COFE-MedicationOrder-1
MedicationOrder | |
Definition |
An order for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "MedicationOrder" rather than "MedicationPrescription" to generalize the use across inpatient and outpatient settings as well as for care plans, etc. |
Control | 0..* |
Type | MedicationOrder |
Aliases | Prescription |
Comments | |
MedicationOrder.identifier | |
Definition |
External identifier - one that would be used by another non-FHIR system - for example a re-imbursement system might issue its own id for each prescription that is created. This is particularly important where FHIR only provides part of an entire workflow process where records have to be tracked through an entire system. |
Control | 1..1 |
Type | Identifier |
Comments | |
MedicationOrder.identifier.value | |
Definition |
The portion of the identifier typically displayed to the user and which is unique within the context of the system. |
Control | 1..1 |
Type | String |
Comments |
If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. |
Example | 25df2dc1-5633-42d0-abe9-bc569f4970b5 |
MedicationOrder.status | |
Definition |
A code specifying the state of the order. Generally this will be active or completed state. |
Control | 1..1 |
Binding |
A code specifying the state of the prescribing event. Describes the lifecycle of the prescription. The codes SHALL be taken from http://hl7.org/fhir/ValueSet/medication-order-status |
Type | Code |
Is Modifier | True |
Comments | |
MedicationOrder.dateEnded | |
Definition |
The date (and perhaps time) when the prescription was stopped. |
Control | 0..1 |
Type | DateTime |
Comments | |
MedicationOrder.reasonEnded | |
Definition |
The reason why the prescription was stopped, if it was. |
Control | 0..1 |
Binding |
The change of status of a medication, indicating whether the medication has been continued unchanged, is a newly added medication, or the original medication has been amended. For example codes, see http://fhir.nhs.net/ValueSet/medication-change-type-1 ; other codes may be used where these codes are not suitable |
Type | CodeableConcept |
Comments | |
MedicationOrder.reasonEnded.coding | |
Definition |
A reference to a code defined by a terminology system. |
Control | 0..1 |
Binding |
The change of status of a medication, indicating whether the medication has been continued unchanged, is a newly added medication, or the original medication has been amended. For example codes, see http://fhir.nhs.net/ValueSet/medication-change-type-1 ; other codes may be used where these codes are not suitable |
Type | Coding |
Requirements |
Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. |
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 labelled as UserSelected = true. |
MedicationOrder.reasonEnded.coding.system | |
Definition |
The identification of the code system that defines the meaning of the symbol in the code. |
Control | 1..1 |
Type | Uri |
Requirements |
Need to be unambiguous about the source of the definition of the symbol. |
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 de-reference to some definition that establish the system clearly and unambiguously. |
MedicationOrder.reasonEnded.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). |
Control | 1..1 |
Binding |
The change of status of a medication, indicating whether the medication has been continued unchanged, is a newly added medication, or the original medication has been amended. For example codes, see http://fhir.nhs.net/ValueSet/medication-change-type-1 ; other codes may be used where these codes are not suitable |
Type | Code |
Requirements |
Need to refer to a particular code in the system. |
Comments | |
MedicationOrder.reasonEnded.coding.display | |
Definition |
A representation of the meaning of the code in the system, following the rules of the system. |
Control | 1..1 |
Type | String |
Requirements |
Need to be able to carry a human-readable meaning of the code for readers that do not know the system. |
Comments | |
MedicationOrder.patient | |
Definition |
A link to a resource representing the person to whom the medication will be given. |
Control | 0..1 |
Comments |
SubstanceAdministration->subject->Patient. |
MedicationOrder.patient.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. |
Control | 1..1 ? |
Type | String |
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. |
MedicationOrder.patient.display | |
Definition |
Plain text narrative that identifies the resource in addition to the resource reference. |
Control | 0..1 |
Type | String |
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. |
MedicationOrder.prescriber | |
Definition |
The healthcare professional responsible for authorizing the prescription. |
Control | 0..1 |
Comments | |
MedicationOrder.prescriber.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. |
Control | 1..1 ? |
Type | String |
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. |
MedicationOrder.prescriber.display | |
Definition |
Plain text narrative that identifies the resource in addition to the resource reference. |
Control | 0..1 |
Type | String |
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. |
MedicationOrder.encounter | |
Definition |
A link to a resource that identifies the particular occurrence of contact between patient and health care provider. |
Control | 0..1 |
Comments |
SubstanceAdministration->component->EncounterEvent. |
MedicationOrder.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. |
Control | 1..1 ? |
Type | String |
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. |
MedicationOrder.encounter.display | |
Definition |
Plain text narrative that identifies the resource in addition to the resource reference. |
Control | 0..1 |
Type | String |
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. |
MedicationOrder.reason[x] | |
Definition |
Can be the reason or the indication for writing the prescription. |
Control | 0..1 |
Binding |
A code from the SNOMED Clinical Terminology UK coding system that describes a finding that is NOT a blood pressure, body weight ,height measurement, or temperature finding. The codes SHALL be taken from http://fhir.nhs.net/ValueSet/finding-snct-1 |
Type | CodeableConcept |
Comments | |
MedicationOrder.note | |
Definition |
To carry the description of the medication discontinuation. |
Control | 0..1 |
Type | String |
Comments | |
MedicationOrder.medication[x] | |
Definition |
Identifies the medication being administered. 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. |
Control | 1..1 |
Binding |
Medication items listed in the Dictionary of Medicines and Devices (dm+d). The codes SHALL be taken from http://fhir.nhs.net/ValueSet/medication-item-snct-1 |
Type | CodeableConcept |
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. Note: do not use Medication.name to describe the prescribed medication. When the only available information is a text description of the medication, Medication.code.text should be used. |