HRSA 2023 Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+) FHIR IG
1.0.1 - STU1 Release 1 - Standard for Trial-Use
HRSA 2023 Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+) FHIR IG
1.0.1 - STU1 Release 1 - Standard for Trial-Use
This page is part of the HRSA Uniform Data System (UDS) Patient Level Submission (PLS) (UDS+ or uds-plus) FHIR IG (v1.0.1: STU1) 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
| Official URL: http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-medicationrequest | Version: 1.0.1 | |||
| Standards status: Trial-use | Maturity Level: 2 | Computable Name: UDSPlusMedicationRequest | ||
The UDS+ profile is based on the MedicationRequest resource and establishes the core elements, extensions, vocabularies and value sets for representing MedicationRequest for UDS+ program.
This profile is used to represent de-identified MedicationRequest information. The de-identification process has to remove all data elements not explicitly identified as “SUPPORTED” in the profile.
The HHS De-identification Guidance is to be followed to ensure appropriate level of de-identification is performed.
According to the HHS guidance, dates should not have a precision of more than the year. This means month and day cannot be included. This includes MedicationRequest.authoredOn.
In FHIR Resources, text elements and reference.display elements which provide human readable information to the providers may be generated using programs and tools from the data present within the resource. For e.g a MedicationRequest resource text element may contain information such as the MedicationRequest date, patient information. This type of information will enable identification of the individuals. In order to avoid inadvertent revealing of PII/PHI, text elements cannot be included in the De-identified FHIR resource and the submission will be rejected when text elements are present by the validation process.
Ids and References
The original MedicationRequest resource id should not be included in the De-identified MedicationRequest instance. Instead a new id should be created and provided as part of the FHIR resource. The Data Submitter should be capable of using the generated id to relink the data to the original MedicationRequest. All resource references to the MedicationRequest submitted as part of the UDS+ report should refer to newly generated id.
Resource references cannot contain text element as it may contain PHI/PII. The text element for following references are not allowed
Date Truncation
The Data Submitter has to truncate the following dates to only have a precision of year
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MedicationRequest
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MedicationRequest | 0..* | MedicationRequest | De-Identified UDS Plus MedicationRequest | |
  id | S | 0..1 | id | The de-identified MedicationRequest identifier created by the health center to send data to UDS+ Data Receiver |
| text | 0..0 | |||
| contained | 0..0 | |||
| status | S | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown |
| intent | S | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option |
| medication[x] | S | 1..1 | CodeableConcept, Reference(Medication) | Medication to be taken |
  subject | S | 1..1 | Reference(De-Identified UDS Plus Patient) | Who or group medication request is for |
  display | 0..0 | |||
| encounter | S | 0..1 | Reference(De-Identified UDS Plus Encounter) | Encounter created as part of encounter/admission/stay |
| display | 0..0 | |||
 authoredOn | S | 0..1 | dateTime | When request was initially authored |
| requester | S | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/What requested the Request |
| dosageInstruction | S | 0..* | Dosage | How the medication should be taken |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationRequest | 0..* | MedicationRequest | De-Identified UDS Plus MedicationRequest | |
| id | SΣ | 0..1 | id | The de-identified MedicationRequest identifier created by the health center to send data to UDS+ Data Receiver |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!SΣ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. |
| intent | ?!SΣ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. |
| doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action |
 medication[x] | SΣ | 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) | |||
| subject | SΣ | 1..1 | Reference(De-Identified UDS Plus Patient) | Who or group medication request is for |
| encounter | S | 0..1 | Reference(De-Identified UDS Plus Encounter) | Encounter created as part of encounter/admission/stay |
| authoredOn | SΣ | 0..1 | dateTime | When request was initially authored |
| requester | SΣ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/What requested the Request |
| dosageInstruction | S | 0..* | Dosage | How the medication should be taken |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| MedicationRequest.status | required | medicationrequest Status |
| MedicationRequest.intent | required | medicationRequest Intent |
| MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodes |
| Id | Grade | Path(s) | Details | Requirements |
| 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() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationRequest | 0..* | MedicationRequest | De-Identified UDS Plus MedicationRequest | |||||
| id | SΣ | 0..1 | id | The de-identified MedicationRequest identifier created by the health center to send data to UDS+ Data Receiver | ||||
| 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 resource content Binding: CommonLanguages (preferred): A human language.
| |||||
 extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | 0..* | Identifier | External ids for this request | |||||
| status | ?!SΣ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown 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 Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||
| intent | ?!SΣ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. | ||||
| category | 0..* | CodeableConcept | Type of medication usage 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] | SΣ | 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) | |||||||
| subject | SΣ | 1..1 | Reference(De-Identified UDS Plus Patient) | Who or group medication request is for | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| encounter | S | 0..1 | Reference(De-Identified UDS Plus Encounter) | Encounter created as part of encounter/admission/stay | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| supportingInformation | 0..* | Reference(Resource) | Information to support ordering of the medication | |||||
| authoredOn | SΣ | 0..1 | dateTime | When request was initially authored | ||||
| requester | SΣ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/What requested the Request | ||||
| 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 ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered. | |||||
| reasonReference | 0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written | |||||
| 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 | Composite request this is part of | ||||
| 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 | |||||
| dosageInstruction | S | 0..* | Dosage | How the medication should be taken | ||||
| dispenseRequest | 0..1 | BackboneElement | Medication supply authorization | |||||
| 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 | ||||
| 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 | First fill quantity | |||||
| duration | 0..1 | Duration | First fill duration | |||||
| dispenseInterval | 0..1 | Duration | Minimum period of time between dispenses | |||||
| validityPeriod | 0..1 | Period | Time period supply is authorized for | |||||
| numberOfRepeatsAllowed | 0..1 | unsignedInt | Number of refills authorized | |||||
| quantity | 0..1 | SimpleQuantity | 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 | Any restrictions on medication substitution | |||||
| 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: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||||||
| allowedBoolean | boolean | |||||||
| allowedCodeableConcept | CodeableConcept | |||||||
| reason | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| MedicationRequest.language | preferred | CommonLanguages
| ||||
| MedicationRequest.status | required | medicationrequest Status | ||||
| MedicationRequest.statusReason | example | medicationRequest Status Reason Codes | ||||
| MedicationRequest.intent | required | medicationRequest Intent | ||||
| MedicationRequest.category | example | medicationRequest Category Codes | ||||
| MedicationRequest.priority | required | RequestPriority | ||||
| MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodes | ||||
| MedicationRequest.subject.type | extensible | ResourceType | ||||
| MedicationRequest.encounter.type | extensible | ResourceType | ||||
| MedicationRequest.performerType | example | ProcedurePerformerRoleCodes | ||||
| MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodes | ||||
| MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codes | ||||
| MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCode | ||||
| MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReason |
| Id | Grade | Path(s) | Details | Requirements |
| 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() |
This structure is derived from MedicationRequest
Summary
Mandatory: 4 elements
Must-Support: 9 elements
Prohibited: 4 elements
Structures
This structure refers to these other structures:
Maturity: 2
Differential View
This structure is derived from MedicationRequest
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationRequest | 0..* | MedicationRequest | De-Identified UDS Plus MedicationRequest | |
| id | S | 0..1 | id | The de-identified MedicationRequest identifier created by the health center to send data to UDS+ Data Receiver |
| text | 0..0 | |||
| contained | 0..0 | |||
| status | S | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown |
| intent | S | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option |
| medication[x] | S | 1..1 | CodeableConcept, Reference(Medication) | Medication to be taken |
| subject | S | 1..1 | Reference(De-Identified UDS Plus Patient) | Who or group medication request is for |
| display | 0..0 | |||
| encounter | S | 0..1 | Reference(De-Identified UDS Plus Encounter) | Encounter created as part of encounter/admission/stay |
| display | 0..0 | |||
| authoredOn | S | 0..1 | dateTime | When request was initially authored |
| requester | S | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/What requested the Request |
| dosageInstruction | S | 0..* | Dosage | How the medication should be taken |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationRequest | 0..* | MedicationRequest | De-Identified UDS Plus MedicationRequest | |
| id | SΣ | 0..1 | id | The de-identified MedicationRequest identifier created by the health center to send data to UDS+ Data Receiver |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!SΣ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. |
| intent | ?!SΣ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. |
| doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action |
| medication[x] | SΣ | 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) | |||
| subject | SΣ | 1..1 | Reference(De-Identified UDS Plus Patient) | Who or group medication request is for |
| encounter | S | 0..1 | Reference(De-Identified UDS Plus Encounter) | Encounter created as part of encounter/admission/stay |
| authoredOn | SΣ | 0..1 | dateTime | When request was initially authored |
| requester | SΣ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/What requested the Request |
| dosageInstruction | S | 0..* | Dosage | How the medication should be taken |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| MedicationRequest.status | required | medicationrequest Status |
| MedicationRequest.intent | required | medicationRequest Intent |
| MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodes |
| Id | Grade | Path(s) | Details | Requirements |
| 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() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationRequest | 0..* | MedicationRequest | De-Identified UDS Plus MedicationRequest | |||||
| id | SΣ | 0..1 | id | The de-identified MedicationRequest identifier created by the health center to send data to UDS+ Data Receiver | ||||
| 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 resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | 0..* | Identifier | External ids for this request | |||||
| status | ?!SΣ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown 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 Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||
| intent | ?!SΣ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. | ||||
| category | 0..* | CodeableConcept | Type of medication usage 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] | SΣ | 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) | |||||||
| subject | SΣ | 1..1 | Reference(De-Identified UDS Plus Patient) | Who or group medication request is for | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| encounter | S | 0..1 | Reference(De-Identified UDS Plus Encounter) | Encounter created as part of encounter/admission/stay | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference | ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| supportingInformation | 0..* | Reference(Resource) | Information to support ordering of the medication | |||||
| authoredOn | SΣ | 0..1 | dateTime | When request was initially authored | ||||
| requester | SΣ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/What requested the Request | ||||
| 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 ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered. | |||||
| reasonReference | 0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written | |||||
| 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 | Composite request this is part of | ||||
| 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 | |||||
| dosageInstruction | S | 0..* | Dosage | How the medication should be taken | ||||
| dispenseRequest | 0..1 | BackboneElement | Medication supply authorization | |||||
| 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 | ||||
| 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 | First fill quantity | |||||
| duration | 0..1 | Duration | First fill duration | |||||
| dispenseInterval | 0..1 | Duration | Minimum period of time between dispenses | |||||
| validityPeriod | 0..1 | Period | Time period supply is authorized for | |||||
| numberOfRepeatsAllowed | 0..1 | unsignedInt | Number of refills authorized | |||||
| quantity | 0..1 | SimpleQuantity | 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 | Any restrictions on medication substitution | |||||
| 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: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||||||
| allowedBoolean | boolean | |||||||
| allowedCodeableConcept | CodeableConcept | |||||||
| reason | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| MedicationRequest.language | preferred | CommonLanguages
| ||||
| MedicationRequest.status | required | medicationrequest Status | ||||
| MedicationRequest.statusReason | example | medicationRequest Status Reason Codes | ||||
| MedicationRequest.intent | required | medicationRequest Intent | ||||
| MedicationRequest.category | example | medicationRequest Category Codes | ||||
| MedicationRequest.priority | required | RequestPriority | ||||
| MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodes | ||||
| MedicationRequest.subject.type | extensible | ResourceType | ||||
| MedicationRequest.encounter.type | extensible | ResourceType | ||||
| MedicationRequest.performerType | example | ProcedurePerformerRoleCodes | ||||
| MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodes | ||||
| MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codes | ||||
| MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCode | ||||
| MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReason |
| Id | Grade | Path(s) | Details | Requirements |
| 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() |
This structure is derived from MedicationRequest
Summary
Mandatory: 4 elements
Must-Support: 9 elements
Prohibited: 4 elements
Structures
This structure refers to these other structures:
Maturity: 2
Other representations of profile: CSV, Excel, Schematron
IG © 2023+ HRSA BPHC. Package fhir.hrsa.uds-plus#1.0.1 based on FHIR 4.0.1. Generated 2023-12-01
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