MyHealth@EU Core
1.0.0 - trial-use 150

This page is part of the MyHealth@Eu Core (v1.0.0: Wave 9) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: MedicationRequest (Core)

Official URL: http://fhir.ehdsi.eu/core/StructureDefinition/medicationRequest-myhealtheu-core Version: 1.0.0
Standards status: Trial-use Maturity Level: 2 Computable Name: MedicationRequestMyHealthCore

This profile sets minimum expectations for the MedicationRequest resource common to most of the use cases. This profile is adapted from the MPD work.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequestEuCore Ordering of medication for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the request
Binding: eHDSI Language (required)
... Slices for extension Content/Rules for all slices
.... extension:effectiveDosePeriod 0..1 Period Period over which the medication should be taken.
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod
Constraints: ext-1
.... extension:renderedDosageInstruction 0..1 markdown Full representation of the dosage instructions
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction
Constraints: ext-1
... status ?!Σ 1..1 code Current state of the order
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
... statusReason 0..1 CodeableConcept Reason for current status of the order
Binding: eHDSI Medication Status Reason With Exceptions (required)
... intent ?!Σ 1..1 code Order, proposal or plan
Binding: medicationRequest Intent (required): The kind of medication order.
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... medication[x] Σ 1..1 Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication (Core))
... subject Σ 1..1 Reference(Patient (Core)) Who or group medication request is for
... requester Σ 0..1 Reference(Patient (Core) | Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | RelatedPerson) The individual responsible for ordering the medication
... reasonCode 0..* CodeableConcept Reason or indication for this prescription
Binding: eHDSI Medication Reason With Exceptions (required)
Additional BindingsPurpose
eHDSI Illness and Disorder Preferred


doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.language Base required eHDSI Language 📦9.1.0 MyHealthEu MVC package v9.1
MedicationRequest.status Base required Medicationrequest status 📍4.0.1 FHIR Std.
MedicationRequest.statusReason Base required eHDSI Medication Status Reason With Exceptions 📦1.0.0 This IG
MedicationRequest.intent Base required Medication request intent 📍4.0.1 FHIR Std.
MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.reasonCode Base required eHDSI Medication Reason With Exceptions 📦1.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationRequest 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 error MedicationRequest 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 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error MedicationRequest.extension:effectiveDosePeriod, MedicationRequest.extension:renderedDosageInstruction, MedicationRequest.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from MedicationRequestEuCore

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequestEuCore Ordering of medication for patient or group
... language 0..1 code Language of the request
Binding: eHDSI Language (required)
... statusReason 0..1 CodeableConcept Reason for current status of the order
Binding: eHDSI Medication Status Reason With Exceptions (required)
... medication[x] 1..1 Medication to be taken
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication (Core))
... requester 0..1 Reference(Patient (Core) | Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | RelatedPerson) The individual responsible for ordering the medication
... reasonCode 0..* CodeableConcept Reason or indication for this prescription
Binding: eHDSI Medication Reason With Exceptions (required)
... dosageInstruction
.... site 0..1 CodeableConcept Body site to administer to
Binding: eHDSI Body Site With Exceptions (required)
.... route 0..1 CodeableConcept Route of administration
Binding: eHDSI Route of Administration (extensible)
.... doseAndRate
..... Slices for dose[x] Content/Rules for all slices
...... dose[x]:doseQuantity 0..1 SimpleQuantityMyHealth Amount of medication per dose
..... Slices for rate[x] 0..1 Ratio, Range, SimpleQuantity(4.0.1) Amount of medication per unit of time
Slice: Unordered, Open by type:$this
...... rate[x]:rateRatio 0..1 RatioMyHealth Amount of medication per unit of time
...... rate[x]:rateQuantity 0..1 SimpleQuantityMyHealth Amount of medication per unit of time
.... maxDosePerPeriod 0..1 RatioMyHealth Upper limit on medication per unit of time
.... maxDosePerAdministration 0..1 SimpleQuantityMyHealth Upper limit on medication per administration
.... maxDosePerLifetime 0..1 SimpleQuantityMyHealth Upper limit on medication per lifetime of the patient
... substitution
.... allowed[x] 1..1 boolean, CodeableConcept Whether substitution is allowed or not
Binding: eHDSI Substitution Code (extensible)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationRequest.language Base required eHDSI Language 📦9.1.0 MyHealthEu MVC package v9.1
MedicationRequest.statusReason Base required eHDSI Medication Status Reason With Exceptions 📦1.0.0 This IG
MedicationRequest.reasonCode Base required eHDSI Medication Reason With Exceptions 📦1.0.0 This IG
MedicationRequest.dosageInstruction.​site Base required eHDSI Body Site With Exceptions 📦1.0.0 This IG
MedicationRequest.dosageInstruction.​route Base extensible eHDSI Route of Administration 📦9.1.0 MyHealthEu MVC package v9.1
MedicationRequest.substitution.​allowed[x] Base extensible eHDSI Substitution Code 📦9.1.0 MyHealthEu MVC package v9.1
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequestEuCore Ordering of medication for patient or group
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the request
Binding: eHDSI Language (required)
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:effectiveDosePeriod 0..1 Period Period over which the medication should be taken.
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod
Constraints: ext-1
.... extension:renderedDosageInstruction 0..1 markdown Full representation of the dosage instructions
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier Business identifier for this request
... status ?!Σ 1..1 code Current state of the order
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
... statusReason 0..1 CodeableConcept Reason for current status of the order
Binding: eHDSI Medication Status Reason With Exceptions (required)
... intent ?!Σ 1..1 code Order, proposal or plan
Binding: medicationRequest Intent (required): The kind of medication order.
... category 0..* CodeableConcept Category of the medication request
Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... reported[x] Σ 0..1 Reported rather than primary record
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... medication[x] Σ 1..1 Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication (Core))
... subject Σ 1..1 Reference(Patient (Core)) Who or group medication request is for
... encounter 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
... authoredOn Σ 0..1 dateTime Date when the request was authored
... requester Σ 0..1 Reference(Patient (Core) | Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | RelatedPerson) The individual responsible for ordering the medication
... performer 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) Intended performer of administration
... performerType Σ 0..1 CodeableConcept Desired kind of performer of the medication administration
Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
... recorder 0..1 Reference(Practitioner | PractitionerRole) Person who entered the request
... reasonCode 0..* CodeableConcept Reason or indication for this prescription
Binding: eHDSI Medication Reason With Exceptions (required)
Additional BindingsPurpose
eHDSI Illness and Disorder Preferred

... reasonReference 0..* Reference(Condition | Observation) Condition or observation that supports this prescription
... instantiatesCanonical Σ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) What request fulfills
... groupIdentifier Σ 0..1 Identifier Group identifier
... courseOfTherapyType 0..1 CodeableConcept Overall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... note 0..* Annotation Information about the prescription
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] Σ 0..1 Individual responsible for the annotation
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
.... time Σ 0..1 dateTime When the annotation was made
.... text Σ 1..1 markdown Textual note about the request
... dosageInstruction 0..* Dosage How the medication should be taken.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence Σ 0..1 integer The order of the dosage instructions
.... text Σ 0..1 string Free text dosage instructions
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
.... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
.... timing Σ 0..1 Timing Administration schedule
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... event Σ 0..* dateTime When the event occurs
..... repeat ΣC 0..1 Element When the event is to occur
Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... bounds[x] Σ 0..1 Length/Range of lengths, or (Start and/or end) limits
....... boundsDuration Duration
....... boundsRange Range
....... boundsPeriod Period
...... count Σ 0..1 positiveInt Number of times to repeat
...... countMax Σ 0..1 positiveInt Maximum number of times to repeat
...... duration Σ 0..1 decimal Duration of the treatment
...... durationMax Σ 0..1 decimal How long when it happens (Max)
...... durationUnit Σ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... frequency Σ 0..1 positiveInt Frequency times per period
...... frequencyMax Σ 0..1 positiveInt Event occurs up to frequencyMax times per period
...... period Σ 0..1 decimal Duration of time over which repetitions are to occur
...... periodMax Σ 0..1 decimal Upper limit of period (3-4 hours)
...... periodUnit Σ 0..1 code Unit of the period (e.g. day)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... dayOfWeek Σ 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
...... timeOfDay Σ 0..* time Time of day for action
...... when Σ 0..* code Code for time period of occurrence
Binding: EventTiming (required): Real world event relating to the schedule.
...... offset Σ 0..1 unsignedInt Minutes from event (before or after)
..... code Σ 0..1 CodeableConcept A code for the timing schedule.
Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
.... asNeeded[x] Σ 0..1 Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
..... asNeededBoolean boolean
..... asNeededCodeableConcept CodeableConcept
.... site Σ 0..1 CodeableConcept Body site to administer to
Binding: eHDSI Body Site With Exceptions (required)
.... route Σ 0..1 CodeableConcept Route of administration
Binding: eHDSI Route of Administration (extensible)
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
.... doseAndRate Σ 0..* Element Amount of medication administered
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ 0..1 CodeableConcept The kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.
..... Slices for dose[x] Σ 0..1 Amount of medication per dose
Slice: Unordered, Closed by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseQuantity Σ 0..1 SimpleQuantityMyHealth Amount of medication per dose
..... Slices for rate[x] Σ 0..1 Amount of medication per unit of time
Slice: Unordered, Open by type:$this
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
...... rate[x]:rateRatio Σ 0..1 RatioMyHealth Amount of medication per unit of time
...... rate[x]:rateQuantity Σ 0..1 SimpleQuantityMyHealth Amount of medication per unit of time
.... maxDosePerPeriod Σ 0..1 RatioMyHealth Upper limit on medication per unit of time
.... maxDosePerAdministration Σ 0..1 SimpleQuantityMyHealth Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantityMyHealth Upper limit on medication per lifetime of the patient
... dispenseRequest 0..1 BackboneElement Medication supply authorization
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:prescribedQuantity 0..1 Quantity Overall amount of product prescribed, independent from the number of repeats.
URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medicationrequest-prescribedQuantity
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... initialFill 0..1 BackboneElement First fill details
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... quantity 0..1 SimpleQuantity(4.0.1) First fill quantity
..... duration 0..1 Duration First fill duration
.... dispenseInterval 0..1 Duration Interval between dispenses
.... validityPeriod 0..1 Period Validity period of the dispense request
.... numberOfRepeatsAllowed 0..1 unsignedInt Number of repeats allowed
.... quantity 0..1 SimpleQuantity(4.0.1) Amount of medication to supply per dispense
.... expectedSupplyDuration 0..1 Duration Number of days supply per dispense
.... performer 0..1 Reference(Organization) Intended dispenser
... substitution 0..1 BackboneElement Whether substitution is allowed
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... allowed[x] 1..1 Whether substitution is allowed or not
Binding: eHDSI Substitution Code (extensible)
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
... priorPrescription 0..1 Reference(MedicationRequest) An order/prescription that is being replaced
... detectedIssue 0..* Reference(DetectedIssue) Clinical Issue with action
... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.language Base required eHDSI Language 📦9.1.0 MyHealthEu MVC package v9.1
MedicationRequest.status Base required Medicationrequest status 📍4.0.1 FHIR Std.
MedicationRequest.statusReason Base required eHDSI Medication Status Reason With Exceptions 📦1.0.0 This IG
MedicationRequest.intent Base required Medication request intent 📍4.0.1 FHIR Std.
MedicationRequest.category Base example Medication request category codes 📍4.0.1 FHIR Std.
MedicationRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.performerType Base example Procedure Performer Role Codes 📍4.0.1 FHIR Std.
MedicationRequest.reasonCode Base required eHDSI Medication Reason With Exceptions 📦1.0.0 This IG
MedicationRequest.courseOfTherapyType Base example Medication request course of therapy codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.durationUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.dayOfWeek Base required DaysOfWeek 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.when Base required EventTiming 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.code Base preferred TimingAbbreviation 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​site Base required eHDSI Body Site With Exceptions 📦1.0.0 This IG
MedicationRequest.dosageInstruction.​route Base extensible eHDSI Route of Administration 📦9.1.0 MyHealthEu MVC package v9.1
MedicationRequest.dosageInstruction.​method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.type Base example DoseAndRateType 📍4.0.1 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base extensible eHDSI Substitution Code 📦9.1.0 MyHealthEu MVC package v9.1
MedicationRequest.substitution.​reason Base example SubstanceAdminSubstitutionReason 📍3.0.0 THO v7.1

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationRequest 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 error MedicationRequest 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 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
tim-1 error MedicationRequest.dosageInstruction.timing.repeat if there's a duration, there needs to be duration units duration.empty() or durationUnit.exists()
tim-2 error MedicationRequest.dosageInstruction.timing.repeat if there's a period, there needs to be period units period.empty() or periodUnit.exists()
tim-4 error MedicationRequest.dosageInstruction.timing.repeat duration SHALL be a non-negative value duration.exists() implies duration >= 0
tim-5 error MedicationRequest.dosageInstruction.timing.repeat period SHALL be a non-negative value period.exists() implies period >= 0
tim-6 error MedicationRequest.dosageInstruction.timing.repeat If there's a periodMax, there must be a period periodMax.empty() or period.exists()
tim-7 error MedicationRequest.dosageInstruction.timing.repeat If there's a durationMax, there must be a duration durationMax.empty() or duration.exists()
tim-8 error MedicationRequest.dosageInstruction.timing.repeat If there's a countMax, there must be a count countMax.empty() or count.exists()
tim-9 error MedicationRequest.dosageInstruction.timing.repeat 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 error MedicationRequest.dosageInstruction.timing.repeat If there's a timeOfDay, there cannot be a when, or vice versa timeOfDay.empty() or when.empty()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequestEuCore Ordering of medication for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the request
Binding: eHDSI Language (required)
... Slices for extension Content/Rules for all slices
.... extension:effectiveDosePeriod 0..1 Period Period over which the medication should be taken.
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod
Constraints: ext-1
.... extension:renderedDosageInstruction 0..1 markdown Full representation of the dosage instructions
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction
Constraints: ext-1
... status ?!Σ 1..1 code Current state of the order
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
... statusReason 0..1 CodeableConcept Reason for current status of the order
Binding: eHDSI Medication Status Reason With Exceptions (required)
... intent ?!Σ 1..1 code Order, proposal or plan
Binding: medicationRequest Intent (required): The kind of medication order.
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... medication[x] Σ 1..1 Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication (Core))
... subject Σ 1..1 Reference(Patient (Core)) Who or group medication request is for
... requester Σ 0..1 Reference(Patient (Core) | Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | RelatedPerson) The individual responsible for ordering the medication
... reasonCode 0..* CodeableConcept Reason or indication for this prescription
Binding: eHDSI Medication Reason With Exceptions (required)
Additional BindingsPurpose
eHDSI Illness and Disorder Preferred


doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.language Base required eHDSI Language 📦9.1.0 MyHealthEu MVC package v9.1
MedicationRequest.status Base required Medicationrequest status 📍4.0.1 FHIR Std.
MedicationRequest.statusReason Base required eHDSI Medication Status Reason With Exceptions 📦1.0.0 This IG
MedicationRequest.intent Base required Medication request intent 📍4.0.1 FHIR Std.
MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.reasonCode Base required eHDSI Medication Reason With Exceptions 📦1.0.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationRequest 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 error MedicationRequest 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 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error MedicationRequest.extension:effectiveDosePeriod, MedicationRequest.extension:renderedDosageInstruction, MedicationRequest.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from MedicationRequestEuCore

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequestEuCore Ordering of medication for patient or group
... language 0..1 code Language of the request
Binding: eHDSI Language (required)
... statusReason 0..1 CodeableConcept Reason for current status of the order
Binding: eHDSI Medication Status Reason With Exceptions (required)
... medication[x] 1..1 Medication to be taken
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication (Core))
... requester 0..1 Reference(Patient (Core) | Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | RelatedPerson) The individual responsible for ordering the medication
... reasonCode 0..* CodeableConcept Reason or indication for this prescription
Binding: eHDSI Medication Reason With Exceptions (required)
... dosageInstruction
.... site 0..1 CodeableConcept Body site to administer to
Binding: eHDSI Body Site With Exceptions (required)
.... route 0..1 CodeableConcept Route of administration
Binding: eHDSI Route of Administration (extensible)
.... doseAndRate
..... Slices for dose[x] Content/Rules for all slices
...... dose[x]:doseQuantity 0..1 SimpleQuantityMyHealth Amount of medication per dose
..... Slices for rate[x] 0..1 Ratio, Range, SimpleQuantity(4.0.1) Amount of medication per unit of time
Slice: Unordered, Open by type:$this
...... rate[x]:rateRatio 0..1 RatioMyHealth Amount of medication per unit of time
...... rate[x]:rateQuantity 0..1 SimpleQuantityMyHealth Amount of medication per unit of time
.... maxDosePerPeriod 0..1 RatioMyHealth Upper limit on medication per unit of time
.... maxDosePerAdministration 0..1 SimpleQuantityMyHealth Upper limit on medication per administration
.... maxDosePerLifetime 0..1 SimpleQuantityMyHealth Upper limit on medication per lifetime of the patient
... substitution
.... allowed[x] 1..1 boolean, CodeableConcept Whether substitution is allowed or not
Binding: eHDSI Substitution Code (extensible)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationRequest.language Base required eHDSI Language 📦9.1.0 MyHealthEu MVC package v9.1
MedicationRequest.statusReason Base required eHDSI Medication Status Reason With Exceptions 📦1.0.0 This IG
MedicationRequest.reasonCode Base required eHDSI Medication Reason With Exceptions 📦1.0.0 This IG
MedicationRequest.dosageInstruction.​site Base required eHDSI Body Site With Exceptions 📦1.0.0 This IG
MedicationRequest.dosageInstruction.​route Base extensible eHDSI Route of Administration 📦9.1.0 MyHealthEu MVC package v9.1
MedicationRequest.substitution.​allowed[x] Base extensible eHDSI Substitution Code 📦9.1.0 MyHealthEu MVC package v9.1

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequestEuCore Ordering of medication for patient or group
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the request
Binding: eHDSI Language (required)
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:effectiveDosePeriod 0..1 Period Period over which the medication should be taken.
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod
Constraints: ext-1
.... extension:renderedDosageInstruction 0..1 markdown Full representation of the dosage instructions
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier Business identifier for this request
... status ?!Σ 1..1 code Current state of the order
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
... statusReason 0..1 CodeableConcept Reason for current status of the order
Binding: eHDSI Medication Status Reason With Exceptions (required)
... intent ?!Σ 1..1 code Order, proposal or plan
Binding: medicationRequest Intent (required): The kind of medication order.
... category 0..* CodeableConcept Category of the medication request
Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... reported[x] Σ 0..1 Reported rather than primary record
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... medication[x] Σ 1..1 Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication (Core))
... subject Σ 1..1 Reference(Patient (Core)) Who or group medication request is for
... encounter 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
... authoredOn Σ 0..1 dateTime Date when the request was authored
... requester Σ 0..1 Reference(Patient (Core) | Practitioner (Core) | PractitionerRole (Core) | Organization (Core) | RelatedPerson) The individual responsible for ordering the medication
... performer 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) Intended performer of administration
... performerType Σ 0..1 CodeableConcept Desired kind of performer of the medication administration
Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
... recorder 0..1 Reference(Practitioner | PractitionerRole) Person who entered the request
... reasonCode 0..* CodeableConcept Reason or indication for this prescription
Binding: eHDSI Medication Reason With Exceptions (required)
Additional BindingsPurpose
eHDSI Illness and Disorder Preferred

... reasonReference 0..* Reference(Condition | Observation) Condition or observation that supports this prescription
... instantiatesCanonical Σ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) What request fulfills
... groupIdentifier Σ 0..1 Identifier Group identifier
... courseOfTherapyType 0..1 CodeableConcept Overall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... note 0..* Annotation Information about the prescription
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] Σ 0..1 Individual responsible for the annotation
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
.... time Σ 0..1 dateTime When the annotation was made
.... text Σ 1..1 markdown Textual note about the request
... dosageInstruction 0..* Dosage How the medication should be taken.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence Σ 0..1 integer The order of the dosage instructions
.... text Σ 0..1 string Free text dosage instructions
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
.... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
.... timing Σ 0..1 Timing Administration schedule
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... event Σ 0..* dateTime When the event occurs
..... repeat ΣC 0..1 Element When the event is to occur
Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... bounds[x] Σ 0..1 Length/Range of lengths, or (Start and/or end) limits
....... boundsDuration Duration
....... boundsRange Range
....... boundsPeriod Period
...... count Σ 0..1 positiveInt Number of times to repeat
...... countMax Σ 0..1 positiveInt Maximum number of times to repeat
...... duration Σ 0..1 decimal Duration of the treatment
...... durationMax Σ 0..1 decimal How long when it happens (Max)
...... durationUnit Σ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... frequency Σ 0..1 positiveInt Frequency times per period
...... frequencyMax Σ 0..1 positiveInt Event occurs up to frequencyMax times per period
...... period Σ 0..1 decimal Duration of time over which repetitions are to occur
...... periodMax Σ 0..1 decimal Upper limit of period (3-4 hours)
...... periodUnit Σ 0..1 code Unit of the period (e.g. day)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... dayOfWeek Σ 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
...... timeOfDay Σ 0..* time Time of day for action
...... when Σ 0..* code Code for time period of occurrence
Binding: EventTiming (required): Real world event relating to the schedule.
...... offset Σ 0..1 unsignedInt Minutes from event (before or after)
..... code Σ 0..1 CodeableConcept A code for the timing schedule.
Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
.... asNeeded[x] Σ 0..1 Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
..... asNeededBoolean boolean
..... asNeededCodeableConcept CodeableConcept
.... site Σ 0..1 CodeableConcept Body site to administer to
Binding: eHDSI Body Site With Exceptions (required)
.... route Σ 0..1 CodeableConcept Route of administration
Binding: eHDSI Route of Administration (extensible)
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
.... doseAndRate Σ 0..* Element Amount of medication administered
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ 0..1 CodeableConcept The kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.
..... Slices for dose[x] Σ 0..1 Amount of medication per dose
Slice: Unordered, Closed by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseQuantity Σ 0..1 SimpleQuantityMyHealth Amount of medication per dose
..... Slices for rate[x] Σ 0..1 Amount of medication per unit of time
Slice: Unordered, Open by type:$this
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
...... rate[x]:rateRatio Σ 0..1 RatioMyHealth Amount of medication per unit of time
...... rate[x]:rateQuantity Σ 0..1 SimpleQuantityMyHealth Amount of medication per unit of time
.... maxDosePerPeriod Σ 0..1 RatioMyHealth Upper limit on medication per unit of time
.... maxDosePerAdministration Σ 0..1 SimpleQuantityMyHealth Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantityMyHealth Upper limit on medication per lifetime of the patient
... dispenseRequest 0..1 BackboneElement Medication supply authorization
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:prescribedQuantity 0..1 Quantity Overall amount of product prescribed, independent from the number of repeats.
URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medicationrequest-prescribedQuantity
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... initialFill 0..1 BackboneElement First fill details
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... quantity 0..1 SimpleQuantity(4.0.1) First fill quantity
..... duration 0..1 Duration First fill duration
.... dispenseInterval 0..1 Duration Interval between dispenses
.... validityPeriod 0..1 Period Validity period of the dispense request
.... numberOfRepeatsAllowed 0..1 unsignedInt Number of repeats allowed
.... quantity 0..1 SimpleQuantity(4.0.1) Amount of medication to supply per dispense
.... expectedSupplyDuration 0..1 Duration Number of days supply per dispense
.... performer 0..1 Reference(Organization) Intended dispenser
... substitution 0..1 BackboneElement Whether substitution is allowed
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... allowed[x] 1..1 Whether substitution is allowed or not
Binding: eHDSI Substitution Code (extensible)
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
... priorPrescription 0..1 Reference(MedicationRequest) An order/prescription that is being replaced
... detectedIssue 0..* Reference(DetectedIssue) Clinical Issue with action
... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.language Base required eHDSI Language 📦9.1.0 MyHealthEu MVC package v9.1
MedicationRequest.status Base required Medicationrequest status 📍4.0.1 FHIR Std.
MedicationRequest.statusReason Base required eHDSI Medication Status Reason With Exceptions 📦1.0.0 This IG
MedicationRequest.intent Base required Medication request intent 📍4.0.1 FHIR Std.
MedicationRequest.category Base example Medication request category codes 📍4.0.1 FHIR Std.
MedicationRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.performerType Base example Procedure Performer Role Codes 📍4.0.1 FHIR Std.
MedicationRequest.reasonCode Base required eHDSI Medication Reason With Exceptions 📦1.0.0 This IG
MedicationRequest.courseOfTherapyType Base example Medication request course of therapy codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.durationUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.dayOfWeek Base required DaysOfWeek 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.when Base required EventTiming 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.code Base preferred TimingAbbreviation 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​site Base required eHDSI Body Site With Exceptions 📦1.0.0 This IG
MedicationRequest.dosageInstruction.​route Base extensible eHDSI Route of Administration 📦9.1.0 MyHealthEu MVC package v9.1
MedicationRequest.dosageInstruction.​method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.type Base example DoseAndRateType 📍4.0.1 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base extensible eHDSI Substitution Code 📦9.1.0 MyHealthEu MVC package v9.1
MedicationRequest.substitution.​reason Base example SubstanceAdminSubstitutionReason 📍3.0.0 THO v7.1

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationRequest 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 error MedicationRequest 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 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
tim-1 error MedicationRequest.dosageInstruction.timing.repeat if there's a duration, there needs to be duration units duration.empty() or durationUnit.exists()
tim-2 error MedicationRequest.dosageInstruction.timing.repeat if there's a period, there needs to be period units period.empty() or periodUnit.exists()
tim-4 error MedicationRequest.dosageInstruction.timing.repeat duration SHALL be a non-negative value duration.exists() implies duration >= 0
tim-5 error MedicationRequest.dosageInstruction.timing.repeat period SHALL be a non-negative value period.exists() implies period >= 0
tim-6 error MedicationRequest.dosageInstruction.timing.repeat If there's a periodMax, there must be a period periodMax.empty() or period.exists()
tim-7 error MedicationRequest.dosageInstruction.timing.repeat If there's a durationMax, there must be a duration durationMax.empty() or duration.exists()
tim-8 error MedicationRequest.dosageInstruction.timing.repeat If there's a countMax, there must be a count countMax.empty() or count.exists()
tim-9 error MedicationRequest.dosageInstruction.timing.repeat 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 error MedicationRequest.dosageInstruction.timing.repeat If there's a timeOfDay, there cannot be a when, or vice versa timeOfDay.empty() or when.empty()

 

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