EOLDocument

COFE-MedicationOrder-1

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.