Guías de Implementación FHIR Receta Digital | Ministerio de Salud
1.1.0-ballot - ci-build

Guías de Implementación FHIR Receta Digital | Ministerio de Salud - Local Development build (v1.1.0-ballot) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: MedicationRequest

Official URL: https://ministeriodesalud.go.cr/fhir/receta/StructureDefinition/medicationRequest | Version: 1.1.0-ballot
Standards status: Draft | Maturity Level: 0 | Computable Name: MedicationRequestRD
Copyright/Legal: Usado con el permiso de HL7 International, todos los derechos resevados en los Licencias de HL7 Internacional.

Perfil Receta Digital de Prescripción para un Medicamento (MedicationRequest)

Usages:

- This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest | Ordering of medication for patient or group
id | Σ | 0..1 | id | Identificador único de la Prescripción dentro del sistema.
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | En Proceso | Creada | Consultada en Farmacia | Validada | Validada Parcial | Preparada | Preparada Parcial | Anulada | Expirada | Temporal sin firmar | Cerrada Binding: medicationrequest Status (required): Códigos requeridos por FHIR
intent | ?!S Σ | 1..1 | code | order Binding: medicationRequest Intent (required): Códigos requeridos por FHIR Fixed Value: order
category | S | 0..1 | CodeableConcept | Categoría de la prescripción: empirica | por_cultivo | profilaxis_quiru | profilaxis_medic Binding: Listado de categorías de receta (required): Códigos estándar que describen la categoría o entorno clínico en el que se realiza la prescripción.
coding | Σ | 1..1 | Coding | Codificación de la categoría de la prescripción
system | Σ | 0..1 | uri | Sistema de codificación
code | Σ | 1..1 | code | Código de la categoría
display | Σ | 0..1 | string | Descripción de la categoría
text | Σ | 0..1 | string | Texto de la categoría
medication[x] | S Σ | 1..1 | Reference(Medication) | Referencia al medicamento asociado
reference | Σ C | 1..1 | string | Referencia al medicamento
display | Σ | 0..1 | string | Nombre del medicamento
subject | S Σ | 1..1 | Reference(Patient) | Referencia al paciente asociado
reference | Σ C | 1..1 | string | Referencia al paciente
display | Σ | 0..1 | string | Nombre del paciente
encounter | S | 0..1 | Reference(Encounter) | Referencia al encuentro asociado
reference | Σ C | 1..1 | string | Referencia al encuentro
display | Σ | 0..1 | string | Descripción del encuentro
supportingInformation |  | 0..* | Reference(AllergyIntolerance | Observation (Análisis microbiológico de tipo cultivo) | Observation (Análisis microbiológico de tipo frotis) | Observation (Análisis microbiológico de tipo gram negativo) | Observation (Análisis microbiológico de tipo gram positivo)) | Información clínica de respaldo
reference | Σ C | 1..1 | string | Referencia al recurso clínico
display | Σ | 0..1 | string | Descripción del recurso
authoredOn | S Σ | 1..1 | dateTime | Fecha y hora que se realizó
requester | S Σ | 1..1 | Reference(Practitioner) | Referencia al profesional asociado
reference | Σ C | 1..1 | string | Referencia al profesional
display | Σ | 0..1 | string | Nombre del profesional
reasonReference | S | 0..1 | Reference(Condition) | Referencia a la condición asociado
reference | Σ C | 1..1 | string | Referencia a la condición
display | Σ | 0..1 | string | Descripción de la condición
groupIdentifier | Σ | 0..1 | Identifier | Identificador único del grupo de prescripciones
value | Σ | 1..1 | string | Valor del identificador de grupo Example General: 123456
note | S | 0..1 | Annotation | Indicaciones adicionales
text | Σ | 1..1 | markdown | Indicaciones adicionales
dosageInstruction | S | 1..1 | Dosage | Instrucciones de dosificación
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
text | Σ | 0..1 | string | Descripción libre de las instrucciones
timing | Σ | 1..1 | Timing | Frecuencia y momento de la administración
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
repeat | Σ C | 1..1 | Element | Patrón repetitivo de administración Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
duration | Σ | 1..1 | decimal | Duración de cada toma
durationUnit | Σ | 1..1 | code | Unidad de duración Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency | Σ | 1..1 | positiveInt | Frecuencia de administración
period | Σ | 0..1 | decimal | Período entre tomas
periodUnit | Σ | 0..1 | code | Unidad del período entre tomas Binding: UnitsOfTime (required): A unit of time (units from UCUM). Fixed Value: d
route | Σ | 1..1 | CodeableConcept | Vía de administración Binding: Listado de vías de administración (required): Códigos estándar que representan la vía de administración del medicamento
coding | Σ | 1..1 | Coding | Codificación de la vía de administración
system | Σ | 0..1 | uri | Sistema de codificación
code | Σ | 1..1 | code | Código de la vía
display | Σ | 0..1 | string | Descripción de la vía
text | Σ | 0..1 | string | Texto de la vía
doseAndRate | Σ | 1..1 | Element | Dosis y velocidad
Slices for dose[x] | Σ | 1..1 | SimpleQuantity(4.0.1) | Amount of medication per dose Slice: Unordered, Closed by type:$this
dose[x]:doseQuantity | Σ | 1..1 | SimpleQuantity | Cantidad de medicamento por dosis
value | Σ | 1..1 | decimal | Valor numérico de la dosis
unit | Σ | 1..1 | string | Unidad de medida de la dosis
dispenseRequest | S | 1..1 | BackboneElement | Instrucciones de dispensación
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
validityPeriod |  | 1..1 | Period | Periodo de validez de la receta
start | Σ C | 1..1 | dateTime | Fecha de inicio de validez
end | Σ C | 0..1 | dateTime | Fecha de fin de validez
numberOfRepeatsAllowed |  | 0..1 | unsignedInt | Número de repeticiones permitidas Required Pattern: 1
quantity |  | 1..1 | SimpleQuantity(4.0.1) | Cantidad total a dispensar
value | Σ | 0..1 | decimal | Cantidad numérica del medicamento
unit | Σ | 1..1 | string | Unidad de la cantidad
expectedSupplyDuration |  | 0..1 | Duration | Duración esperada del suministro
value | Σ | 1..1 | decimal | Duración numérica del suministro
unit | Σ | 1..1 | string | Unidad de duración Fixed Value: days
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | FHIR Std.
MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | FHIR Std.
MedicationRequest.category | Base | required | Listado de categorías de receta | 📦1.1.0-ballot | This IG
MedicationRequest.dosageInstruction.​timing.repeat.durationUnit | Base | required | UnitsOfTime | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit | Base | required | UnitsOfTime | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​route | Base | required | Listado de vías de administración | 📦1.1.0-ballot | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
tim-1 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a duration, there needs to be duration units | `duration.empty() or durationUnit.exists()`
tim-2 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a period, there needs to be period units | `period.empty() or periodUnit.exists()`
tim-4 | error | MedicationRequest.dosageInstruction.timing.repeat | duration SHALL be a non-negative value | `duration.exists() implies duration >= 0`
tim-5 | error | MedicationRequest.dosageInstruction.timing.repeat | period SHALL be a non-negative value | `period.exists() implies period >= 0`
tim-6 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a periodMax, there must be a period | `periodMax.empty() or period.exists()`
tim-7 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a durationMax, there must be a duration | `durationMax.empty() or duration.exists()`
tim-8 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a countMax, there must be a count | `countMax.empty() or count.exists()`
tim-9 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) | `offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))`
tim-10 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa | `timeOfDay.empty() or when.empty()`

This structure is derived from MedicationRequest

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest | Ordering of medication for patient or group
id |  | 0..1 | id | Identificador único de la Prescripción dentro del sistema.
meta |  | 0..0 |  |
status | S | 1..1 | code | En Proceso | Creada | Consultada en Farmacia | Validada | Validada Parcial | Preparada | Preparada Parcial | Anulada | Expirada | Temporal sin firmar | Cerrada Binding: medicationrequest Status (required): Códigos requeridos por FHIR
intent | S | 1..1 | code | order Binding: medicationRequest Intent (required): Códigos requeridos por FHIR Fixed Value: order
category | S | 0..1 | CodeableConcept | Categoría de la prescripción: empirica | por_cultivo | profilaxis_quiru | profilaxis_medic Binding: Listado de categorías de receta (required): Códigos estándar que describen la categoría o entorno clínico en el que se realiza la prescripción.
coding |  | 1..1 | Coding | Codificación de la categoría de la prescripción
system |  | 0..1 | uri | Sistema de codificación
code |  | 1..1 | code | Código de la categoría
display |  | 0..1 | string | Descripción de la categoría
text |  | 0..1 | string | Texto de la categoría
doNotPerform |  | 0..0 |  |
medication[x] | S | 1..1 | Reference(Medication) | Referencia al medicamento asociado
reference |  | 1..1 | string | Referencia al medicamento
display |  | 0..1 | string | Nombre del medicamento
subject | S | 1..1 | Reference(Patient) | Referencia al paciente asociado
reference |  | 1..1 | string | Referencia al paciente
display |  | 0..1 | string | Nombre del paciente
encounter | S | 0..1 | Reference(Encounter) | Referencia al encuentro asociado
reference |  | 1..1 | string | Referencia al encuentro
display |  | 0..1 | string | Descripción del encuentro
supportingInformation |  | 0..* | Reference(AllergyIntolerance | Observation (Análisis microbiológico de tipo cultivo) | Observation (Análisis microbiológico de tipo frotis) | Observation (Análisis microbiológico de tipo gram negativo) | Observation (Análisis microbiológico de tipo gram positivo)) | Información clínica de respaldo
reference |  | 1..1 | string | Referencia al recurso clínico
display |  | 0..1 | string | Descripción del recurso
authoredOn | S | 1..1 | dateTime | Fecha y hora que se realizó
requester | S | 1..1 | Reference(Practitioner) | Referencia al profesional asociado
reference |  | 1..1 | string | Referencia al profesional
display |  | 0..1 | string | Nombre del profesional
reasonReference | S | 0..1 | Reference(Condition) | Referencia a la condición asociado
reference |  | 1..1 | string | Referencia a la condición
display |  | 0..1 | string | Descripción de la condición
groupIdentifier |  | 0..1 | Identifier | Identificador único del grupo de prescripciones
use |  | 0..0 |  |
value |  | 1..1 | string | Valor del identificador de grupo
note | S | 0..1 | Annotation | Indicaciones adicionales
text |  | 1..1 | markdown | Indicaciones adicionales
dosageInstruction | S | 1..1 | Dosage | Instrucciones de dosificación
text |  | 0..1 | string | Descripción libre de las instrucciones
timing |  | 1..1 | Timing | Frecuencia y momento de la administración
repeat |  | 1..1 | Element | Patrón repetitivo de administración
duration |  | 1..1 | decimal | Duración de cada toma
durationUnit |  | 1..1 | code | Unidad de duración
frequency |  | 1..1 | positiveInt | Frecuencia de administración
period |  | 0..1 | decimal | Período entre tomas
periodUnit |  | 0..1 | code | Unidad del período entre tomas Fixed Value: d
route |  | 1..1 | CodeableConcept | Vía de administración Binding: Listado de vías de administración (required): Códigos estándar que representan la vía de administración del medicamento
coding |  | 1..1 | Coding | Codificación de la vía de administración
system |  | 0..1 | uri | Sistema de codificación
code |  | 1..1 | code | Código de la vía
display |  | 0..1 | string | Descripción de la vía
text |  | 0..1 | string | Texto de la vía
doseAndRate |  | 1..1 | Element | Dosis y velocidad
Slices for dose[x] |  | 1..1 | SimpleQuantity(4.0.1) | Amount of medication per dose Slice: Unordered, Open by type:$this
dose[x]:doseQuantity |  | 1..1 | SimpleQuantity | Cantidad de medicamento por dosis
value |  | 1..1 | decimal | Valor numérico de la dosis
unit |  | 1..1 | string | Unidad de medida de la dosis
dispenseRequest | S | 1..1 | BackboneElement | Instrucciones de dispensación
validityPeriod |  | 1..1 | Period | Periodo de validez de la receta
start |  | 1..1 | dateTime | Fecha de inicio de validez
end |  | 0..1 | dateTime | Fecha de fin de validez
numberOfRepeatsAllowed |  | 0..1 | unsignedInt | Número de repeticiones permitidas Required Pattern: 1
quantity |  | 1..1 | SimpleQuantity(4.0.1) | Cantidad total a dispensar
value |  | 0..1 | decimal | Cantidad numérica del medicamento
unit |  | 1..1 | string | Unidad de la cantidad
expectedSupplyDuration |  | 0..1 | Duration | Duración esperada del suministro
value |  | 1..1 | decimal | Duración numérica del suministro
comparator |  | 0..0 |  |
unit |  | 1..1 | string | Unidad de duración Fixed Value: days
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | FHIR Std.
MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | FHIR Std.
MedicationRequest.category | Base | required | Listado de categorías de receta | 📦1.1.0-ballot | This IG
MedicationRequest.dosageInstruction.​route | Base | required | Listado de vías de administración | 📦1.1.0-ballot | This IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest | Ordering of medication for patient or group
id | Σ | 0..1 | id | Identificador único de la Prescripción dentro del sistema.
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.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
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 | ?!S Σ | 1..1 | code | En Proceso | Creada | Consultada en Farmacia | Validada | Validada Parcial | Preparada | Preparada Parcial | Anulada | Expirada | Temporal sin firmar | Cerrada Binding: medicationrequest Status (required): Códigos requeridos por FHIR
statusReason |  | 0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent | ?!S Σ | 1..1 | code | order Binding: medicationRequest Intent (required): Códigos requeridos por FHIR Fixed Value: order
category | S | 0..1 | CodeableConcept | Categoría de la prescripción: empirica | por_cultivo | profilaxis_quiru | profilaxis_medic Binding: Listado de categorías de receta (required): Códigos estándar que describen la categoría o entorno clínico en el que se realiza la prescripción.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 1..1 | Coding | Codificación de la categoría de la prescripción
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Sistema de codificación
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Código de la categoría
display | Σ | 0..1 | string | Descripción de la categoría
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Texto de la categoría
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
reported[x] | Σ | 0..1 |  | Reported rather than primary record
reportedBoolean |  |  | boolean |
reportedReference |  |  | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) |
medication[x] | S Σ | 1..1 | Reference(Medication) | Referencia al medicamento asociado
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 | Σ C | 1..1 | string | Referencia al medicamento
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
display | Σ | 0..1 | string | Nombre del medicamento
subject | S Σ | 1..1 | Reference(Patient) | Referencia al paciente asociado
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 | Σ C | 1..1 | string | Referencia al paciente
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
display | Σ | 0..1 | string | Nombre del paciente
encounter | S | 0..1 | Reference(Encounter) | Referencia al encuentro asociado
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 | Σ C | 1..1 | string | Referencia al encuentro
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
display | Σ | 0..1 | string | Descripción del encuentro
supportingInformation |  | 0..* | Reference(AllergyIntolerance | Observation (Análisis microbiológico de tipo cultivo) | Observation (Análisis microbiológico de tipo frotis) | Observation (Análisis microbiológico de tipo gram negativo) | Observation (Análisis microbiológico de tipo gram positivo)) | Información clínica de respaldo
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 | Σ C | 1..1 | string | Referencia al recurso clínico
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
display | Σ | 0..1 | string | Descripción del recurso
authoredOn | S Σ | 1..1 | dateTime | Fecha y hora que se realizó
requester | S Σ | 1..1 | Reference(Practitioner) | Referencia al profesional asociado
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 | Σ C | 1..1 | string | Referencia al profesional
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
display | Σ | 0..1 | string | Nombre del profesional
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 | S | 0..1 | Reference(Condition) | Referencia a la condición asociado
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 | Σ C | 1..1 | string | Referencia a la condición
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
display | Σ | 0..1 | string | Descripción de la condición
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 | Identificador único del grupo de prescripciones
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | Valor del identificador de grupo Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
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 | S | 0..1 | Annotation | Indicaciones adicionales
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
author[x] | Σ | 0..1 |  | Individual responsible for the annotation
authorReference |  |  | Reference(Practitioner | Patient | RelatedPerson | Organization) |
authorString |  |  | string |
time | Σ | 0..1 | dateTime | When the annotation was made
text | Σ | 1..1 | markdown | Indicaciones adicionales
dosageInstruction | S | 1..1 | Dosage | Instrucciones de dosificación
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence | Σ | 0..1 | integer | The order of the dosage instructions
text | Σ | 0..1 | string | Descripción libre de las instrucciones
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions
timing | Σ | 1..1 | Timing | Frecuencia y momento de la administración
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
event | Σ | 0..* | dateTime | When the event occurs
repeat | Σ C | 1..1 | Element | Patrón repetitivo de administración Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x] | Σ | 0..1 |  | Length/Range of lengths, or (Start and/or end) limits
boundsDuration |  |  | Duration |
boundsRange |  |  | Range |
boundsPeriod |  |  | Period |
count | Σ | 0..1 | positiveInt | Number of times to repeat
countMax | Σ | 0..1 | positiveInt | Maximum number of times to repeat
duration | Σ | 1..1 | decimal | Duración de cada toma
durationMax | Σ | 0..1 | decimal | How long when it happens (Max)
durationUnit | Σ | 1..1 | code | Unidad de duración Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency | Σ | 1..1 | positiveInt | Frecuencia de administración
frequencyMax | Σ | 0..1 | positiveInt | Event occurs up to frequencyMax times per period
period | Σ | 0..1 | decimal | Período entre tomas
periodMax | Σ | 0..1 | decimal | Upper limit of period (3-4 hours)
periodUnit | Σ | 0..1 | code | Unidad del período entre tomas Binding: UnitsOfTime (required): A unit of time (units from UCUM). Fixed Value: d
dayOfWeek | Σ | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay | Σ | 0..* | time | Time of day for action
when | Σ | 0..* | code | Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset | Σ | 0..1 | unsignedInt | Minutes from event (before or after)
code | Σ | 0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
asNeeded[x] | Σ | 0..1 |  | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route | Σ | 1..1 | CodeableConcept | Vía de administración Binding: Listado de vías de administración (required): Códigos estándar que representan la vía de administración del medicamento
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 1..1 | Coding | Codificación de la vía de administración
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Sistema de codificación
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Código de la vía
display | Σ | 0..1 | string | Descripción de la vía
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Texto de la vía
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate | Σ | 1..1 | Element | Dosis y velocidad
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
Slices for dose[x] | Σ | 1..1 | SimpleQuantity(4.0.1) | Amount of medication per dose Slice: Unordered, Closed by type:$this
dose[x]:doseQuantity | Σ | 1..1 | SimpleQuantity | Cantidad de medicamento por dosis
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
value | Σ | 1..1 | decimal | Valor numérico de la dosis
unit | Σ | 1..1 | string | Unidad de medida de la dosis
system | Σ C | 0..1 | uri | System that defines coded unit form
code | Σ | 0..1 | code | Coded form of the unit
rate[x] | Σ | 0..1 |  | Amount of medication per unit of time
rateRatio |  |  | Ratio |
rateRange |  |  | Range |
rateQuantity |  |  | Quantity(SimpleQuantity) |
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per administration
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per lifetime of the patient
dispenseRequest | S | 1..1 | BackboneElement | Instrucciones de dispensación
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(4.0.1) | First fill quantity
duration |  | 0..1 | Duration | First fill duration
dispenseInterval |  | 0..1 | Duration | Minimum period of time between dispenses
validityPeriod |  | 1..1 | Period | Periodo de validez de la receta
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
start | Σ C | 1..1 | dateTime | Fecha de inicio de validez
end | Σ C | 0..1 | dateTime | Fecha de fin de validez
numberOfRepeatsAllowed |  | 0..1 | unsignedInt | Número de repeticiones permitidas Required Pattern: 1
quantity |  | 1..1 | SimpleQuantity(4.0.1) | Cantidad total a dispensar
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
value | Σ | 0..1 | decimal | Cantidad numérica del medicamento
unit | Σ | 1..1 | string | Unidad de la cantidad
system | Σ C | 0..1 | uri | System that defines coded unit form
code | Σ | 0..1 | code | Coded form of the unit
expectedSupplyDuration |  | 0..1 | Duration | Duración esperada del suministro
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
value | Σ | 1..1 | decimal | Duración numérica del suministro
unit | Σ | 1..1 | string | Unidad de duración Fixed Value: days
system | Σ C | 0..1 | uri | System that defines coded unit form
code | Σ | 0..1 | code | Coded form of the unit
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

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | FHIR Std.
MedicationRequest.statusReason | Base | example | Medication request status reason codes | 📍4.0.1 | FHIR Std.
MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | FHIR Std.
MedicationRequest.category | Base | required | Listado de categorías de receta | 📦1.1.0-ballot | This IG
MedicationRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std.
MedicationRequest.medication[x].​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
MedicationRequest.subject.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
MedicationRequest.encounter.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
MedicationRequest.supportingInformation.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
MedicationRequest.requester.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
MedicationRequest.performerType | Base | example | Procedure Performer Role Codes | 📍4.0.1 | FHIR Std.
MedicationRequest.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std.
MedicationRequest.reasonReference.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
MedicationRequest.groupIdentifier.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
MedicationRequest.courseOfTherapyType | Base | example | Medication request course of therapy codes | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​additionalInstruction | Base | example | SNOMED CT Additional Dosage Instructions | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.durationUnit | Base | required | UnitsOfTime | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit | Base | required | UnitsOfTime | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.dayOfWeek | Base | required | DaysOfWeek | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.when | Base | required | EventTiming | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​timing.code | Base | preferred | TimingAbbreviation | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​route | Base | required | Listado de vías de administración | 📦1.1.0-ballot | This IG
MedicationRequest.dosageInstruction.​method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.type | Base | example | DoseAndRateType | 📍4.0.1 | FHIR Std.
MedicationRequest.substitution.​allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v6.5
MedicationRequest.substitution.​reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v6.5

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
tim-1 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a duration, there needs to be duration units | `duration.empty() or durationUnit.exists()`
tim-2 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a period, there needs to be period units | `period.empty() or periodUnit.exists()`
tim-4 | error | MedicationRequest.dosageInstruction.timing.repeat | duration SHALL be a non-negative value | `duration.exists() implies duration >= 0`
tim-5 | error | MedicationRequest.dosageInstruction.timing.repeat | period SHALL be a non-negative value | `period.exists() implies period >= 0`
tim-6 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a periodMax, there must be a period | `periodMax.empty() or period.exists()`
tim-7 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a durationMax, there must be a duration | `durationMax.empty() or duration.exists()`
tim-8 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a countMax, there must be a count | `countMax.empty() or count.exists()`
tim-9 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) | `offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))`
tim-10 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa | `timeOfDay.empty() or when.empty()`

This structure is derived from MedicationRequest

Summary

Mandatory: 24 elements(8 nested mandatory elements)
Must-Support: 12 elements
Fixed: 3 elements
Prohibited: 4 elements

Structures

This structure refers to these other structures:

- Medication (https://ministeriodesalud.go.cr/fhir/receta/StructureDefinition/medication)
- Patient (https://ministeriodesalud.go.cr/fhir/receta/StructureDefinition/patient)
- Encounter (https://ministeriodesalud.go.cr/fhir/receta/StructureDefinition/encounter)
- AllergyIntolerance (https://ministeriodesalud.go.cr/fhir/receta/StructureDefinition/allergy-intolerance)
- Observation (Análisis microbiológico de tipo cultivo) (https://ministeriodesalud.go.cr/fhir/receta/StructureDefinition/observation-cultive)
- Observation (Análisis microbiológico de tipo frotis) (https://ministeriodesalud.go.cr/fhir/receta/StructureDefinition/observation-frotis)
- Observation (Análisis microbiológico de tipo gram negativo) (https://ministeriodesalud.go.cr/fhir/receta/StructureDefinition/observation-gram-negative)
- Observation (Análisis microbiológico de tipo gram positivo) (https://ministeriodesalud.go.cr/fhir/receta/StructureDefinition/observation-gram-positive)
- Practitioner (https://ministeriodesalud.go.cr/fhir/receta/StructureDefinition/practitioner)
- Condition (https://ministeriodesalud.go.cr/fhir/receta/StructureDefinition/condition)
- SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.doseAndRate.dose[x]

Maturity: 0

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest | Ordering of medication for patient or group
id | Σ | 0..1 | id | Identificador único de la Prescripción dentro del sistema.
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | En Proceso | Creada | Consultada en Farmacia | Validada | Validada Parcial | Preparada | Preparada Parcial | Anulada | Expirada | Temporal sin firmar | Cerrada Binding: medicationrequest Status (required): Códigos requeridos por FHIR
intent | ?!S Σ | 1..1 | code | order Binding: medicationRequest Intent (required): Códigos requeridos por FHIR Fixed Value: order
category | S | 0..1 | CodeableConcept | Categoría de la prescripción: empirica | por_cultivo | profilaxis_quiru | profilaxis_medic Binding: Listado de categorías de receta (required): Códigos estándar que describen la categoría o entorno clínico en el que se realiza la prescripción.
coding | Σ | 1..1 | Coding | Codificación de la categoría de la prescripción
system | Σ | 0..1 | uri | Sistema de codificación
code | Σ | 1..1 | code | Código de la categoría
display | Σ | 0..1 | string | Descripción de la categoría
text | Σ | 0..1 | string | Texto de la categoría
medication[x] | S Σ | 1..1 | Reference(Medication) | Referencia al medicamento asociado
reference | Σ C | 1..1 | string | Referencia al medicamento
display | Σ | 0..1 | string | Nombre del medicamento
subject | S Σ | 1..1 | Reference(Patient) | Referencia al paciente asociado
reference | Σ C | 1..1 | string | Referencia al paciente
display | Σ | 0..1 | string | Nombre del paciente
encounter | S | 0..1 | Reference(Encounter) | Referencia al encuentro asociado
reference | Σ C | 1..1 | string | Referencia al encuentro
display | Σ | 0..1 | string | Descripción del encuentro
supportingInformation |  | 0..* | Reference(AllergyIntolerance | Observation (Análisis microbiológico de tipo cultivo) | Observation (Análisis microbiológico de tipo frotis) | Observation (Análisis microbiológico de tipo gram negativo) | Observation (Análisis microbiológico de tipo gram positivo)) | Información clínica de respaldo
reference | Σ C | 1..1 | string | Referencia al recurso clínico
display | Σ | 0..1 | string | Descripción del recurso
authoredOn | S Σ | 1..1 | dateTime | Fecha y hora que se realizó
requester | S Σ | 1..1 | Reference(Practitioner) | Referencia al profesional asociado
reference | Σ C | 1..1 | string | Referencia al profesional
display | Σ | 0..1 | string | Nombre del profesional
reasonReference | S | 0..1 | Reference(Condition) | Referencia a la condición asociado
reference | Σ C | 1..1 | string | Referencia a la condición
display | Σ | 0..1 | string | Descripción de la condición
groupIdentifier | Σ | 0..1 | Identifier | Identificador único del grupo de prescripciones
value | Σ | 1..1 | string | Valor del identificador de grupo Example General: 123456
note | S | 0..1 | Annotation | Indicaciones adicionales
text | Σ | 1..1 | markdown | Indicaciones adicionales
dosageInstruction | S | 1..1 | Dosage | Instrucciones de dosificación
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
text | Σ | 0..1 | string | Descripción libre de las instrucciones
timing | Σ | 1..1 | Timing | Frecuencia y momento de la administración
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
repeat | Σ C | 1..1 | Element | Patrón repetitivo de administración Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
duration | Σ | 1..1 | decimal | Duración de cada toma
durationUnit | Σ | 1..1 | code | Unidad de duración Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency | Σ | 1..1 | positiveInt | Frecuencia de administración
period | Σ | 0..1 | decimal | Período entre tomas
periodUnit | Σ | 0..1 | code | Unidad del período entre tomas Binding: UnitsOfTime (required): A unit of time (units from UCUM). Fixed Value: d
route | Σ | 1..1 | CodeableConcept | Vía de administración Binding: Listado de vías de administración (required): Códigos estándar que representan la vía de administración del medicamento
coding | Σ | 1..1 | Coding | Codificación de la vía de administración
system | Σ | 0..1 | uri | Sistema de codificación
code | Σ | 1..1 | code | Código de la vía
display | Σ | 0..1 | string | Descripción de la vía
text | Σ | 0..1 | string | Texto de la vía
doseAndRate | Σ | 1..1 | Element | Dosis y velocidad
Slices for dose[x] | Σ | 1..1 | SimpleQuantity(4.0.1) | Amount of medication per dose Slice: Unordered, Closed by type:$this
dose[x]:doseQuantity | Σ | 1..1 | SimpleQuantity | Cantidad de medicamento por dosis
value | Σ | 1..1 | decimal | Valor numérico de la dosis
unit | Σ | 1..1 | string | Unidad de medida de la dosis
dispenseRequest | S | 1..1 | BackboneElement | Instrucciones de dispensación
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
validityPeriod |  | 1..1 | Period | Periodo de validez de la receta
start | Σ C | 1..1 | dateTime | Fecha de inicio de validez
end | Σ C | 0..1 | dateTime | Fecha de fin de validez
numberOfRepeatsAllowed |  | 0..1 | unsignedInt | Número de repeticiones permitidas Required Pattern: 1
quantity |  | 1..1 | SimpleQuantity(4.0.1) | Cantidad total a dispensar
value | Σ | 0..1 | decimal | Cantidad numérica del medicamento
unit | Σ | 1..1 | string | Unidad de la cantidad
expectedSupplyDuration |  | 0..1 | Duration | Duración esperada del suministro
value | Σ | 1..1 | decimal | Duración numérica del suministro
unit | Σ | 1..1 | string | Unidad de duración Fixed Value: days
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | FHIR Std.
MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | FHIR Std.
MedicationRequest.category | Base | required | Listado de categorías de receta | 📦1.1.0-ballot | This IG
MedicationRequest.dosageInstruction.​timing.repeat.durationUnit | Base | required | UnitsOfTime | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit | Base | required | UnitsOfTime | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​route | Base | required | Listado de vías de administración | 📦1.1.0-ballot | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
tim-1 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a duration, there needs to be duration units | `duration.empty() or durationUnit.exists()`
tim-2 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a period, there needs to be period units | `period.empty() or periodUnit.exists()`
tim-4 | error | MedicationRequest.dosageInstruction.timing.repeat | duration SHALL be a non-negative value | `duration.exists() implies duration >= 0`
tim-5 | error | MedicationRequest.dosageInstruction.timing.repeat | period SHALL be a non-negative value | `period.exists() implies period >= 0`
tim-6 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a periodMax, there must be a period | `periodMax.empty() or period.exists()`
tim-7 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a durationMax, there must be a duration | `durationMax.empty() or duration.exists()`
tim-8 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a countMax, there must be a count | `countMax.empty() or count.exists()`
tim-9 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) | `offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))`
tim-10 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa | `timeOfDay.empty() or when.empty()`

Differential View

This structure is derived from MedicationRequest

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest | Ordering of medication for patient or group
id |  | 0..1 | id | Identificador único de la Prescripción dentro del sistema.
meta |  | 0..0 |  |
status | S | 1..1 | code | En Proceso | Creada | Consultada en Farmacia | Validada | Validada Parcial | Preparada | Preparada Parcial | Anulada | Expirada | Temporal sin firmar | Cerrada Binding: medicationrequest Status (required): Códigos requeridos por FHIR
intent | S | 1..1 | code | order Binding: medicationRequest Intent (required): Códigos requeridos por FHIR Fixed Value: order
category | S | 0..1 | CodeableConcept | Categoría de la prescripción: empirica | por_cultivo | profilaxis_quiru | profilaxis_medic Binding: Listado de categorías de receta (required): Códigos estándar que describen la categoría o entorno clínico en el que se realiza la prescripción.
coding |  | 1..1 | Coding | Codificación de la categoría de la prescripción
system |  | 0..1 | uri | Sistema de codificación
code |  | 1..1 | code | Código de la categoría
display |  | 0..1 | string | Descripción de la categoría
text |  | 0..1 | string | Texto de la categoría
doNotPerform |  | 0..0 |  |
medication[x] | S | 1..1 | Reference(Medication) | Referencia al medicamento asociado
reference |  | 1..1 | string | Referencia al medicamento
display |  | 0..1 | string | Nombre del medicamento
subject | S | 1..1 | Reference(Patient) | Referencia al paciente asociado
reference |  | 1..1 | string | Referencia al paciente
display |  | 0..1 | string | Nombre del paciente
encounter | S | 0..1 | Reference(Encounter) | Referencia al encuentro asociado
reference |  | 1..1 | string | Referencia al encuentro
display |  | 0..1 | string | Descripción del encuentro
supportingInformation |  | 0..* | Reference(AllergyIntolerance | Observation (Análisis microbiológico de tipo cultivo) | Observation (Análisis microbiológico de tipo frotis) | Observation (Análisis microbiológico de tipo gram negativo) | Observation (Análisis microbiológico de tipo gram positivo)) | Información clínica de respaldo
reference |  | 1..1 | string | Referencia al recurso clínico
display |  | 0..1 | string | Descripción del recurso
authoredOn | S | 1..1 | dateTime | Fecha y hora que se realizó
requester | S | 1..1 | Reference(Practitioner) | Referencia al profesional asociado
reference |  | 1..1 | string | Referencia al profesional
display |  | 0..1 | string | Nombre del profesional
reasonReference | S | 0..1 | Reference(Condition) | Referencia a la condición asociado
reference |  | 1..1 | string | Referencia a la condición
display |  | 0..1 | string | Descripción de la condición
groupIdentifier |  | 0..1 | Identifier | Identificador único del grupo de prescripciones
use |  | 0..0 |  |
value |  | 1..1 | string | Valor del identificador de grupo
note | S | 0..1 | Annotation | Indicaciones adicionales
text |  | 1..1 | markdown | Indicaciones adicionales
dosageInstruction | S | 1..1 | Dosage | Instrucciones de dosificación
text |  | 0..1 | string | Descripción libre de las instrucciones
timing |  | 1..1 | Timing | Frecuencia y momento de la administración
repeat |  | 1..1 | Element | Patrón repetitivo de administración
duration |  | 1..1 | decimal | Duración de cada toma
durationUnit |  | 1..1 | code | Unidad de duración
frequency |  | 1..1 | positiveInt | Frecuencia de administración
period |  | 0..1 | decimal | Período entre tomas
periodUnit |  | 0..1 | code | Unidad del período entre tomas Fixed Value: d
route |  | 1..1 | CodeableConcept | Vía de administración Binding: Listado de vías de administración (required): Códigos estándar que representan la vía de administración del medicamento
coding |  | 1..1 | Coding | Codificación de la vía de administración
system |  | 0..1 | uri | Sistema de codificación
code |  | 1..1 | code | Código de la vía
display |  | 0..1 | string | Descripción de la vía
text |  | 0..1 | string | Texto de la vía
doseAndRate |  | 1..1 | Element | Dosis y velocidad
Slices for dose[x] |  | 1..1 | SimpleQuantity(4.0.1) | Amount of medication per dose Slice: Unordered, Open by type:$this
dose[x]:doseQuantity |  | 1..1 | SimpleQuantity | Cantidad de medicamento por dosis
value |  | 1..1 | decimal | Valor numérico de la dosis
unit |  | 1..1 | string | Unidad de medida de la dosis
dispenseRequest | S | 1..1 | BackboneElement | Instrucciones de dispensación
validityPeriod |  | 1..1 | Period | Periodo de validez de la receta
start |  | 1..1 | dateTime | Fecha de inicio de validez
end |  | 0..1 | dateTime | Fecha de fin de validez
numberOfRepeatsAllowed |  | 0..1 | unsignedInt | Número de repeticiones permitidas Required Pattern: 1
quantity |  | 1..1 | SimpleQuantity(4.0.1) | Cantidad total a dispensar
value |  | 0..1 | decimal | Cantidad numérica del medicamento
unit |  | 1..1 | string | Unidad de la cantidad
expectedSupplyDuration |  | 0..1 | Duration | Duración esperada del suministro
value |  | 1..1 | decimal | Duración numérica del suministro
comparator |  | 0..0 |  |
unit |  | 1..1 | string | Unidad de duración Fixed Value: days
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | FHIR Std.
MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | FHIR Std.
MedicationRequest.category | Base | required | Listado de categorías de receta | 📦1.1.0-ballot | This IG
MedicationRequest.dosageInstruction.​route | Base | required | Listado de vías de administración | 📦1.1.0-ballot | This IG

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest | Ordering of medication for patient or group
id | Σ | 0..1 | id | Identificador único de la Prescripción dentro del sistema.
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.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
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 | ?!S Σ | 1..1 | code | En Proceso | Creada | Consultada en Farmacia | Validada | Validada Parcial | Preparada | Preparada Parcial | Anulada | Expirada | Temporal sin firmar | Cerrada Binding: medicationrequest Status (required): Códigos requeridos por FHIR
statusReason |  | 0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent | ?!S Σ | 1..1 | code | order Binding: medicationRequest Intent (required): Códigos requeridos por FHIR Fixed Value: order
category | S | 0..1 | CodeableConcept | Categoría de la prescripción: empirica | por_cultivo | profilaxis_quiru | profilaxis_medic Binding: Listado de categorías de receta (required): Códigos estándar que describen la categoría o entorno clínico en el que se realiza la prescripción.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 1..1 | Coding | Codificación de la categoría de la prescripción
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Sistema de codificación
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Código de la categoría
display | Σ | 0..1 | string | Descripción de la categoría
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Texto de la categoría
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
reported[x] | Σ | 0..1 |  | Reported rather than primary record
reportedBoolean |  |  | boolean |
reportedReference |  |  | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) |
medication[x] | S Σ | 1..1 | Reference(Medication) | Referencia al medicamento asociado
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 | Σ C | 1..1 | string | Referencia al medicamento
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
display | Σ | 0..1 | string | Nombre del medicamento
subject | S Σ | 1..1 | Reference(Patient) | Referencia al paciente asociado
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 | Σ C | 1..1 | string | Referencia al paciente
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
display | Σ | 0..1 | string | Nombre del paciente
encounter | S | 0..1 | Reference(Encounter) | Referencia al encuentro asociado
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 | Σ C | 1..1 | string | Referencia al encuentro
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
display | Σ | 0..1 | string | Descripción del encuentro
supportingInformation |  | 0..* | Reference(AllergyIntolerance | Observation (Análisis microbiológico de tipo cultivo) | Observation (Análisis microbiológico de tipo frotis) | Observation (Análisis microbiológico de tipo gram negativo) | Observation (Análisis microbiológico de tipo gram positivo)) | Información clínica de respaldo
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 | Σ C | 1..1 | string | Referencia al recurso clínico
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
display | Σ | 0..1 | string | Descripción del recurso
authoredOn | S Σ | 1..1 | dateTime | Fecha y hora que se realizó
requester | S Σ | 1..1 | Reference(Practitioner) | Referencia al profesional asociado
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 | Σ C | 1..1 | string | Referencia al profesional
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
display | Σ | 0..1 | string | Nombre del profesional
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 | S | 0..1 | Reference(Condition) | Referencia a la condición asociado
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 | Σ C | 1..1 | string | Referencia a la condición
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
display | Σ | 0..1 | string | Descripción de la condición
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 | Identificador único del grupo de prescripciones
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | Valor del identificador de grupo Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
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 | S | 0..1 | Annotation | Indicaciones adicionales
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
author[x] | Σ | 0..1 |  | Individual responsible for the annotation
authorReference |  |  | Reference(Practitioner | Patient | RelatedPerson | Organization) |
authorString |  |  | string |
time | Σ | 0..1 | dateTime | When the annotation was made
text | Σ | 1..1 | markdown | Indicaciones adicionales
dosageInstruction | S | 1..1 | Dosage | Instrucciones de dosificación
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence | Σ | 0..1 | integer | The order of the dosage instructions
text | Σ | 0..1 | string | Descripción libre de las instrucciones
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions
timing | Σ | 1..1 | Timing | Frecuencia y momento de la administración
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
event | Σ | 0..* | dateTime | When the event occurs
repeat | Σ C | 1..1 | Element | Patrón repetitivo de administración Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x] | Σ | 0..1 |  | Length/Range of lengths, or (Start and/or end) limits
boundsDuration |  |  | Duration |
boundsRange |  |  | Range |
boundsPeriod |  |  | Period |
count | Σ | 0..1 | positiveInt | Number of times to repeat
countMax | Σ | 0..1 | positiveInt | Maximum number of times to repeat
duration | Σ | 1..1 | decimal | Duración de cada toma
durationMax | Σ | 0..1 | decimal | How long when it happens (Max)
durationUnit | Σ | 1..1 | code | Unidad de duración Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency | Σ | 1..1 | positiveInt | Frecuencia de administración
frequencyMax | Σ | 0..1 | positiveInt | Event occurs up to frequencyMax times per period
period | Σ | 0..1 | decimal | Período entre tomas
periodMax | Σ | 0..1 | decimal | Upper limit of period (3-4 hours)
periodUnit | Σ | 0..1 | code | Unidad del período entre tomas Binding: UnitsOfTime (required): A unit of time (units from UCUM). Fixed Value: d
dayOfWeek | Σ | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay | Σ | 0..* | time | Time of day for action
when | Σ | 0..* | code | Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset | Σ | 0..1 | unsignedInt | Minutes from event (before or after)
code | Σ | 0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
asNeeded[x] | Σ | 0..1 |  | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route | Σ | 1..1 | CodeableConcept | Vía de administración Binding: Listado de vías de administración (required): Códigos estándar que representan la vía de administración del medicamento
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 1..1 | Coding | Codificación de la vía de administración
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Sistema de codificación
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Código de la vía
display | Σ | 0..1 | string | Descripción de la vía
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Texto de la vía
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate | Σ | 1..1 | Element | Dosis y velocidad
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
Slices for dose[x] | Σ | 1..1 | SimpleQuantity(4.0.1) | Amount of medication per dose Slice: Unordered, Closed by type:$this
dose[x]:doseQuantity | Σ | 1..1 | SimpleQuantity | Cantidad de medicamento por dosis
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
value | Σ | 1..1 | decimal | Valor numérico de la dosis
unit | Σ | 1..1 | string | Unidad de medida de la dosis
system | Σ C | 0..1 | uri | System that defines coded unit form
code | Σ | 0..1 | code | Coded form of the unit
rate[x] | Σ | 0..1 |  | Amount of medication per unit of time
rateRatio |  |  | Ratio |
rateRange |  |  | Range |
rateQuantity |  |  | Quantity(SimpleQuantity) |
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per administration
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per lifetime of the patient
dispenseRequest | S | 1..1 | BackboneElement | Instrucciones de dispensación
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(4.0.1) | First fill quantity
duration |  | 0..1 | Duration | First fill duration
dispenseInterval |  | 0..1 | Duration | Minimum period of time between dispenses
validityPeriod |  | 1..1 | Period | Periodo de validez de la receta
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
start | Σ C | 1..1 | dateTime | Fecha de inicio de validez
end | Σ C | 0..1 | dateTime | Fecha de fin de validez
numberOfRepeatsAllowed |  | 0..1 | unsignedInt | Número de repeticiones permitidas Required Pattern: 1
quantity |  | 1..1 | SimpleQuantity(4.0.1) | Cantidad total a dispensar
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
value | Σ | 0..1 | decimal | Cantidad numérica del medicamento
unit | Σ | 1..1 | string | Unidad de la cantidad
system | Σ C | 0..1 | uri | System that defines coded unit form
code | Σ | 0..1 | code | Coded form of the unit
expectedSupplyDuration |  | 0..1 | Duration | Duración esperada del suministro
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
value | Σ | 1..1 | decimal | Duración numérica del suministro
unit | Σ | 1..1 | string | Unidad de duración Fixed Value: days
system | Σ C | 0..1 | uri | System that defines coded unit form
code | Σ | 0..1 | code | Coded form of the unit
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

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | FHIR Std.
MedicationRequest.statusReason | Base | example | Medication request status reason codes | 📍4.0.1 | FHIR Std.
MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | FHIR Std.
MedicationRequest.category | Base | required | Listado de categorías de receta | 📦1.1.0-ballot | This IG
MedicationRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std.
MedicationRequest.medication[x].​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
MedicationRequest.subject.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
MedicationRequest.encounter.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
MedicationRequest.supportingInformation.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
MedicationRequest.requester.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
MedicationRequest.performerType | Base | example | Procedure Performer Role Codes | 📍4.0.1 | FHIR Std.
MedicationRequest.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std.
MedicationRequest.reasonReference.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
MedicationRequest.groupIdentifier.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
MedicationRequest.courseOfTherapyType | Base | example | Medication request course of therapy codes | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​additionalInstruction | Base | example | SNOMED CT Additional Dosage Instructions | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.durationUnit | Base | required | UnitsOfTime | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit | Base | required | UnitsOfTime | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.dayOfWeek | Base | required | DaysOfWeek | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.when | Base | required | EventTiming | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​timing.code | Base | preferred | TimingAbbreviation | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​route | Base | required | Listado de vías de administración | 📦1.1.0-ballot | This IG
MedicationRequest.dosageInstruction.​method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.type | Base | example | DoseAndRateType | 📍4.0.1 | FHIR Std.
MedicationRequest.substitution.​allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v6.5
MedicationRequest.substitution.​reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v6.5

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
tim-1 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a duration, there needs to be duration units | `duration.empty() or durationUnit.exists()`
tim-2 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a period, there needs to be period units | `period.empty() or periodUnit.exists()`
tim-4 | error | MedicationRequest.dosageInstruction.timing.repeat | duration SHALL be a non-negative value | `duration.exists() implies duration >= 0`
tim-5 | error | MedicationRequest.dosageInstruction.timing.repeat | period SHALL be a non-negative value | `period.exists() implies period >= 0`
tim-6 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a periodMax, there must be a period | `periodMax.empty() or period.exists()`
tim-7 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a durationMax, there must be a duration | `durationMax.empty() or duration.exists()`
tim-8 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a countMax, there must be a count | `countMax.empty() or count.exists()`
tim-9 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) | `offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))`
tim-10 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa | `timeOfDay.empty() or when.empty()`

This structure is derived from MedicationRequest

Summary

Mandatory: 24 elements(8 nested mandatory elements)
Must-Support: 12 elements
Fixed: 3 elements
Prohibited: 4 elements

Structures

This structure refers to these other structures:

- Medication (https://ministeriodesalud.go.cr/fhir/receta/StructureDefinition/medication)
- Patient (https://ministeriodesalud.go.cr/fhir/receta/StructureDefinition/patient)
- Encounter (https://ministeriodesalud.go.cr/fhir/receta/StructureDefinition/encounter)
- AllergyIntolerance (https://ministeriodesalud.go.cr/fhir/receta/StructureDefinition/allergy-intolerance)
- Observation (Análisis microbiológico de tipo cultivo) (https://ministeriodesalud.go.cr/fhir/receta/StructureDefinition/observation-cultive)
- Observation (Análisis microbiológico de tipo frotis) (https://ministeriodesalud.go.cr/fhir/receta/StructureDefinition/observation-frotis)
- Observation (Análisis microbiológico de tipo gram negativo) (https://ministeriodesalud.go.cr/fhir/receta/StructureDefinition/observation-gram-negative)
- Observation (Análisis microbiológico de tipo gram positivo) (https://ministeriodesalud.go.cr/fhir/receta/StructureDefinition/observation-gram-positive)
- Practitioner (https://ministeriodesalud.go.cr/fhir/receta/StructureDefinition/practitioner)
- Condition (https://ministeriodesalud.go.cr/fhir/receta/StructureDefinition/condition)
- SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.doseAndRate.dose[x]

Maturity: 0

Other representations of profile: CSV, Excel, Schematron