ID

40041

Description

This is a complete version of the FHIR resource MedicationRequest v4.0.0. This resource covers all type of orders for medications for a patient. This includes inpatient medication orders as well as community orders (whether filled by the prescriber or by a pharmacy). It also includes orders for over-the-counter medications (e.g. Aspirin), total parenteral nutrition and diet/ vitamin supplements. It may be used to support the order of medication-related devices. It is not intended for use in prescribing particular diets, or for ordering non-medication-related items (eyeglasses, supplies, etc.). In addition, the MedicationRequest may be used to report orders/request from external systems that have been reported for informational purposes and are not authoritative and are not expected to be acted upon (e.g. dispensed or administered). FHIR version R4 (v4.0.0). FHIR is a platform specification that defines a set of capabilities use across the healthcare process, in all jurisdictions, and in lots of different context. https://www.hl7.org/fhir/resourcelist.html

Lien

https://www.hl7.org/fhir/resourcelist.html

Mots-clés

  1. 10/03/2020 10/03/2020 -
  2. 12/03/2020 12/03/2020 -
Détendeur de droits

HL7 FHIR

Téléchargé le

10 mars 2020

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY-NC 4.0

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FHIR v4.0.0

Resource MedicationRequest (3)

MedicationRequest
Description

MedicationRequest

Alias
UMLS CUI-1
C0013227
UMLS CUI-2
C1272683
Medication Request Identifier
Description

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.

Type de données

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C0600091
Medication Request Status
Description

A code specifying the current state of the order. Generally, this will be active or completed state.

Type de données

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C0449438
Reason for the current state of the medication request
Description

Captures the reason for the current state of the MedicationRequest.

Type de données

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C0449438
UMLS CUI [1,4]
C0566251
Intention of the request
Description

Whether the request is a proposal, plan, or an original order.

Type de données

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C0162425
Type of medication request
Description

Indicates the type of medication request (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)).

Type de données

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C0008902
Priority of the medication request
Description

Indicates how quickly the Medication Request should be addressed with respect to other requests.

Type de données

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C0549179
Does the provider allow the performance of the medication request?
Description

If true indicates that the provider is asking for the medication request not to occur.

Type de données

boolean

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C0597198
UMLS CUI [1,4]
C0205544
Is this record a secondary "reported" record?
Description

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.

Type de données

boolean

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C1709908
Identifies the medication being requested
Description

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. The corresponding value set can be found at https://www.hl7.org/fhir/valueset-medication-codes.html

Type de données

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C2347852
The person or set of individuals to whom the medication will be given
Description

A link to a resource representing the person or set of individuals to whom the medication will be given.

Type de données

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C1550501
The encounter during which this record was created
Description

The Encounter during which this [x] was created or to which the creation of this record is tightly associated.

Type de données

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C1947978
Additional information
Description

Include additional information (for example, patient height and weight) that supports the ordering of the medication.

Type de données

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C1546922
Date/time of prescription
Description

The date (and perhaps time) when the prescription was initially written or authored on.

Type de données

datetime

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C1521941
UMLS CUI [1,4]
C0011008
Responsible individual for the medication request
Description

The individual, organization, or device that initiated the request and has responsibility for its activation.

Type de données

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C1555579
Performer of the medication treatment
Description

The specified desired performer of the medication treatment (e.g. the performer of the medication administration).

Type de données

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C1550480
Type of performer of the medication treatment
Description

Indicates the type of performer of the administration of the medication. The corresponding value set can be found at https://www.hl7.org/fhir/valueset-performer-role.html

Type de données

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C1550480
UMLS CUI [1,4]
C0332307
The person who entered the order on behalf of another individual
Description

The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.

Type de données

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C0034869
UMLS CUI [1,4]
C1550480
Code for the reason of the indication for ordering the medication
Description

The reason or the indication for ordering or not ordering the medication. The corresponding value set can be found at https://www.hl7.org/fhir/valueset-condition-code.html

Type de données

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C0392360
UMLS CUI [1,4]
C0805701
Condition that justifies the medication
Description

Condition or observation that supports why the medication was ordered.

Type de données

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C0012634
UMLS CUI [2,1]
C0013227
UMLS CUI [2,2]
C1272683
UMLS CUI [2,3]
C0302523
URL of a protocol, guideline, orderset or other definition that is adhered to this medication request
Description

The URL pointing to a protocol, guideline, orderset, or other definition that is adhered to in whole or in part by this MedicationRequest.

Type de données

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C1550542
UMLS CUI [1,4]
C3272380
UMLS CUI [1,5]
C0008971
UMLS CUI [2,1]
C0013227
UMLS CUI [2,2]
C1272683
UMLS CUI [2,3]
C1550542
UMLS CUI [2,4]
C3272380
UMLS CUI [2,5]
C0162791
UMLS CUI [3,1]
C0013227
UMLS CUI [3,2]
C1272683
UMLS CUI [3,3]
C1550542
UMLS CUI [3,4]
C3272380
UMLS CUI [3,5]
C1705178
URL of an externally maintained protocol, guideline, orderset or other definition that is adhered to this medication request
Description

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.

Type de données

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C1550542
UMLS CUI [1,4]
C3272380
UMLS CUI [1,5]
C0008971
UMLS CUI [2,1]
C0013227
UMLS CUI [2,2]
C1272683
UMLS CUI [2,3]
C1550542
UMLS CUI [2,4]
C3272380
UMLS CUI [2,5]
C0162791
UMLS CUI [3,1]
C0013227
UMLS CUI [3,2]
C1272683
UMLS CUI [3,3]
C1550542
UMLS CUI [3,4]
C3272380
UMLS CUI [3,5]
C1705178
A plan or request that is fulfilled in whole or in part by this medication request.
Description

A plan or request that is fulfilled in whole or in part by this medication request.

Type de données

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C1658097
UMLS CUI [1,4]
C0205197
Identifier of all requests that were authorized more or less simultaneously by a single author
Description

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.

Type de données

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0521115
UMLS CUI [1,3]
C1272683
UMLS CUI [1,4]
C0441833
UMLS CUI [1,5]
C0600091
Description of the overall pattern of the administration of the medication
Description

The description of the overall pattern of the administration of the medication to the patient.

Type de données

text

Alias
UMLS CUI [1,1]
C0678257
UMLS CUI [1,2]
C1561607
UMLS CUI [1,3]
C0449774
UMLS CUI [1,4]
C4521131
Insurances that may be required for the requested service
Description

Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service.

Type de données

text

Alias
UMLS CUI [1,1]
C4284232
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C0021672
UMLS CUI [1,4]
C1883728
Extra information about the prescription
Description

Extra information about the prescription that could not be conveyed by the other attributes.

Type de données

text

Alias
UMLS CUI [1,1]
C4284232
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C1546922
Dosage instruction
Description

Indicates how the medication is to be used by the patient. 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.

Type de données

text

Alias
UMLS CUI [1,1]
C4284232
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C0178602
UMLS CUI [1,4]
C1442085
A link to a resource representing an earlier order related order or prescription.
Description

A link to a resource representing an earlier order related order or prescription.

Type de données

text

Alias
UMLS CUI [1,1]
C4284232
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C1514463
Actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient
Description

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.

Type de données

text

Alias
UMLS CUI [1,1]
C4284232
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C3245505
UMLS CUI [1,4]
C0205210
UMLS CUI [1,5]
C0033213
Past versions of this resource or fulfilling request or event resources
Description

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. 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.).

Type de données

text

Alias
UMLS CUI [1,1]
C4284232
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C0282218
MedicationRequest.dispenseRequest
Description

MedicationRequest.dispenseRequest

Alias
UMLS CUI-1
C0947323
UMLS CUI-2
C1272683
Quantity or duration of the first dispense of the medication.
Description

Indicates the quantity or duration for the first dispense of the medication.

Type de données

text

Alias
UMLS CUI [1,1]
C0947323
UMLS CUI [1,2]
C1265611
UMLS CUI [2,1]
C0947323
UMLS CUI [2,2]
C2926735
The amount or quantity to provide as part of the first dispense.
Description

Indicates the quantity or duration for the first dispense of the medication.

Type de données

text

Alias
UMLS CUI [1,1]
C0947323
UMLS CUI [1,2]
C1265611
The length of time that the first dispense is expected to last.
Description

MedicationRequest.dispenseRequest.initialFill.duration

Type de données

text

Alias
UMLS CUI [1,1]
C0205435
UMLS CUI [1,2]
C0947323
UMLS CUI [1,3]
C1948053
UMLS CUI [1,4]
C1280500
UMLS CUI [1,5]
C1517001
The minimum period of time that must occur between dispenses of the medication.
Description

The minimum period of time that must occur between dispenses of the medication.

Type de données

time

Alias
UMLS CUI [1,1]
C0947323
UMLS CUI [1,2]
C1948053
UMLS CUI [1,3]
C0205103
UMLS CUI [1,4]
C1880359
Validity period of a prescription
Description

This indicates the validity period of a prescription (stale dating the Prescription). 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.

Type de données

time

Alias
UMLS CUI [1,1]
C0947323
UMLS CUI [1,2]
C2349101
UMLS CUI [1,3]
C1948053
UMLS CUI [1,4]
C0033081
Numbers of times the patient can receive the prescribed medication
Description

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.

Type de données

integer

Alias
UMLS CUI [1,1]
C0947323
UMLS CUI [1,2]
C1272684
UMLS CUI [1,3]
C0420263
UMLS CUI [1,4]
C0237753
The amount that is to be dispensed for one fill.
Description

The amount that is to be dispensed for one fill.

Type de données

integer

Alias
UMLS CUI [1,1]
C0947323
UMLS CUI [1,2]
C1880359
UMLS CUI [1,3]
C1265611
Period of time over which the supplied product is expected to be used
Description

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. 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.

Type de données

time

Alias
UMLS CUI [1,1]
C0947323
UMLS CUI [1,2]
C1880359
UMLS CUI [1,3]
C1517001
UMLS CUI [1,4]
C1561604
UMLS CUI [1,5]
C0449238
Indicates the intended dispensing Organization specified by the prescriber.
Description

Indicates the intended dispensing Organization specified by the prescriber.

Type de données

time

Alias
UMLS CUI [1,1]
C0947323
UMLS CUI [1,2]
C1880359
UMLS CUI [1,3]
C4288766
MedicationRequest.substitution
Description

MedicationRequest.substitution

Alias
UMLS CUI-1
C0013227
UMLS CUI-2
C1272683
UMLS CUI-3
C0814761
Does the prescriber allow a different drug to be dispensed from what was prescribed?
Description

True if the prescriber allows a different drug to be dispensed from what was prescribed.

Type de données

boolean

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C1550434
If the prescriber allows a different drug to be dispensed from what was prescribed, please fill in
Description

MedicationRequest.substitution.allowed[x]

Type de données

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C1550434
UMLS CUI [1,4]
C0332307
Reason for the substitution, or why substitution must or must not be performed.
Description

The reason for the substitution, or why substitution must or must not be performed.

Type de données

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C1272683
UMLS CUI [1,3]
C1555721
UMLS CUI [1,4]
C1443309

Similar models

Resource MedicationRequest (3)

Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
MedicationRequest
C0013227 (UMLS CUI-1)
C1272683 (UMLS CUI-2)
MedicationRequest.identifier
Item
Medication Request Identifier
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C0600091 (UMLS CUI [1,3])
Item
Medication Request Status
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C0449438 (UMLS CUI [1,3])
Code List
Medication Request Status
CL Item
Active  (active)
The prescription is 'actionable', but not all actions that are implied by it have occurred yet. (Comment:en)
CL Item
On Hold  (on-hold)
Actions implied by the prescription are to be temporarily halted, but are expected to continue later. May also be called 'suspended'. (Comment:en)
CL Item
Cancelled (cancelled)
The prescription has been withdrawn before any administrations have occurred (Comment:en)
CL Item
Completed (completed)
All actions that are implied by the prescription have occurred. (Comment:en)
CL Item
Entered in Error (entered-in-error)
Some of the actions that are implied by the medication request may have occurred. For example, the medication may have been dispensed and the patient may have taken some of the medication. Clinical decision support systems should take this status into account (Comment:en)
CL Item
Stopped (stopped)
Actions implied by the prescription are to be permanently halted, before all of the administrations occurred. This should not be used if the original order was entered in error (Comment:en)
CL Item
Draft (draft)
The prescription is not yet 'actionable', e.g. it is a work in progress, requires sign-off, verification or needs to be run through decision support process. (Comment:en)
CL Item
Unknown  (unknown)
The authoring/source system does not know which of the status values currently applies for this observation. Note: This concept is not to be used for 'other' - one of the listed statuses is presumed to apply, but the authoring/source system does not know which. (Comment:en)
Item
Reason for the current state of the medication request
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C0449438 (UMLS CUI [1,3])
C0566251 (UMLS CUI [1,4])
Code List
Reason for the current state of the medication request
CL Item
Try another treatment first (altchoice)
This therapy has been ordered as a backup to a preferred therapy. This order will be released when and if the preferred therapy is unsuccessful. (Comment:en)
CL Item
Prescription requires clarification (clarif)
Clarification is required before the order can be acted upon. (Comment:en)
CL Item
Drug level too high (drughigh)
The current level of the medication in the patient's system is too high. The medication is suspended to allow the level to subside to a safer level. (Comment:en)
CL Item
Admission to hospital (hospadm)
The patient has been admitted to a care facility and their community medications are suspended until hospital discharge. (Comment:en)
CL Item
Lab interference issues  (labint)
The therapy would interfere with a planned lab test and the therapy is being withdrawn until the test is completed. (Comment:en)
CL Item
Patient not available  (non-avail)
Patient not available for a period of time due to a scheduled therapy, leave of absence or other reason. (Comment:en)
CL Item
Parent is pregnant/breast feeding  (preg)
The patient is pregnant or breast feeding. The therapy will be resumed when the pregnancy is complete and the patient is no longer breastfeeding. (Comment:en)
CL Item
Allergy  (salg)
The patient is believed to be allergic to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm. (Comment:en)
CL Item
Drug interacts with another drug  (sddi)
The drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete. (Comment:en)
CL Item
Duplicate therapy  (sdupther)
The drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete. (Comment:en)
CL Item
Suspected intolerance  (sintol)
The drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete. (Comment:en)
CL Item
Patient scheduled for surgery. (surg)
The drug is contraindicated for patients receiving surgery and the patient is scheduled to be admitted for surgery in the near future. The drug will be resumed when the patient has sufficiently recovered from the surgery. (Comment:en)
CL Item
Waiting for old drug to wash out  (washout)
The patient was previously receiving a medication contraindicated with the current medication. The current medication will remain on hold until the prior medication has been cleansed from their system. (Comment:en)
Item
Intention of the request
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C0162425 (UMLS CUI [1,3])
Code List
Intention of the request
CL Item
Proposal  (proposal)
The request is a suggestion made by someone/something that doesn't have an intention to ensure it occurs and without providing an authorization to act (Comment:en)
CL Item
Plan (plan)
The request represents an intention to ensure something occurs without providing an authorization for others to act. (Comment:en)
CL Item
Order (order)
The request represents a request/demand and authorization for action (Comment:en)
CL Item
Original Order  (original-order)
The request represents the original authorization for the medication request. (Comment:en)
CL Item
Reflex Order  (reflex-order)
The request represents an automatically generated supplemental authorization for action based on a parent authorization together with initial results of the action taken against that parent authorization.. (Comment:en)
CL Item
Filler Order  (filler-order)
The request represents the view of an authorization instantiated by a fulfilling system representing the details of the fulfiller's intention to act upon a submitted order. (Comment:en)
CL Item
Instance Order  (instance-order)
The request represents an instance for the particular order, for example a medication administration record. (Comment:en)
CL Item
Option (option)
The request represents a component or option for a RequestGroup that establishes timing, conditionality and/or other constraints among a set of requests. (Comment:en)
Item
Type of medication request
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C0008902 (UMLS CUI [1,3])
Code List
Type of medication request
CL Item
Inpatient  (inpatient)
Includes requests for medications to be administered or consumed in an inpatient or acute care setting (Comment:en)
CL Item
Outpatient  (outpatient)
Includes requests for medications to be administered or consumed in an outpatient setting (for example, Emergency Department, Outpatient Clinic, Outpatient Surgery, Doctor's office) (Comment:en)
CL Item
Community  (community)
Includes requests for medications to be administered or consumed by the patient in their home (this would include long term care or nursing homes, hospices, etc.) (Comment:en)
CL Item
Discharge  (discharge)
Includes requests for medications created when the patient is being released from a facility (Comment:en)
Item
Priority of the medication request
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C0549179 (UMLS CUI [1,3])
Code List
Priority of the medication request
CL Item
Routine (routine)
The request has normal priority. (Comment:en)
CL Item
Urgent  (urgent)
The request should be actioned promptly - higher priority than routine. (Comment:en)
CL Item
ASAP  (asap)
The request should be actioned as soon as possible - higher priority than urgent. (Comment:en)
CL Item
STAT (stat)
The request should be actioned immediately - highest possible priority. E.g. an emergency. (Comment:en)
MedicationRequest.doNotPerform
Item
Does the provider allow the performance of the medication request?
boolean
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C0597198 (UMLS CUI [1,3])
C0205544 (UMLS CUI [1,4])
MedicationRequest.reported[x]
Item
Is this record a secondary "reported" record?
boolean
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C1709908 (UMLS CUI [1,3])
MedicationRequest.medication
Item
Identifies the medication being requested
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C2347852 (UMLS CUI [1,3])
MedicationRequest.subject
Item
The person or set of individuals to whom the medication will be given
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C1550501 (UMLS CUI [1,3])
MedicationRequest.encounter
Item
The encounter during which this record was created
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C1947978 (UMLS CUI [1,3])
MedicationRequest.supportingInformation
Item
Additional information
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C1546922 (UMLS CUI [1,3])
MedicationRequest.authoredOn
Item
Date/time of prescription
datetime
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C1521941 (UMLS CUI [1,3])
C0011008 (UMLS CUI [1,4])
MedicationRequest.requester
Item
Responsible individual for the medication request
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C1555579 (UMLS CUI [1,3])
MedicationRequest.performer
Item
Performer of the medication treatment
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C1550480 (UMLS CUI [1,3])
MedicationRequest.performerType
Item
Type of performer of the medication treatment
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C1550480 (UMLS CUI [1,3])
C0332307 (UMLS CUI [1,4])
MedicationRequest.recorder
Item
The person who entered the order on behalf of another individual
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C0034869 (UMLS CUI [1,3])
C1550480 (UMLS CUI [1,4])
MedicationRequest.reasonCode
Item
Code for the reason of the indication for ordering the medication
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
C0805701 (UMLS CUI [1,4])
MedicationRequest.reasonReference
Item
Condition that justifies the medication
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C0012634 (UMLS CUI [1,3])
C0013227 (UMLS CUI [2,1])
C1272683 (UMLS CUI [2,2])
C0302523 (UMLS CUI [2,3])
MedicationRequest.instantiatesCanonical
Item
URL of a protocol, guideline, orderset or other definition that is adhered to this medication request
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C1550542 (UMLS CUI [1,3])
C3272380 (UMLS CUI [1,4])
C0008971 (UMLS CUI [1,5])
C0013227 (UMLS CUI [2,1])
C1272683 (UMLS CUI [2,2])
C1550542 (UMLS CUI [2,3])
C3272380 (UMLS CUI [2,4])
C0162791 (UMLS CUI [2,5])
C0013227 (UMLS CUI [3,1])
C1272683 (UMLS CUI [3,2])
C1550542 (UMLS CUI [3,3])
C3272380 (UMLS CUI [3,4])
C1705178 (UMLS CUI [3,5])
MedicationRequest.instantiatesUri
Item
URL of an externally maintained protocol, guideline, orderset or other definition that is adhered to this medication request
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C1550542 (UMLS CUI [1,3])
C3272380 (UMLS CUI [1,4])
C0008971 (UMLS CUI [1,5])
C0013227 (UMLS CUI [2,1])
C1272683 (UMLS CUI [2,2])
C1550542 (UMLS CUI [2,3])
C3272380 (UMLS CUI [2,4])
C0162791 (UMLS CUI [2,5])
C0013227 (UMLS CUI [3,1])
C1272683 (UMLS CUI [3,2])
C1550542 (UMLS CUI [3,3])
C3272380 (UMLS CUI [3,4])
C1705178 (UMLS CUI [3,5])
MedicationRequest.basedOn
Item
A plan or request that is fulfilled in whole or in part by this medication request.
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C1658097 (UMLS CUI [1,3])
C0205197 (UMLS CUI [1,4])
MedicationRequest.groupIdentifier
Item
Identifier of all requests that were authorized more or less simultaneously by a single author
text
C0013227 (UMLS CUI [1,1])
C0521115 (UMLS CUI [1,2])
C1272683 (UMLS CUI [1,3])
C0441833 (UMLS CUI [1,4])
C0600091 (UMLS CUI [1,5])
Item
Description of the overall pattern of the administration of the medication
text
C0678257 (UMLS CUI [1,1])
C1561607 (UMLS CUI [1,2])
C0449774 (UMLS CUI [1,3])
C4521131 (UMLS CUI [1,4])
Code List
Description of the overall pattern of the administration of the medication
CL Item
Continuous long term therapy (continuous)
A medication which is expected to be continued beyond the present order and which the patient should be assumed to be taking unless explicitly stopped. (Comment:en)
CL Item
Short course (acute) therapy  (acute)
A medication which the patient is only expected to consume for the duration of the current order and which is not expected to be renewed. (Comment:en)
CL Item
Seasonal  (seasonal)
A medication which is expected to be used on a part time basis at certain times of the year (Comment:en)
MedicationRequest.insurance
Item
Insurances that may be required for the requested service
text
C4284232 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C0021672 (UMLS CUI [1,3])
C1883728 (UMLS CUI [1,4])
MedicationRequest.note
Item
Extra information about the prescription
text
C4284232 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C1546922 (UMLS CUI [1,3])
MedicationRequest.dosageInstruction
Item
Dosage instruction
text
C4284232 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C0178602 (UMLS CUI [1,3])
C1442085 (UMLS CUI [1,4])
MedicationRequest.priorPrescription
Item
A link to a resource representing an earlier order related order or prescription.
text
C4284232 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C1514463 (UMLS CUI [1,3])
MedicationRequest.detectedIssue
Item
Actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient
text
C4284232 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C3245505 (UMLS CUI [1,3])
C0205210 (UMLS CUI [1,4])
C0033213 (UMLS CUI [1,5])
MedicationRequest.eventHistory
Item
Past versions of this resource or fulfilling request or event resources
text
C4284232 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C0282218 (UMLS CUI [1,3])
Item Group
MedicationRequest.dispenseRequest
C0947323 (UMLS CUI-1)
C1272683 (UMLS CUI-2)
MedicationRequest.dispenseRequest.initialFill
Item
Quantity or duration of the first dispense of the medication.
text
C0947323 (UMLS CUI [1,1])
C1265611 (UMLS CUI [1,2])
C0947323 (UMLS CUI [2,1])
C2926735 (UMLS CUI [2,2])
MedicationRequest.dispenseRequest.initialFill.quantity
Item
The amount or quantity to provide as part of the first dispense.
text
C0947323 (UMLS CUI [1,1])
C1265611 (UMLS CUI [1,2])
MedicationRequest.dispenseRequest.initialFill.duration
Item
The length of time that the first dispense is expected to last.
text
C0205435 (UMLS CUI [1,1])
C0947323 (UMLS CUI [1,2])
C1948053 (UMLS CUI [1,3])
C1280500 (UMLS CUI [1,4])
C1517001 (UMLS CUI [1,5])
MedicationRequest.dispenseRequest.dispenseInterval
Item
The minimum period of time that must occur between dispenses of the medication.
time
C0947323 (UMLS CUI [1,1])
C1948053 (UMLS CUI [1,2])
C0205103 (UMLS CUI [1,3])
C1880359 (UMLS CUI [1,4])
MedicationRequest.dispenseRequest.validityPeriod
Item
Validity period of a prescription
time
C0947323 (UMLS CUI [1,1])
C2349101 (UMLS CUI [1,2])
C1948053 (UMLS CUI [1,3])
C0033081 (UMLS CUI [1,4])
MedicationRequest.dispenseRequest.numberOfRepeatsAllowed
Item
Numbers of times the patient can receive the prescribed medication
integer
C0947323 (UMLS CUI [1,1])
C1272684 (UMLS CUI [1,2])
C0420263 (UMLS CUI [1,3])
C0237753 (UMLS CUI [1,4])
MedicationRequest.dispenseRequest.quantity
Item
The amount that is to be dispensed for one fill.
integer
C0947323 (UMLS CUI [1,1])
C1880359 (UMLS CUI [1,2])
C1265611 (UMLS CUI [1,3])
MedicationRequest.dispenseRequest.expectedSupplyDuration
Item
Period of time over which the supplied product is expected to be used
time
C0947323 (UMLS CUI [1,1])
C1880359 (UMLS CUI [1,2])
C1517001 (UMLS CUI [1,3])
C1561604 (UMLS CUI [1,4])
C0449238 (UMLS CUI [1,5])
MedicationRequest.dispenseRequest.performer
Item
Indicates the intended dispensing Organization specified by the prescriber.
time
C0947323 (UMLS CUI [1,1])
C1880359 (UMLS CUI [1,2])
C4288766 (UMLS CUI [1,3])
Item Group
MedicationRequest.substitution
C0013227 (UMLS CUI-1)
C1272683 (UMLS CUI-2)
C0814761 (UMLS CUI-3)
MedicationRequest.substitution.allow[x]
Item
Does the prescriber allow a different drug to be dispensed from what was prescribed?
boolean
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C1550434 (UMLS CUI [1,3])
Item
If the prescriber allows a different drug to be dispensed from what was prescribed, please fill in
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C1550434 (UMLS CUI [1,3])
C0332307 (UMLS CUI [1,4])
Code List
If the prescriber allows a different drug to be dispensed from what was prescribed, please fill in
CL Item
equivalent (E)
Substitution occurred or is permitted with another bioequivalent and therapeutically equivalent product. (Comment:en)
CL Item
equivalent composition (EC)
Substitution occurred or is permitted with another product that is a: pharmaceutical alternative containing the same active ingredient but is formulated with different salt, ester pharmaceutical equivalent that has the same active ingredient, strength, dosage form and route of administration Examples: Pharmaceutical alternative: Erythromycin Ethylsuccinate for Erythromycin Stearate Pharmaceutical equivalent: Lisonpril for Zestril (Comment:en)
CL Item
brand composition (BC)
Substitution occurred or is permitted between equivalent Brands but not Generics Examples: Zestril for Prinivil Coumadin for Jantoven (Comment:en)
CL Item
generic composition (G)
Substitution occurred or is permitted between equivalent Generics but not Brands Examples: Lisnopril (Lupin Corp) for Lisnopril (Wockhardt Corp) (Comment:en)
CL Item
therapeutic alternative (TE)
Substitution occurred or is permitted with another product having the same therapeutic objective and safety profile. Examples: ranitidine for Tagamet (Comment:en)
CL Item
therapeutic brand (TB)
Substitution occurred or is permitted between therapeutically equivalent Brands but not Generics > Examples: Zantac for Tagamet (Comment:en)
CL Item
therapeutic generic (TG)
Substitution occurred or is permitted between therapeutically equivalent Generics but not Brands > Examples: Ranitidine for cimetidine (Comment:en)
CL Item
formulary (F)
This substitution was performed or is permitted based on formulary guidelines. (Comment:en)
CL Item
none (N)
No substitution occurred or is permitted. (Comment:en)
Item
Reason for the substitution, or why substitution must or must not be performed.
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C1555721 (UMLS CUI [1,3])
C1443309 (UMLS CUI [1,4])
Code List
Reason for the substitution, or why substitution must or must not be performed.
CL Item
continuing therapy  (CT)
Indicates that the decision to substitute or to not substitute was driven by a desire to maintain consistency with a pre-existing therapy. I.e. The performer provided the same item/service as had been previously provided rather than providing exactly what was ordered, or rather than substituting with a lower-cost equivalent. (Comment:en)
CL Item
formulary policy (FP)
Indicates that the decision to substitute or to not substitute was driven by a policy expressed within the formulary. (Comment:en)
CL Item
out of stock  (OS)
In the case of 'substitution', indicates that the substitution occurred because the ordered item was not in stock. In the case of 'no substitution', indicates that a cheaper equivalent was not substituted because it was not in stock. (Comment:en)
CL Item
regulatory requirement (RR)
Indicates that the decision to substitute or to not substitute was driven by a jurisdictional regulatory requirement mandating or prohibiting substitution. (Comment:en)

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