
| Short | Zeitperiode zur Frequenz | ||||
| Control | 0..1 | ||||
| Type | decimal | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 374. MedicationRequest.dosageInstruction.timing.repeat.periodMax | |||||
| Definition | 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. | ||||
| Short | maximale Zeitperiode zur Frequenz | ||||
| Control | 0..1 | ||||
| Type | decimal | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 376. MedicationRequest.dosageInstruction.timing.repeat.periodUnit | |||||
| Definition | Die Zeiteinheit für den Zeitraum, in UCUM-Einheiten. | ||||
| Short | Einheit der Zeitperiode | ||||
| Control | 0..1 | ||||
| Binding | The codes SHALL be taken from UnitsOfTime (required to http://hl7.org/fhir/ValueSet/units-of-time|4.0.1)A unit of time (units from UCUM). | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 378. MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek | |||||
| Definition | Wenn ein oder mehrere Wochentage angegeben sind, findet die Aktion nur an den angegebenen Tagen statt. | ||||
| Short | Wochentag | ||||
| Comments | Wenn keine Tage angegeben sind, wird angenommen, dass die Aktion an jedem Tag wie sonst angegeben stattfindet. | ||||
| Control | 0..* | ||||
| Binding | The codes SHALL be taken from DaysOfWeek (required to http://hl7.org/fhir/ValueSet/days-of-week|4.0.1) | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 380. MedicationRequest.dosageInstruction.timing.repeat.timeOfDay | |||||
| Definition | Angegebene Tageszeit, zu der die Aktion stattfinden soll. | ||||
| Short | Tageszeit | ||||
| Comments | Wenn eine Tageszeit angegeben ist, wird angenommen, dass die Aktion jeden Tag (ggf. gefiltert durch dayOfWeek) zu den angegebenen Zeiten stattfindet. | ||||
| Control | 0..* | ||||
| Type | time | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 382. MedicationRequest.dosageInstruction.timing.repeat.when | |||||
| Definition | Ein ungefährer Zeitraum während des Tages, der möglicherweise mit einem Ereignis des täglichen Lebens verknüpft ist und angibt, wann die Aktion stattfinden soll. | ||||
| Short | Tageszeitpunkt codiert | ||||
| Comments | Wenn mehr als ein Ereignis angegeben ist, bezieht sich das Ereignis auf die Vereinigung der angegebenen Ereignisse. | ||||
| Control | 0..* | ||||
| Binding | The codes SHALL be taken from EventTiming (required to http://hl7.org/fhir/ValueSet/event-timing|4.0.1)Real world event relating to the schedule. | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| 384. MedicationRequest.dosageInstruction.timing.repeat.offset | |||||
| Definition | 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. | ||||
| Short | zeitlicher Abstand der Gabe zum beschriebenen Zeitpunkt | ||||
| Control | 0..1 | ||||
| Type | unsignedInt | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 386. MedicationRequest.dosageInstruction.timing.code | |||||
| Definition | 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). | ||||
| Short | BID | TID | QID | AM | PM | QD | QOD | + | ||||
| Comments | 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). | ||||
| Control | 0..1 | ||||
| Binding | The codes SHOULD be taken from TimingAbbreviation (preferred to http://hl7.org/fhir/ValueSet/timing-abbreviation|4.0.1)Code for a known / defined timing pattern. | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 388. MedicationRequest.dosageInstruction.asNeeded[x] | |||||
| Definition | 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). | ||||
| Short | Bedarfsmedikation (ja/nein) | ||||
| Comments | Begründung des Must-Support: Abbildung einer Bedarfsmedikation. | ||||
| Control | 0..1 | ||||
| Type | boolean | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 390. MedicationRequest.dosageInstruction.site | |||||
| Definition | Body site to administer to. | ||||
| Short | Körperstelle der Verabreichung | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Binding | For example codes, see 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 | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| 392. MedicationRequest.dosageInstruction.site.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 394. MedicationRequest.dosageInstruction.site.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.dosageInstruction.site.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 396. MedicationRequest.dosageInstruction.site.coding | |||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code defined by a terminology system | ||||
| Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
| Control | 0..* | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| Slicing | This element introduces a set of slices on MedicationRequest.dosageInstruction.site.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 398. MedicationRequest.dosageInstruction.site.coding:SNOMED-CT | |||||
| Slice Name | SNOMED-CT | ||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code defined by a terminology system | ||||
| Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
| Control | 0..1 | ||||
| Type | Coding(ISiKSnomedCTCoding) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Pattern Value | { | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 400. MedicationRequest.dosageInstruction.site.text | |||||
| Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. | ||||
| Short | Plain text representation of the concept | ||||
| Comments | Very often the text is the same as a displayName of one of the codings. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| 402. MedicationRequest.dosageInstruction.route | |||||
| Definition | How drug should enter body. | ||||
| Short | Route | ||||
| Control | 0..1 | ||||
| Binding | For example codes, see SNOMEDCTRouteCodes (example to http://hl7.org/fhir/ValueSet/route-codes|4.0.1)A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| 404. MedicationRequest.dosageInstruction.route.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 406. MedicationRequest.dosageInstruction.route.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.dosageInstruction.route.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 408. MedicationRequest.dosageInstruction.route.coding | |||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code defined by a terminology system | ||||
| Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
| Control | 0..* | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| Slicing | This element introduces a set of slices on MedicationRequest.dosageInstruction.route.coding. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 410. MedicationRequest.dosageInstruction.route.coding:EDQM | |||||
| Slice Name | EDQM | ||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code defined by a terminology system | ||||
| Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
| Control | 0..1 | ||||
| Binding | The codes SHALL be taken from Medicine EDQM Route of Administration - IPS (required to http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration) | ||||
| Type | Coding(ISiKCoding) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Pattern Value | { | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 412. MedicationRequest.dosageInstruction.route.coding:SNOMED-CT | |||||
| Slice Name | SNOMED-CT | ||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code defined by a terminology system | ||||
| Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
| Control | 0..1 | ||||
| Binding | The codes SHALL be taken from SctRouteOfAdministration (required to https://gematik.de/fhir/isik/ValueSet/SctRouteOfAdministration) | ||||
| Type | Coding(ISiKSnomedCTCoding) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Pattern Value | { | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 414. MedicationRequest.dosageInstruction.route.text | |||||
| Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. | ||||
| Short | Plain text representation of the concept | ||||
| Comments | Very often the text is the same as a displayName of one of the codings. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| 416. MedicationRequest.dosageInstruction.method | |||||
| Definition | Technique for administering medication. | ||||
| Short | Technique for administering medication | ||||
| Comments | Terminologies used often pre-coordinate this term with the route and or form of administration. | ||||
| Control | 0..1 | ||||
| Binding | For example codes, see SNOMEDCTAdministrationMethodCodes (example to http://hl7.org/fhir/ValueSet/administration-method-codes|4.0.1)A coded concept describing the technique by which the medicine is administered. | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| 418. MedicationRequest.dosageInstruction.doseAndRate | |||||
| Definition | Die verabreichte Menge des Medikaments. | ||||
| Short | Menge des verabreichten Medikaments | ||||
| Control | 0..* | ||||
| Type | Element | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 420. MedicationRequest.dosageInstruction.doseAndRate.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 422. MedicationRequest.dosageInstruction.doseAndRate.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.dosageInstruction.doseAndRate.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 424. MedicationRequest.dosageInstruction.doseAndRate.type | |||||
| Definition | The kind of dose or rate specified, for example, ordered or calculated. | ||||
| Short | The kind of dose or rate specified | ||||
| Control | 0..1 | ||||
| Binding | For example codes, see DoseAndRateType (example to http://hl7.org/fhir/ValueSet/dose-rate-type|4.0.1)The kind of dose or rate specified. | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| 426. MedicationRequest.dosageInstruction.doseAndRate.dose[x] | |||||
| Definition | Amount of medication per dose. | ||||
| Short | Amount of medication per dose | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Type | Choice of: Range, Quantity(SimpleQuantity) | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | 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 | This element introduces a set of slices on MedicationRequest.dosageInstruction.doseAndRate.dose[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
| 428. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity | |||||
| Slice Name | doseQuantity | ||||
| Definition | Menge des Medikaments pro Dosis. | ||||
| Short | Dosis | ||||
| Comments | Das Must-Support-Flag auf doseQuantity bedeutet, dass produzierende Systeme zur Kodierung der Dosisangaben nach eigenem Ermessen entweder den Datentyp Quantity oder Ratio verwenden können. Beim Empfang und Verarbeitung der eingehenden Daten müssen dagegen beide Datentypen interpretiert werden können. | ||||
| Control | 0..1 | ||||
| Binding | The codes SHALL be taken from Dosage DoseQuantity ValueSet (required to http://ig.fhir.de/igs/medication/ValueSet/DosageDoseQuantityDE) | ||||
| Type | Quantity(SimpleQuantity) | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| 430. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 432. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.dosageInstruction.doseAndRate.dose[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 434. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.value | |||||
| Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value. | ||||
| Short | Dosiswert | ||||
| Comments | Begründung MS: Der Dosiswert ist notwendig, um die Dosisangabe korrekt interpretieren zu können. | ||||
| Control | 0..1 | ||||
| Type | decimal | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Precision is handled implicitly in almost all cases of measurement. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 436. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.comparator | |||||
| Definition | Not allowed to be used in this context | ||||
| Short | < | <= | >= | > - how to understand the value | ||||
| Control | 0..0 | ||||
| Binding | The codes SHALL be taken from QuantityComparator (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)How the Quantity should be understood and represented. | ||||
| Type | code | ||||
| Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. | ||||
| Meaning if Missing | If there is no comparator, then there is no modification of the value | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 438. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.unit | |||||
| Definition | A human-readable form of the unit. | ||||
| Short | Menschenlesbare Dosis-Einheit | ||||
| Comments | Begründung MS: Die menschenlesbare Dosis-Einheit ist notwendig, um die Dosisangabe korrekt interpretieren zu können. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 440. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.system | |||||
| Definition | The identification of the system that provides the coded form of the unit. | ||||
| Short | CodeSystem der Dosisangabe | ||||
| Comments | Begründung MS: Das CodeSystem der Dosisangabe ist notwendig, um die Dosisangabe korrekt interpretieren zu können. | ||||
| Control | 0..1 This element is affected by the following invariants: qty-3 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need to know the system that defines the coded form of the unit. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 442. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.code | |||||
| Definition | A computer processable form of the unit in some unit representation system. | ||||
| Short | Code der Dosisangabe | ||||
| Comments | Begründung MS: Der Code der Dosisangabe ist notwendig, um die Dosisangabe korrekt interpretieren zu können. | ||||
| Control | 0..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 444. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange | |||||
| Slice Name | doseRange | ||||
| Definition | Amount of medication per dose. | ||||
| Short | Dosisbereich | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Type | Range | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| 446. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 448. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.dosageInstruction.doseAndRate.dose[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 450. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low | |||||
| Definition | The low limit. The boundary is inclusive. | ||||
| Short | Low limit | ||||
| Comments | If the low element is missing, the low boundary is not known. | ||||
| Control | 0..1 | ||||
| Type | Quantity(Medication Quantity Dose Form) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 452. MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high | |||||
| Definition | The high limit. The boundary is inclusive. | ||||
| Short | High limit | ||||
| Comments | If the high element is missing, the high boundary is not known. | ||||
| Control | 0..1 | ||||
| Type | Quantity(Medication Quantity Dose Form) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 454. MedicationRequest.dosageInstruction.doseAndRate.rate[x] | |||||
| Definition | Amount of medication per unit of time. | ||||
| Short | Amount of medication per unit of time | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Type | Choice of: Ratio, Range, Quantity(SimpleQuantity) | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | 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 | This element introduces a set of slices on MedicationRequest.dosageInstruction.doseAndRate.rate[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
| 456. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio | |||||
| Slice Name | rateRatio | ||||
| Definition | Amount of medication per unit of time. | ||||
| Short | Raten-Verhältnis | ||||
| Comments | Das Must-Support-Flag auf rateRatio bzw. rateQuantity bedeutet, dass produzierende Systeme zur Kodierung der Ratenangaben nach eigenem Ermessen entweder den Datentyp Ratio oder Quantity verwenden können. Beim Empfang und Verarbeitung der eingehenden Daten müssen dagegen beide Datentypen interpretiert werden können. | ||||
| Control | 0..1 | ||||
| Type | Ratio | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| 458. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 460. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.dosageInstruction.doseAndRate.rate[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 462. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator | |||||
| Definition | The value of the numerator. | ||||
| Short | Numerator value | ||||
| Control | 1..1 | ||||
| Type | Quantity(Medication Quantity Dose Form) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 464. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator | |||||
| Definition | The value of the denominator. | ||||
| Short | Denominator value | ||||
| Control | 1..1 | ||||
| Type | Quantity(Medication Quantity) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 466. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange | |||||
| Slice Name | rateRange | ||||
| Definition | Amount of medication per unit of time. | ||||
| Short | Raten-Bereich | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Type | Range | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| 468. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 470. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.dosageInstruction.doseAndRate.rate[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 472. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.low | |||||
| Definition | The low limit. The boundary is inclusive. | ||||
| Short | Low limit | ||||
| Comments | If the low element is missing, the low boundary is not known. | ||||
| Control | 0..1 | ||||
| Type | Quantity(Medication Quantity Dose Form) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 474. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.high | |||||
| Definition | The high limit. The boundary is inclusive. | ||||
| Short | High limit | ||||
| Comments | If the high element is missing, the high boundary is not known. | ||||
| Control | 0..1 | ||||
| Type | Quantity(Medication Quantity Dose Form) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 476. MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantity | |||||
| Slice Name | rateQuantity | ||||
| Definition | Amount of medication per unit of time. | ||||
| Short | Rate | ||||
| Comments | Das Must-Support-Flag auf rateRatio bzw. rateQuantity bedeutet, dass produzierende Systeme zur Kodierung der Ratenangaben nach eigenem Ermessen entweder den Datentyp Ratio oder Quantity verwenden können. Beim Empfang und Verarbeitung der eingehenden Daten müssen dagegen beide Datentypen interpretiert werden können. | ||||
| Control | 0..1 | ||||
| Type | Quantity(Medication Quantity) | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| 478. MedicationRequest.dosageInstruction.maxDosePerPeriod | |||||
| Definition | Upper limit on medication per unit of time. | ||||
| Short | Maximaldosis (Zähler) pro Zeitraum (Nenner) | ||||
| Comments | 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". | ||||
| Control | 0..1 | ||||
| Type | Ratio | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| 480. MedicationRequest.dosageInstruction.maxDosePerPeriod.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 482. MedicationRequest.dosageInstruction.maxDosePerPeriod.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | 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 | This element introduces a set of slices on MedicationRequest.dosageInstruction.maxDosePerPeriod.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 484. MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator | |||||
| Definition | The value of the numerator. | ||||
| Short | Numerator value | ||||
| Control | 1..1 | ||||
| Type | Quantity(Medication Quantity Dose Form) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 486. MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator | |||||
| Definition | The value of the denominator. | ||||
| Short | Denominator value | ||||
| Control | 1..1 | ||||
| Type | Quantity(Medication Quantity) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 488. MedicationRequest.dosageInstruction.maxDosePerAdministration | |||||
| Definition | Upper limit on medication per administration. | ||||
| Short | Maximaldosis pro Verabreichung | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Type | Quantity(Medication Quantity Dose Form) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| 490. MedicationRequest.dosageInstruction.maxDosePerLifetime | |||||
| Definition | Upper limit on medication per lifetime of the patient. | ||||
| Short | Upper limit on medication per lifetime of the patient | ||||
| Control | 0..1 | ||||
| Type | Quantity(SimpleQuantity) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | 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())) | ||||
| 492. MedicationRequest.dispenseRequest | |||||
| Definition | 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. | ||||
| Short | angeforderte Abgabemenge | ||||
| Comments | Begründung des Must-Support: Basisinformation | ||||
| Control | 0..1 | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 494. MedicationRequest.dispenseRequest.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 496. MedicationRequest.dispenseRequest.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | 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()) | ||||
| 498. MedicationRequest.dispenseRequest.modifierExtension | |||||
| Definition | 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). | ||||
| Short | Extensions that cannot be ignored even if unrecognized | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
| Summary | true | ||||
| Requirements | 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. | ||||
| Alternate Names | 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()) | ||||
| 500. MedicationRequest.dispenseRequest.initialFill | |||||
| Definition | Indicates the quantity or duration for the first dispense of the medication. | ||||
| Short | First fill details | ||||
| Comments | If populating this element, either the quantity or the duration must be included. | ||||
| Control | 0..1 | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 502. MedicationRequest.dispenseRequest.initialFill.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 504. MedicationRequest.dispenseRequest.initialFill.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | 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()) | ||||
| 506. MedicationRequest.dispenseRequest.initialFill.modifierExtension | |||||
| Definition | 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). | ||||
| Short | Extensions that cannot be ignored even if unrecognized | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
| Summary | true | ||||
| Requirements | 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. | ||||
| Alternate Names | 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()) | ||||
| 508. MedicationRequest.dispenseRequest.initialFill.quantity | |||||
| Definition | The amount or quantity to provide as part of the first dispense. | ||||
| Short | First fill quantity | ||||
| Control | 0..1 | ||||
| Type | Quantity(SimpleQuantity) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 510. MedicationRequest.dispenseRequest.initialFill.duration | |||||
| Definition | The length of time that the first dispense is expected to last. | ||||
| Short | First fill duration | ||||
| Control | 0..1 | ||||
| Type | Duration | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 512. MedicationRequest.dispenseRequest.dispenseInterval | |||||
| Definition | The minimum period of time that must occur between dispenses of the medication. | ||||
| Short | Minimum period of time between dispenses | ||||
| Control | 0..1 | ||||
| Type | Duration | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 514. MedicationRequest.dispenseRequest.validityPeriod | |||||
| Definition | This indicates the validity period of a prescription (stale dating the Prescription). | ||||
| Short | Time period supply is authorized for | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Type | Period | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Requirements | 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())) | ||||
| 516. MedicationRequest.dispenseRequest.numberOfRepeatsAllowed | |||||
| Definition | 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. | ||||
| Short | Number of refills authorized | ||||
| Comments | If displaying "number of authorized fills", add 1 to this number. | ||||
| Control | 0..1 | ||||
| Type | unsignedInt | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 518. MedicationRequest.dispenseRequest.quantity | |||||
| Definition | The amount that is to be dispensed for one fill. | ||||
| Short | angeforderte Abgabemenge | ||||
| Comments | Begründung des Must-Support: Basisinformation | ||||
| Control | 0..1 | ||||
| Type | Quantity(Medication Quantity Dose Form) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 520. MedicationRequest.dispenseRequest.expectedSupplyDuration | |||||
| Definition | 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. | ||||
| Short | Number of days supply per dispense | ||||
| Comments | 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. | ||||
| Control | 0..1 | ||||
| Type | Duration | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 522. MedicationRequest.dispenseRequest.performer | |||||
| Definition | Indicates the intended dispensing Organization specified by the prescriber. | ||||
| Short | Intended dispenser | ||||
| Control | 0..1 | ||||
| Type | Reference(Organization) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 524. MedicationRequest.substitution | |||||
| Definition | 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. | ||||
| Short | Ersatz zulässig | ||||
| Comments | Begründung des Must-Support: Alignment mit dem (E-)Rezept | ||||
| Control | 0..1 | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 526. MedicationRequest.substitution.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 528. MedicationRequest.substitution.extension | |||||
| Definition | 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. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | 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()) | ||||
| 530. MedicationRequest.substitution.modifierExtension | |||||
| Definition | 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). | ||||
| Short | Extensions that cannot be ignored even if unrecognized | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
| Summary | true | ||||
| Requirements | 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. | ||||
| Alternate Names | 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()) | ||||
| 532. MedicationRequest.substitution.allowed[x] | |||||
| Definition | True if the prescriber allows a different drug to be dispensed from what was prescribed. | ||||
| Short | Whether substitution is allowed or not | ||||
| Comments | This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored. | ||||
| Control | 1..1 | ||||
| Binding | For example codes, see V3 Value SetActSubstanceAdminSubstitutionCode (example to http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode)Identifies the type of substitution allowed. | ||||
| Type | Choice of: boolean, CodeableConcept | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| Slicing | This element introduces a set of slices on MedicationRequest.substitution.allowed[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 534. MedicationRequest.substitution.allowed[x]:allowedBoolean | |||||
| Slice Name | allowedBoolean | ||||
| Definition | True if the prescriber allows a different drug to be dispensed from what was prescribed. | ||||
| Short | Whether substitution is allowed or not | ||||
| Comments | This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored. | ||||
| Control | 0..1 | ||||
| Type | boolean | ||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 536. MedicationRequest.substitution.reason | |||||
| Definition | Indicates the reason for the substitution, or why substitution must or must not be performed. | ||||
| Short | Why should (not) substitution be made | ||||
| Control | 0..1 | ||||
| Binding | For example codes, see V3 Value SetSubstanceAdminSubstitutionReason (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 | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 538. MedicationRequest.priorPrescription | |||||
| Definition | A link to a resource representing an earlier order related order or prescription. | ||||
| Short | Vorherige Verordnung mit Bezug zur aktuellen Verordnung | ||||
| Comments | Begründung des Must-Support: Erforderlich zur Abbildung des fachlichen Zusammenhangs zwischen Verordnungen (z. B. Fortführung, Änderung oder Ersetzung) und zur Nachvollziehbarkeit der Medikationshistorie. | ||||
| Control | 0..1 | ||||
| Type | Reference(MedicationRequest) | ||||
| Is Modifier | false | ||||
| Must Support | true | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 540. MedicationRequest.detectedIssue | |||||
| Definition | 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. | ||||
| Short | Clinical Issue with action | ||||
| Comments | 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. | ||||
| Control | 0..* | ||||
| Type | Reference(DetectedIssue) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | Contraindication, Drug Utilization Review (DUR), Alert | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 542. MedicationRequest.eventHistory | |||||
| Definition | 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. | ||||
| Short | A list of events of interest in the lifecycle | ||||
| Comments | 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.). | ||||
| Control | 0..* | ||||
| Type | Reference(Provenance) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||