Guia de Implementação do Registro Eletrônico de Dispensação ou Fornecimento de Medicamento (REDFM) da RNDS
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!!Guia de Implementação do Registro Eletrônico de Dispensação ou Fornecimento de Medicamento (REDFM) da RNDS - Compilação de desenvolvimento local (v1.0.0) construída pelas ferramentas de compilação FHIR (HL7® FHIR® Standard). Veja o Diretório de versões publicadas

Resource Profile: Prescrição Eletrônica de Medicamento (Contida na Dispensação)

Official URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/RNDSPrescricaoMedicamentoDispensado Version: 1.0.0
Standards status: Informative Maturity Level: 1 Computable Name: RNDSPrescricaoMedicamentoDispensado

Dados da prescrição a serem informados durante a dispensação caso o registro não esteja na RNDS.

Usos:

Formal Views of Profile Content

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

NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Fatias para identifier S 1..* Identifier Cada item prescrito DEVE ser identificado pelo ID local e também pode ser identificado pelo número do Sistema Nacional de Controle de Receituários - SNCR.
Fatia: Não ordenado, Aberto por value:system
.... identifier:prescriptionItemId S 1..1 Identifier Identificador local do item prescrito
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system Σ 1..1 uri The namespace for the identifier value
Valor fixo: http://www.saude.gov.br/fhir/r4/NamingSystem/prescription-item-id
..... value Σ 1..1 string The value that is unique
Exemplo General: 123456
.... identifier:sncrNumber S 0..1 Identifier Número do Sistema Nacional de Controle de Receituários
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system Σ 1..1 uri The namespace for the identifier value
Valor fixo: http://www.saude.gov.br/fhir/r4/NamingSystem/sncr-number
..... value Σ 1..1 string The value that is unique
Exemplo General: 123456
... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Vínculo: medicationRequest Intent (required): The kind of medication order.
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... medication[x] SΣ 1..1 CodeableConcept Medication to be taken
Vínculo: Terminologia dos medicamentos (required)
.... coding Σ 1..1 Coding Code defined by a terminology system
..... system Σ 1..1 uri Identity of the terminology system
..... code Σ 1..1 code Symbol in syntax defined by the system
... subject SΣ 1..1 Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/RNDSPaciente | http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0) A quem ou a que grupo se destina a requisição de medicamento
.... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system Σ 1..1 uri The namespace for the identifier value
Exemplo General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
Exemplo General: 123456
... requester SΣ 1..1 Reference(Profissional | http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProfissional-1.0 | Lotação Profissional) Who/What requested the Request
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system Σ 1..1 uri The namespace for the identifier value
Exemplo General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
Exemplo General: 123456
... reasonCode S 1..* CodeableConcept Reason or indication for ordering or not ordering the medication
Vínculo: Classificação Internacional de Doenças (Atenção Primária) (required)
.... coding Σ 1..1 Coding Code defined by a terminology system
..... system Σ 1..1 uri Identity of the terminology system
..... code Σ 1..1 code Symbol in syntax defined by the system
... note S 0..* Annotation Information about the prescription
... dosageInstruction S 1..* Dosage Como o medicamento deve ser usado
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... route Σ 1..1 CodeableConcept Via de admiminstração do medicamento
Vínculo: Via de Administração (required)
..... coding Σ 1..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
...... code Σ 1..1 code Symbol in syntax defined by the system
.... doseAndRate Σ 1..* Element Amount of medication administered
..... dose[x] Σ 1..1 Quantity Amount of medication per dose
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Vínculo: QuantityComparator (required): How the Quantity should be understood and represented.

doco Documentação para este formato

Terminologia Ligações

CaminhoConformidadeConjunto de valoresURI
MedicationRequest.identifier:prescriptionItemId.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From a norma FHIR
MedicationRequest.identifier:sncrNumber.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From a norma FHIR
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
From a norma FHIR
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
From a norma FHIR
MedicationRequest.medication[x]requiredBRTerminologiaMedicamento
http://www.saude.gov.br/fhir/r4/ValueSet/BRTerminologiaMedicamento
From este IG
MedicationRequest.subject.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From a norma FHIR
MedicationRequest.requester.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From a norma FHIR
MedicationRequest.reasonCoderequiredBRProblemaDiagnostico
http://www.saude.gov.br/fhir/r4/ValueSet/BRProblemaDiagnostico
From este IG
MedicationRequest.dosageInstruction.routerequiredBRViaAdministracao(a valid code from Via de Administração)
http://www.saude.gov.br/fhir/r4/ValueSet/BRViaAdministracao-1.0
From este IG
MedicationRequest.dosageInstruction.doseAndRate.dose[x].comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From a norma FHIR

Restrições

IdGrauCaminho(s)DetalhesRequisitos
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf 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-4errorMedicationRequestIf 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-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from MedicationRequest

NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: Filtersdoco
.. MedicationRequest MedicationRequest
... Fatias para identifier S 1..* Identifier Cada item prescrito DEVE ser identificado pelo ID local e também pode ser identificado pelo número do Sistema Nacional de Controle de Receituários - SNCR.
Fatia: Não ordenado, Aberto por value:system
.... identifier:prescriptionItemId S 1..1 Identifier Identificador local do item prescrito
..... system 1..1 uri The namespace for the identifier value
Valor fixo: http://www.saude.gov.br/fhir/r4/NamingSystem/prescription-item-id
..... value 1..1 string The value that is unique
.... identifier:sncrNumber S 0..1 Identifier Número do Sistema Nacional de Controle de Receituários
..... system 1..1 uri The namespace for the identifier value
Valor fixo: http://www.saude.gov.br/fhir/r4/NamingSystem/sncr-number
..... value 1..1 string The value that is unique
... status S 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
... medication[x] S 1..1 CodeableConcept Medication to be taken
Vínculo: Terminologia dos medicamentos (required)
.... coding 1..1 Coding Code defined by a terminology system
..... system 1..1 uri Identity of the terminology system
..... code 1..1 code Symbol in syntax defined by the system
.... identifier 1..1 Identifier Logical reference, when literal reference is not known
..... system 1..1 uri The namespace for the identifier value
..... value 1..1 string The value that is unique
... requester S 1..1 Reference(Profissional | http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProfissional-1.0 | Lotação Profissional) Who/What requested the Request
.... reference 1..1 string Literal reference, Relative, internal or absolute URL
.... identifier 1..1 Identifier Logical reference, when literal reference is not known
..... system 1..1 uri The namespace for the identifier value
..... value 1..1 string The value that is unique
... reasonCode S 1..* CodeableConcept Reason or indication for ordering or not ordering the medication
Vínculo: Classificação Internacional de Doenças (Atenção Primária) (required)
.... coding 1..1 Coding Code defined by a terminology system
..... system 1..1 uri Identity of the terminology system
..... code 1..1 code Symbol in syntax defined by the system
... note S 0..* Annotation Information about the prescription
... dosageInstruction S 1..* Dosage Como o medicamento deve ser usado
.... route 1..1 CodeableConcept Via de admiminstração do medicamento
Vínculo: Via de Administração (required)
..... coding 1..1 Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
...... code 1..1 code Symbol in syntax defined by the system
.... doseAndRate 1..* Element Amount of medication administered
..... dose[x] 1..1 Quantity Amount of medication per dose
...... value 1..1 decimal Numerical value (with implicit precision)

doco Documentação para este formato

Terminologia Ligações (Diferencial)

CaminhoConformidadeConjunto de valoresURI
MedicationRequest.medication[x]requiredBRTerminologiaMedicamento
http://www.saude.gov.br/fhir/r4/ValueSet/BRTerminologiaMedicamento
From este IG
MedicationRequest.reasonCoderequiredBRProblemaDiagnostico
http://www.saude.gov.br/fhir/r4/ValueSet/BRProblemaDiagnostico
From este IG
MedicationRequest.dosageInstruction.routerequiredBRViaAdministracao(a valid code from Via de Administração)
http://www.saude.gov.br/fhir/r4/ValueSet/BRViaAdministracao-1.0
From este IG
NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... id Σ 0..1 id Logical id of this artifact
... 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
Vínculo: CommonLanguages (preferred): A human language.
Vínculos adicionaisObjetivo
AllLanguages Vínculo máximo
... 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
... Fatias para identifier S 1..* Identifier Cada item prescrito DEVE ser identificado pelo ID local e também pode ser identificado pelo número do Sistema Nacional de Controle de Receituários - SNCR.
Fatia: Não ordenado, Aberto por value:system
.... identifier:prescriptionItemId S 1..1 Identifier Identificador local do item prescrito
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Vínculo: 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 1..1 uri The namespace for the identifier value
Valor fixo: http://www.saude.gov.br/fhir/r4/NamingSystem/prescription-item-id
..... value Σ 1..1 string The value that is unique
Exemplo 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)
.... identifier:sncrNumber S 0..1 Identifier Número do Sistema Nacional de Controle de Receituários
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Vínculo: 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 1..1 uri The namespace for the identifier value
Valor fixo: http://www.saude.gov.br/fhir/r4/NamingSystem/sncr-number
..... value Σ 1..1 string The value that is unique
Exemplo 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)
... status ?!SΣ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Vínculo: 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
Vínculo: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Vínculo: medicationRequest Intent (required): The kind of medication order.
... category 0..* CodeableConcept Type of medication usage
Vínculo: 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
Vínculo: 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 CodeableConcept Medication to be taken
Vínculo: Terminologia dos medicamentos (required)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
.... coding Σ 1..1 Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
..... system Σ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 1..1 code Symbol in syntax defined by the system
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/RNDSPaciente | http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0) A quem ou a que grupo se destina a requisição de medicamento
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por 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")
Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Vínculo: 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 1..1 uri The namespace for the identifier value
Exemplo General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
Exemplo 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)
.... display Σ 0..1 string Text alternative for the resource
... encounter 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
... authoredOn Σ 0..1 dateTime When request was initially authored
... requester SΣ 1..1 Reference(Profissional | http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProfissional-1.0 | Lotação Profissional) Who/What requested the Request
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Vínculo: 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 1..1 uri The namespace for the identifier value
Exemplo General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
Exemplo 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)
.... display Σ 0..1 string Text alternative for the resource
... 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
Vínculo: 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 S 1..* CodeableConcept Reason or indication for ordering or not ordering the medication
Vínculo: Classificação Internacional de Doenças (Atenção Primária) (required)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
.... coding Σ 1..1 Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
..... system Σ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 1..1 code Symbol in syntax defined by the system
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... 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
Vínculo: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... note S 0..* Annotation Information about the prescription
... dosageInstruction S 1..* Dosage Como o medicamento deve ser usado
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por 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 Free text dosage instructions e.g. SIG
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Vínculo: 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 0..1 Timing When medication should be administered
.... asNeeded[x] Σ 0..1 Take "as needed" (for x)
Vínculo: 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
Vínculo: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
.... route Σ 1..1 CodeableConcept Via de admiminstração do medicamento
Vínculo: Via de Administração (required)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
..... coding Σ 1..1 Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
...... system Σ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... method Σ 0..1 CodeableConcept Technique for administering medication
Vínculo: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
.... doseAndRate Σ 1..* Element Amount of medication administered
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
..... type Σ 0..1 CodeableConcept The kind of dose or rate specified
Vínculo: DoseAndRateType (example): The kind of dose or rate specified.
..... dose[x] Σ 1..1 Quantity Amount of medication per dose
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Vínculo: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
...... system ΣC 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 Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity Upper limit on medication per lifetime of the patient
... 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
Vínculo: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Vínculo: 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

doco Documentação para este formato

Terminologia Ligações

CaminhoConformidadeConjunto de valoresURI
MedicationRequest.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From a norma FHIR
Vínculos adicionais Objetivo
AllLanguages Vínculo máximo
MedicationRequest.identifier:prescriptionItemId.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From a norma FHIR
MedicationRequest.identifier:prescriptionItemId.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
From a norma FHIR
MedicationRequest.identifier:sncrNumber.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From a norma FHIR
MedicationRequest.identifier:sncrNumber.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
From a norma FHIR
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
From a norma FHIR
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
From a norma FHIR
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
From a norma FHIR
MedicationRequest.categoryexamplemedicationRequest Category Codes
http://hl7.org/fhir/ValueSet/medicationrequest-category
From a norma FHIR
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
From a norma FHIR
MedicationRequest.medication[x]requiredBRTerminologiaMedicamento
http://www.saude.gov.br/fhir/r4/ValueSet/BRTerminologiaMedicamento
From este IG
MedicationRequest.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From a norma FHIR
MedicationRequest.subject.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From a norma FHIR
MedicationRequest.subject.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
From a norma FHIR
MedicationRequest.requester.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From a norma FHIR
MedicationRequest.requester.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From a norma FHIR
MedicationRequest.requester.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
From a norma FHIR
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
From a norma FHIR
MedicationRequest.reasonCoderequiredBRProblemaDiagnostico
http://www.saude.gov.br/fhir/r4/ValueSet/BRProblemaDiagnostico
From este IG
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
From a norma FHIR
MedicationRequest.dosageInstruction.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
From a norma FHIR
MedicationRequest.dosageInstruction.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
From a norma FHIR
MedicationRequest.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
From a norma FHIR
MedicationRequest.dosageInstruction.routerequiredBRViaAdministracao(a valid code from Via de Administração)
http://www.saude.gov.br/fhir/r4/ValueSet/BRViaAdministracao-1.0
From este IG
MedicationRequest.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
From a norma FHIR
MedicationRequest.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
http://hl7.org/fhir/ValueSet/dose-rate-type
From a norma FHIR
MedicationRequest.dosageInstruction.doseAndRate.dose[x].comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From a norma FHIR
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Restrições

IdGrauCaminho(s)DetalhesRequisitos
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf 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-4errorMedicationRequestIf 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-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from MedicationRequest

Resumo

Obrigatório: 27 elementos(2 aninhado obrigatoriamente elementos)
Deve ser suportado: 10 elementos
Fixo: 2 elementos

Estruturas

Esta estrutura refere-se a estas outras estruturas:

Fatias

Esta estrutura define os seguintes Slices:

  • The element 1 is sliced based on the value of MedicationRequest.identifier

Maturidade: 1

Key Elements View

NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Fatias para identifier S 1..* Identifier Cada item prescrito DEVE ser identificado pelo ID local e também pode ser identificado pelo número do Sistema Nacional de Controle de Receituários - SNCR.
Fatia: Não ordenado, Aberto por value:system
.... identifier:prescriptionItemId S 1..1 Identifier Identificador local do item prescrito
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system Σ 1..1 uri The namespace for the identifier value
Valor fixo: http://www.saude.gov.br/fhir/r4/NamingSystem/prescription-item-id
..... value Σ 1..1 string The value that is unique
Exemplo General: 123456
.... identifier:sncrNumber S 0..1 Identifier Número do Sistema Nacional de Controle de Receituários
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system Σ 1..1 uri The namespace for the identifier value
Valor fixo: http://www.saude.gov.br/fhir/r4/NamingSystem/sncr-number
..... value Σ 1..1 string The value that is unique
Exemplo General: 123456
... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Vínculo: medicationRequest Intent (required): The kind of medication order.
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... medication[x] SΣ 1..1 CodeableConcept Medication to be taken
Vínculo: Terminologia dos medicamentos (required)
.... coding Σ 1..1 Coding Code defined by a terminology system
..... system Σ 1..1 uri Identity of the terminology system
..... code Σ 1..1 code Symbol in syntax defined by the system
... subject SΣ 1..1 Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/RNDSPaciente | http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0) A quem ou a que grupo se destina a requisição de medicamento
.... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system Σ 1..1 uri The namespace for the identifier value
Exemplo General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
Exemplo General: 123456
... requester SΣ 1..1 Reference(Profissional | http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProfissional-1.0 | Lotação Profissional) Who/What requested the Request
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system Σ 1..1 uri The namespace for the identifier value
Exemplo General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
Exemplo General: 123456
... reasonCode S 1..* CodeableConcept Reason or indication for ordering or not ordering the medication
Vínculo: Classificação Internacional de Doenças (Atenção Primária) (required)
.... coding Σ 1..1 Coding Code defined by a terminology system
..... system Σ 1..1 uri Identity of the terminology system
..... code Σ 1..1 code Symbol in syntax defined by the system
... note S 0..* Annotation Information about the prescription
... dosageInstruction S 1..* Dosage Como o medicamento deve ser usado
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... route Σ 1..1 CodeableConcept Via de admiminstração do medicamento
Vínculo: Via de Administração (required)
..... coding Σ 1..1 Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
...... code Σ 1..1 code Symbol in syntax defined by the system
.... doseAndRate Σ 1..* Element Amount of medication administered
..... dose[x] Σ 1..1 Quantity Amount of medication per dose
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Vínculo: QuantityComparator (required): How the Quantity should be understood and represented.

doco Documentação para este formato

Terminologia Ligações

CaminhoConformidadeConjunto de valoresURI
MedicationRequest.identifier:prescriptionItemId.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From a norma FHIR
MedicationRequest.identifier:sncrNumber.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From a norma FHIR
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
From a norma FHIR
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
From a norma FHIR
MedicationRequest.medication[x]requiredBRTerminologiaMedicamento
http://www.saude.gov.br/fhir/r4/ValueSet/BRTerminologiaMedicamento
From este IG
MedicationRequest.subject.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From a norma FHIR
MedicationRequest.requester.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From a norma FHIR
MedicationRequest.reasonCoderequiredBRProblemaDiagnostico
http://www.saude.gov.br/fhir/r4/ValueSet/BRProblemaDiagnostico
From este IG
MedicationRequest.dosageInstruction.routerequiredBRViaAdministracao(a valid code from Via de Administração)
http://www.saude.gov.br/fhir/r4/ValueSet/BRViaAdministracao-1.0
From este IG
MedicationRequest.dosageInstruction.doseAndRate.dose[x].comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From a norma FHIR

Restrições

IdGrauCaminho(s)DetalhesRequisitos
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf 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-4errorMedicationRequestIf 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-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from MedicationRequest

NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: Filtersdoco
.. MedicationRequest MedicationRequest
... Fatias para identifier S 1..* Identifier Cada item prescrito DEVE ser identificado pelo ID local e também pode ser identificado pelo número do Sistema Nacional de Controle de Receituários - SNCR.
Fatia: Não ordenado, Aberto por value:system
.... identifier:prescriptionItemId S 1..1 Identifier Identificador local do item prescrito
..... system 1..1 uri The namespace for the identifier value
Valor fixo: http://www.saude.gov.br/fhir/r4/NamingSystem/prescription-item-id
..... value 1..1 string The value that is unique
.... identifier:sncrNumber S 0..1 Identifier Número do Sistema Nacional de Controle de Receituários
..... system 1..1 uri The namespace for the identifier value
Valor fixo: http://www.saude.gov.br/fhir/r4/NamingSystem/sncr-number
..... value 1..1 string The value that is unique
... status S 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
... medication[x] S 1..1 CodeableConcept Medication to be taken
Vínculo: Terminologia dos medicamentos (required)
.... coding 1..1 Coding Code defined by a terminology system
..... system 1..1 uri Identity of the terminology system
..... code 1..1 code Symbol in syntax defined by the system
.... identifier 1..1 Identifier Logical reference, when literal reference is not known
..... system 1..1 uri The namespace for the identifier value
..... value 1..1 string The value that is unique
... requester S 1..1 Reference(Profissional | http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProfissional-1.0 | Lotação Profissional) Who/What requested the Request
.... reference 1..1 string Literal reference, Relative, internal or absolute URL
.... identifier 1..1 Identifier Logical reference, when literal reference is not known
..... system 1..1 uri The namespace for the identifier value
..... value 1..1 string The value that is unique
... reasonCode S 1..* CodeableConcept Reason or indication for ordering or not ordering the medication
Vínculo: Classificação Internacional de Doenças (Atenção Primária) (required)
.... coding 1..1 Coding Code defined by a terminology system
..... system 1..1 uri Identity of the terminology system
..... code 1..1 code Symbol in syntax defined by the system
... note S 0..* Annotation Information about the prescription
... dosageInstruction S 1..* Dosage Como o medicamento deve ser usado
.... route 1..1 CodeableConcept Via de admiminstração do medicamento
Vínculo: Via de Administração (required)
..... coding 1..1 Coding Code defined by a terminology system
...... system 1..1 uri Identity of the terminology system
...... code 1..1 code Symbol in syntax defined by the system
.... doseAndRate 1..* Element Amount of medication administered
..... dose[x] 1..1 Quantity Amount of medication per dose
...... value 1..1 decimal Numerical value (with implicit precision)

doco Documentação para este formato

Terminologia Ligações (Diferencial)

CaminhoConformidadeConjunto de valoresURI
MedicationRequest.medication[x]requiredBRTerminologiaMedicamento
http://www.saude.gov.br/fhir/r4/ValueSet/BRTerminologiaMedicamento
From este IG
MedicationRequest.reasonCoderequiredBRProblemaDiagnostico
http://www.saude.gov.br/fhir/r4/ValueSet/BRProblemaDiagnostico
From este IG
MedicationRequest.dosageInstruction.routerequiredBRViaAdministracao(a valid code from Via de Administração)
http://www.saude.gov.br/fhir/r4/ValueSet/BRViaAdministracao-1.0
From este IG

Snapshot View

NomeBandeirasCard.TipoDescrição e condicionalismos    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... id Σ 0..1 id Logical id of this artifact
... 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
Vínculo: CommonLanguages (preferred): A human language.
Vínculos adicionaisObjetivo
AllLanguages Vínculo máximo
... 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
... Fatias para identifier S 1..* Identifier Cada item prescrito DEVE ser identificado pelo ID local e também pode ser identificado pelo número do Sistema Nacional de Controle de Receituários - SNCR.
Fatia: Não ordenado, Aberto por value:system
.... identifier:prescriptionItemId S 1..1 Identifier Identificador local do item prescrito
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Vínculo: 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 1..1 uri The namespace for the identifier value
Valor fixo: http://www.saude.gov.br/fhir/r4/NamingSystem/prescription-item-id
..... value Σ 1..1 string The value that is unique
Exemplo 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)
.... identifier:sncrNumber S 0..1 Identifier Número do Sistema Nacional de Controle de Receituários
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Vínculo: 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 1..1 uri The namespace for the identifier value
Valor fixo: http://www.saude.gov.br/fhir/r4/NamingSystem/sncr-number
..... value Σ 1..1 string The value that is unique
Exemplo 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)
... status ?!SΣ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Vínculo: 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
Vínculo: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Vínculo: medicationRequest Intent (required): The kind of medication order.
... category 0..* CodeableConcept Type of medication usage
Vínculo: 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
Vínculo: 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 CodeableConcept Medication to be taken
Vínculo: Terminologia dos medicamentos (required)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
.... coding Σ 1..1 Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
..... system Σ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 1..1 code Symbol in syntax defined by the system
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(http://www.saude.gov.br/fhir/r4/StructureDefinition/RNDSPaciente | http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIndividuo-1.0) A quem ou a que grupo se destina a requisição de medicamento
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por 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")
Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Vínculo: 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 1..1 uri The namespace for the identifier value
Exemplo General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
Exemplo 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)
.... display Σ 0..1 string Text alternative for the resource
... encounter 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
... authoredOn Σ 0..1 dateTime When request was initially authored
... requester SΣ 1..1 Reference(Profissional | http://www.saude.gov.br/fhir/r4/StructureDefinition/BRProfissional-1.0 | Lotação Profissional) Who/What requested the Request
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Vínculo: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 1..1 Identifier Logical reference, when literal reference is not known
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Vínculo: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... type Σ 0..1 CodeableConcept Description of identifier
Vínculo: 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 1..1 uri The namespace for the identifier value
Exemplo General: http://www.acme.com/identifiers/patient
..... value Σ 1..1 string The value that is unique
Exemplo 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)
.... display Σ 0..1 string Text alternative for the resource
... 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
Vínculo: 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 S 1..* CodeableConcept Reason or indication for ordering or not ordering the medication
Vínculo: Classificação Internacional de Doenças (Atenção Primária) (required)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
.... coding Σ 1..1 Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
..... system Σ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 1..1 code Symbol in syntax defined by the system
..... display Σ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... 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
Vínculo: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... note S 0..* Annotation Information about the prescription
... dosageInstruction S 1..* Dosage Como o medicamento deve ser usado
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por 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 Free text dosage instructions e.g. SIG
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Vínculo: 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 0..1 Timing When medication should be administered
.... asNeeded[x] Σ 0..1 Take "as needed" (for x)
Vínculo: 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
Vínculo: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
.... route Σ 1..1 CodeableConcept Via de admiminstração do medicamento
Vínculo: Via de Administração (required)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
..... coding Σ 1..1 Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
...... system Σ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... method Σ 0..1 CodeableConcept Technique for administering medication
Vínculo: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
.... doseAndRate Σ 1..* Element Amount of medication administered
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
..... type Σ 0..1 CodeableConcept The kind of dose or rate specified
Vínculo: DoseAndRateType (example): The kind of dose or rate specified.
..... dose[x] Σ 1..1 Quantity Amount of medication per dose
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Fatia: Não ordenado, Aberto por value:url
...... value Σ 1..1 decimal Numerical value (with implicit precision)
...... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Vínculo: QuantityComparator (required): How the Quantity should be understood and represented.
...... unit Σ 0..1 string Unit representation
...... system ΣC 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 Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity Upper limit on medication per lifetime of the patient
... 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
Vínculo: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Vínculo: 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

doco Documentação para este formato

Terminologia Ligações

CaminhoConformidadeConjunto de valoresURI
MedicationRequest.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From a norma FHIR
Vínculos adicionais Objetivo
AllLanguages Vínculo máximo
MedicationRequest.identifier:prescriptionItemId.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From a norma FHIR
MedicationRequest.identifier:prescriptionItemId.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
From a norma FHIR
MedicationRequest.identifier:sncrNumber.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From a norma FHIR
MedicationRequest.identifier:sncrNumber.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
From a norma FHIR
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
From a norma FHIR
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
From a norma FHIR
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
From a norma FHIR
MedicationRequest.categoryexamplemedicationRequest Category Codes
http://hl7.org/fhir/ValueSet/medicationrequest-category
From a norma FHIR
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
From a norma FHIR
MedicationRequest.medication[x]requiredBRTerminologiaMedicamento
http://www.saude.gov.br/fhir/r4/ValueSet/BRTerminologiaMedicamento
From este IG
MedicationRequest.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From a norma FHIR
MedicationRequest.subject.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From a norma FHIR
MedicationRequest.subject.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
From a norma FHIR
MedicationRequest.requester.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From a norma FHIR
MedicationRequest.requester.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
From a norma FHIR
MedicationRequest.requester.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
From a norma FHIR
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
From a norma FHIR
MedicationRequest.reasonCoderequiredBRProblemaDiagnostico
http://www.saude.gov.br/fhir/r4/ValueSet/BRProblemaDiagnostico
From este IG
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
From a norma FHIR
MedicationRequest.dosageInstruction.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
From a norma FHIR
MedicationRequest.dosageInstruction.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
From a norma FHIR
MedicationRequest.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
From a norma FHIR
MedicationRequest.dosageInstruction.routerequiredBRViaAdministracao(a valid code from Via de Administração)
http://www.saude.gov.br/fhir/r4/ValueSet/BRViaAdministracao-1.0
From este IG
MedicationRequest.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
From a norma FHIR
MedicationRequest.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
http://hl7.org/fhir/ValueSet/dose-rate-type
From a norma FHIR
MedicationRequest.dosageInstruction.doseAndRate.dose[x].comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From a norma FHIR
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Restrições

IdGrauCaminho(s)DetalhesRequisitos
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf 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-4errorMedicationRequestIf 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-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from MedicationRequest

Resumo

Obrigatório: 27 elementos(2 aninhado obrigatoriamente elementos)
Deve ser suportado: 10 elementos
Fixo: 2 elementos

Estruturas

Esta estrutura refere-se a estas outras estruturas:

Fatias

Esta estrutura define os seguintes Slices:

  • The element 1 is sliced based on the value of MedicationRequest.identifier

Maturidade: 1

 

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