KR Core Implementation Guide
1.0.2 - STU1 Korea, Republic of flag

KR Core Implementation Guide - Local Development build (v1.0.2) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: KR Core MedicationRequest Profile

Official URL: http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-medicationrequest Version: 1.0.2
Active as of 2023-12-04 Computable Name: KRCore_MedicationRequest

KR Core의 약품 처방 정보에 적용되는 MedicationRequest 구조.

Usage:

Formal Views of Profile Content

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

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..*MedicationRequestKR Core MedicationRequest Profile
... status S1..1code처방 상태: active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Example Value (Preferred): completed
... intent S1..1code처방 의도: order | proposal | plan +
Example Value (Preferred): order
... medication[x] S1..1Reference(KR Core Medication Profile)처방 약품 정보
... authoredOn 0..1dateTime처방 일시
... dosageInstruction S1..*Dosage약물 투여 및 복용 지침
.... text S0..1string용법
.... timing S0..1Timing약품 투여 및 복용 시기
..... repeat S0..1Element약품 투여 및 복용 반복 정보
...... frequency S0..1positiveInt주기 당 약품 투여 및 복용 횟수
...... period S0..1decimal약품 투여 및 복용 주기 수치
...... periodUnit S0..1code약품 투여 및 복용 주기 단위: s | min | h | d | wk | mo | a
Binding: UnitsOfTime (required)
.... doseAndRate S1..*Element투여 및 복용량
..... Slices for dose[x] S1..1Range, SimpleQuantity1회량
Slice: Unordered, Open by type:$this
...... dose[x]:doseQuantity S0..1SimpleQuantity1회량 수치 정보
Binding: UCUMCodes (preferred)
...... dose[x]:doseRange S0..1Range1회량 범위 정보
....... low 0..1SimpleQuantity최소
Binding: UCUMCodes (preferred)
....... high 0..1SimpleQuantity최대
Binding: UCUMCodes (preferred)
... dispenseRequest S0..1BackboneElement처방 요청
.... quantity 0..1SimpleQuantity총량
Binding: UCUMCodes (preferred)
.... expectedSupplyDuration S0..1Duration처방 기간: s | min | h | d | wk | mo | a
Binding: UnitsOfTime (required)
..... code 0..1code처방 기간 단위 코드
Example Value (Preferred): d

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
MedicationRequest.dosageInstruction.timing.repeat.periodUnitrequiredUnitsOfTime
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantitypreferredUCUMCodes (a valid code from UCUM)
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.lowpreferredUCUMCodes (a valid code from UCUM)
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.highpreferredUCUMCodes (a valid code from UCUM)
MedicationRequest.dispenseRequest.quantitypreferredUCUMCodes (a valid code from UCUM)
MedicationRequest.dispenseRequest.expectedSupplyDurationrequiredUnitsOfTime
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..*MedicationRequestKR Core MedicationRequest Profile
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!SΣ1..1code처방 상태: active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.


Example Value (Preferred): completed
... doNotPerform ?!Σ0..1booleanTrue if request is prohibiting action
... medication[x] SΣ1..1Reference(KR Core Medication Profile)처방 약품 정보
... subject Σ1..1Reference(KR Core Patient Profile)처방 대상
... authoredOn Σ0..1dateTime처방 일시
... dosageInstruction S1..*Dosage약물 투여 및 복용 지침
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... text SΣ0..1string용법
.... timing SΣ0..1Timing약품 투여 및 복용 시기
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... repeat SΣC0..1Element약품 투여 및 복용 반복 정보
...... frequency SΣ0..1positiveInt주기 당 약품 투여 및 복용 횟수
...... period SΣ0..1decimal약품 투여 및 복용 주기 수치
...... periodUnit SΣ0..1code약품 투여 및 복용 주기 단위: s | min | h | d | wk | mo | a
Binding: UnitsOfTime (required)
.... doseAndRate SΣ1..*Element투여 및 복용량
..... Slices for dose[x] SΣ1..11회량
Slice: Unordered, Closed by type:$this
...... doseRangeRange
...... doseQuantityQuantity(SimpleQuantity)
...... dose[x]:doseQuantity SC0..1SimpleQuantity1회량 수치 정보
Binding: UCUMCodes (preferred)
...... dose[x]:doseRange SΣ0..1Range1회량 범위 정보
....... low Σ0..1SimpleQuantity최소
Binding: UCUMCodes (preferred)
....... high Σ0..1SimpleQuantity최대
Binding: UCUMCodes (preferred)
... dispenseRequest S0..1BackboneElement처방 요청
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... quantity 0..1SimpleQuantity총량
Binding: UCUMCodes (preferred)
.... expectedSupplyDuration S0..1Duration처방 기간: s | min | h | d | wk | mo | a
..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... code Σ0..1code처방 기간 단위 코드
Example Value (Preferred): d

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
MedicationRequest.statusrequiredmedicationrequest Status
MedicationRequest.intentrequiredmedicationRequest Intent
MedicationRequest.dosageInstruction.timing.repeat.periodUnitrequiredUnitsOfTime
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantitypreferredUCUMCodes (a valid code from UCUM)
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.lowpreferredUCUMCodes (a valid code from UCUM)
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.highpreferredUCUMCodes (a valid code from UCUM)
MedicationRequest.dispenseRequest.quantitypreferredUCUMCodes (a valid code from UCUM)
MedicationRequest.dispenseRequest.expectedSupplyDuration.comparatorrequiredQuantityComparator
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..*MedicationRequestKR Core MedicationRequest Profile
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierExternal ids for this request
... status ?!SΣ1..1code처방 상태: active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.


Example Value (Preferred): completed
... statusReason 0..1CodeableConceptReason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

... intent ?!SΣ1..1code처방 의도: order | proposal | plan +
Binding: medicationRequest Intent (required): The kind of medication order.


Example Value (Preferred): order
... category 0..*CodeableConceptType of medication usage
Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.


... priority Σ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ0..1booleanTrue if request is prohibiting action
... reported[x] Σ0..1Reported rather than primary record
.... reportedBooleanboolean
.... reportedReferenceReference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... medication[x] SΣ1..1Reference(KR Core Medication Profile)처방 약품 정보
... subject Σ1..1Reference(KR Core Patient Profile)처방 대상
... encounter 0..1Reference(Encounter)Encounter created as part of encounter/admission/stay
... supportingInformation 0..*Reference(Resource)Information to support ordering of the medication
... authoredOn Σ0..1dateTime처방 일시
... requester Σ0..1Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)Who/What requested the Request
... performer 0..1Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)Intended performer of administration
... performerType Σ0..1CodeableConceptDesired kind of performer of the medication administration
Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.

... recorder 0..1Reference(Practitioner | PractitionerRole)Person who entered the request
... reasonCode 0..*CodeableConceptReason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.


... reasonReference 0..*Reference(Condition | Observation)Condition or observation that supports why the prescription is being written
... instantiatesCanonical Σ0..*canonical()Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn Σ0..*Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)What request fulfills
... groupIdentifier Σ0..1IdentifierComposite request this is part of
... courseOfTherapyType 0..1CodeableConceptOverall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.

... insurance 0..*Reference(Coverage | ClaimResponse)Associated insurance coverage
... note 0..*AnnotationInformation about the prescription
... dosageInstruction S1..*Dosage약물 투여 및 복용 지침
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... sequence Σ0..1integerThe order of the dosage instructions
.... text SΣ0..1string용법
.... additionalInstruction Σ0..*CodeableConceptSupplemental 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 Σ0..1stringPatient or consumer oriented instructions
.... timing SΣ0..1Timing약품 투여 및 복용 시기
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... event Σ0..*dateTimeWhen the event occurs
..... repeat SΣC0..1Element약품 투여 및 복용 반복 정보
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... bounds[x] Σ0..1Length/Range of lengths, or (Start and/or end) limits
....... boundsDurationDuration
....... boundsRangeRange
....... boundsPeriodPeriod
...... count Σ0..1positiveIntNumber of times to repeat
...... countMax Σ0..1positiveIntMaximum number of times to repeat
...... duration Σ0..1decimalHow long when it happens
...... durationMax Σ0..1decimalHow long when it happens (Max)
...... durationUnit Σ0..1codes | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).

...... frequency SΣ0..1positiveInt주기 당 약품 투여 및 복용 횟수
...... frequencyMax Σ0..1positiveIntEvent occurs up to frequencyMax times per period
...... period SΣ0..1decimal약품 투여 및 복용 주기 수치
...... periodMax Σ0..1decimalUpper limit of period (3-4 hours)
...... periodUnit SΣ0..1code약품 투여 및 복용 주기 단위: s | min | h | d | wk | mo | a
Binding: UnitsOfTime (required)
...... dayOfWeek Σ0..*codemon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
...... timeOfDay Σ0..*timeTime of day for action
...... when Σ0..*codeCode for time period of occurrence
Binding: EventTiming (required): Real world event relating to the schedule.


...... offset Σ0..1unsignedIntMinutes from event (before or after)
..... code Σ0..1CodeableConceptBID | TID | QID | AM | PM | QD | QOD | +
Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.

.... asNeeded[x] Σ0..1Take "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.

..... asNeededBooleanboolean
..... asNeededCodeableConceptCodeableConcept
.... site Σ0..1CodeableConceptBody site to administer to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.

.... route Σ0..1CodeableConceptHow drug should enter body
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

.... method Σ0..1CodeableConceptTechnique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

.... doseAndRate SΣ1..*Element투여 및 복용량
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ0..1CodeableConceptThe kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.

..... Slices for dose[x] SΣ1..11회량
Slice: Unordered, Closed by type:$this
...... doseRangeRange
...... doseQuantityQuantity(SimpleQuantity)
...... dose[x]:doseQuantity SC0..1SimpleQuantity1회량 수치 정보
Binding: UCUMCodes (preferred)
...... dose[x]:doseRange SΣ0..1Range1회량 범위 정보
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... low Σ0..1SimpleQuantity최소
Binding: UCUMCodes (preferred)
....... high Σ0..1SimpleQuantity최대
Binding: UCUMCodes (preferred)
..... rate[x] Σ0..1Amount of medication per unit of time
...... rateRatioRatio
...... rateRangeRange
...... rateQuantityQuantity(SimpleQuantity)
.... maxDosePerPeriod Σ0..1RatioUpper limit on medication per unit of time
.... maxDosePerAdministration Σ0..1SimpleQuantityUpper limit on medication per administration
.... maxDosePerLifetime Σ0..1SimpleQuantityUpper limit on medication per lifetime of the patient
... dispenseRequest S0..1BackboneElement처방 요청
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... initialFill 0..1BackboneElementFirst fill details
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... quantity 0..1SimpleQuantityFirst fill quantity
..... duration 0..1DurationFirst fill duration
.... dispenseInterval 0..1DurationMinimum period of time between dispenses
.... validityPeriod 0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed 0..1unsignedIntNumber of refills authorized
.... quantity 0..1SimpleQuantity총량
Binding: UCUMCodes (preferred)
.... expectedSupplyDuration S0..1Duration처방 기간: s | min | h | d | wk | mo | a
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... value Σ0..1decimalNumerical value (with implicit precision)
..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit Σ0..1stringUnit representation
..... system ΣC0..1uriSystem that defines coded unit form
..... code Σ0..1code처방 기간 단위 코드
Example Value (Preferred): d
.... performer 0..1Reference(Organization)Intended dispenser
... substitution 0..1BackboneElementAny restrictions on medication substitution
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... allowed[x] 1..1Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.

..... allowedBooleanboolean
..... allowedCodeableConceptCodeableConcept
.... reason 0..1CodeableConceptWhy 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..1Reference(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 Documentation for this format

Terminology Bindings

PathConformanceValueSet
MedicationRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
MedicationRequest.statusrequiredmedicationrequest Status
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
MedicationRequest.intentrequiredmedicationRequest Intent
MedicationRequest.categoryexamplemedicationRequest Category Codes
MedicationRequest.priorityrequiredRequestPriority
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
MedicationRequest.dosageInstruction.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
MedicationRequest.dosageInstruction.timing.repeat.durationUnitrequiredUnitsOfTime
MedicationRequest.dosageInstruction.timing.repeat.periodUnitrequiredUnitsOfTime
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeekrequiredDaysOfWeek
MedicationRequest.dosageInstruction.timing.repeat.whenrequiredEventTiming
MedicationRequest.dosageInstruction.timing.codepreferredTimingAbbreviation
MedicationRequest.dosageInstruction.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
MedicationRequest.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
MedicationRequest.dosageInstruction.routeexampleSNOMEDCTRouteCodes
MedicationRequest.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
MedicationRequest.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantitypreferredUCUMCodes (a valid code from UCUM)
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.lowpreferredUCUMCodes (a valid code from UCUM)
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.highpreferredUCUMCodes (a valid code from UCUM)
MedicationRequest.dispenseRequest.quantitypreferredUCUMCodes (a valid code from UCUM)
MedicationRequest.dispenseRequest.expectedSupplyDuration.comparatorrequiredQuantityComparator
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason

This structure is derived from MedicationRequest

Summary

Mandatory: 3 elements
Must-Support: 16 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element MedicationRequest.dosageInstruction.doseAndRate.dose[x] is sliced based on the value of type:$this

Differential View

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..*MedicationRequestKR Core MedicationRequest Profile
... status S1..1code처방 상태: active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Example Value (Preferred): completed
... intent S1..1code처방 의도: order | proposal | plan +
Example Value (Preferred): order
... medication[x] S1..1Reference(KR Core Medication Profile)처방 약품 정보
... authoredOn 0..1dateTime처방 일시
... dosageInstruction S1..*Dosage약물 투여 및 복용 지침
.... text S0..1string용법
.... timing S0..1Timing약품 투여 및 복용 시기
..... repeat S0..1Element약품 투여 및 복용 반복 정보
...... frequency S0..1positiveInt주기 당 약품 투여 및 복용 횟수
...... period S0..1decimal약품 투여 및 복용 주기 수치
...... periodUnit S0..1code약품 투여 및 복용 주기 단위: s | min | h | d | wk | mo | a
Binding: UnitsOfTime (required)
.... doseAndRate S1..*Element투여 및 복용량
..... Slices for dose[x] S1..1Range, SimpleQuantity1회량
Slice: Unordered, Open by type:$this
...... dose[x]:doseQuantity S0..1SimpleQuantity1회량 수치 정보
Binding: UCUMCodes (preferred)
...... dose[x]:doseRange S0..1Range1회량 범위 정보
....... low 0..1SimpleQuantity최소
Binding: UCUMCodes (preferred)
....... high 0..1SimpleQuantity최대
Binding: UCUMCodes (preferred)
... dispenseRequest S0..1BackboneElement처방 요청
.... quantity 0..1SimpleQuantity총량
Binding: UCUMCodes (preferred)
.... expectedSupplyDuration S0..1Duration처방 기간: s | min | h | d | wk | mo | a
Binding: UnitsOfTime (required)
..... code 0..1code처방 기간 단위 코드
Example Value (Preferred): d

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
MedicationRequest.dosageInstruction.timing.repeat.periodUnitrequiredUnitsOfTime
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantitypreferredUCUMCodes (a valid code from UCUM)
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.lowpreferredUCUMCodes (a valid code from UCUM)
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.highpreferredUCUMCodes (a valid code from UCUM)
MedicationRequest.dispenseRequest.quantitypreferredUCUMCodes (a valid code from UCUM)
MedicationRequest.dispenseRequest.expectedSupplyDurationrequiredUnitsOfTime

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..*MedicationRequestKR Core MedicationRequest Profile
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!SΣ1..1code처방 상태: active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.


Example Value (Preferred): completed
... doNotPerform ?!Σ0..1booleanTrue if request is prohibiting action
... medication[x] SΣ1..1Reference(KR Core Medication Profile)처방 약품 정보
... subject Σ1..1Reference(KR Core Patient Profile)처방 대상
... authoredOn Σ0..1dateTime처방 일시
... dosageInstruction S1..*Dosage약물 투여 및 복용 지침
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... text SΣ0..1string용법
.... timing SΣ0..1Timing약품 투여 및 복용 시기
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... repeat SΣC0..1Element약품 투여 및 복용 반복 정보
...... frequency SΣ0..1positiveInt주기 당 약품 투여 및 복용 횟수
...... period SΣ0..1decimal약품 투여 및 복용 주기 수치
...... periodUnit SΣ0..1code약품 투여 및 복용 주기 단위: s | min | h | d | wk | mo | a
Binding: UnitsOfTime (required)
.... doseAndRate SΣ1..*Element투여 및 복용량
..... Slices for dose[x] SΣ1..11회량
Slice: Unordered, Closed by type:$this
...... doseRangeRange
...... doseQuantityQuantity(SimpleQuantity)
...... dose[x]:doseQuantity SC0..1SimpleQuantity1회량 수치 정보
Binding: UCUMCodes (preferred)
...... dose[x]:doseRange SΣ0..1Range1회량 범위 정보
....... low Σ0..1SimpleQuantity최소
Binding: UCUMCodes (preferred)
....... high Σ0..1SimpleQuantity최대
Binding: UCUMCodes (preferred)
... dispenseRequest S0..1BackboneElement처방 요청
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... quantity 0..1SimpleQuantity총량
Binding: UCUMCodes (preferred)
.... expectedSupplyDuration S0..1Duration처방 기간: s | min | h | d | wk | mo | a
..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... code Σ0..1code처방 기간 단위 코드
Example Value (Preferred): d

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
MedicationRequest.statusrequiredmedicationrequest Status
MedicationRequest.intentrequiredmedicationRequest Intent
MedicationRequest.dosageInstruction.timing.repeat.periodUnitrequiredUnitsOfTime
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantitypreferredUCUMCodes (a valid code from UCUM)
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.lowpreferredUCUMCodes (a valid code from UCUM)
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.highpreferredUCUMCodes (a valid code from UCUM)
MedicationRequest.dispenseRequest.quantitypreferredUCUMCodes (a valid code from UCUM)
MedicationRequest.dispenseRequest.expectedSupplyDuration.comparatorrequiredQuantityComparator

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..*MedicationRequestKR Core MedicationRequest Profile
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierExternal ids for this request
... status ?!SΣ1..1code처방 상태: active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.


Example Value (Preferred): completed
... statusReason 0..1CodeableConceptReason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

... intent ?!SΣ1..1code처방 의도: order | proposal | plan +
Binding: medicationRequest Intent (required): The kind of medication order.


Example Value (Preferred): order
... category 0..*CodeableConceptType of medication usage
Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.


... priority Σ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ0..1booleanTrue if request is prohibiting action
... reported[x] Σ0..1Reported rather than primary record
.... reportedBooleanboolean
.... reportedReferenceReference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... medication[x] SΣ1..1Reference(KR Core Medication Profile)처방 약품 정보
... subject Σ1..1Reference(KR Core Patient Profile)처방 대상
... encounter 0..1Reference(Encounter)Encounter created as part of encounter/admission/stay
... supportingInformation 0..*Reference(Resource)Information to support ordering of the medication
... authoredOn Σ0..1dateTime처방 일시
... requester Σ0..1Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)Who/What requested the Request
... performer 0..1Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)Intended performer of administration
... performerType Σ0..1CodeableConceptDesired kind of performer of the medication administration
Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.

... recorder 0..1Reference(Practitioner | PractitionerRole)Person who entered the request
... reasonCode 0..*CodeableConceptReason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.


... reasonReference 0..*Reference(Condition | Observation)Condition or observation that supports why the prescription is being written
... instantiatesCanonical Σ0..*canonical()Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn Σ0..*Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)What request fulfills
... groupIdentifier Σ0..1IdentifierComposite request this is part of
... courseOfTherapyType 0..1CodeableConceptOverall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.

... insurance 0..*Reference(Coverage | ClaimResponse)Associated insurance coverage
... note 0..*AnnotationInformation about the prescription
... dosageInstruction S1..*Dosage약물 투여 및 복용 지침
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... sequence Σ0..1integerThe order of the dosage instructions
.... text SΣ0..1string용법
.... additionalInstruction Σ0..*CodeableConceptSupplemental 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 Σ0..1stringPatient or consumer oriented instructions
.... timing SΣ0..1Timing약품 투여 및 복용 시기
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... event Σ0..*dateTimeWhen the event occurs
..... repeat SΣC0..1Element약품 투여 및 복용 반복 정보
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... bounds[x] Σ0..1Length/Range of lengths, or (Start and/or end) limits
....... boundsDurationDuration
....... boundsRangeRange
....... boundsPeriodPeriod
...... count Σ0..1positiveIntNumber of times to repeat
...... countMax Σ0..1positiveIntMaximum number of times to repeat
...... duration Σ0..1decimalHow long when it happens
...... durationMax Σ0..1decimalHow long when it happens (Max)
...... durationUnit Σ0..1codes | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).

...... frequency SΣ0..1positiveInt주기 당 약품 투여 및 복용 횟수
...... frequencyMax Σ0..1positiveIntEvent occurs up to frequencyMax times per period
...... period SΣ0..1decimal약품 투여 및 복용 주기 수치
...... periodMax Σ0..1decimalUpper limit of period (3-4 hours)
...... periodUnit SΣ0..1code약품 투여 및 복용 주기 단위: s | min | h | d | wk | mo | a
Binding: UnitsOfTime (required)
...... dayOfWeek Σ0..*codemon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
...... timeOfDay Σ0..*timeTime of day for action
...... when Σ0..*codeCode for time period of occurrence
Binding: EventTiming (required): Real world event relating to the schedule.


...... offset Σ0..1unsignedIntMinutes from event (before or after)
..... code Σ0..1CodeableConceptBID | TID | QID | AM | PM | QD | QOD | +
Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.

.... asNeeded[x] Σ0..1Take "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.

..... asNeededBooleanboolean
..... asNeededCodeableConceptCodeableConcept
.... site Σ0..1CodeableConceptBody site to administer to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.

.... route Σ0..1CodeableConceptHow drug should enter body
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

.... method Σ0..1CodeableConceptTechnique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

.... doseAndRate SΣ1..*Element투여 및 복용량
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ0..1CodeableConceptThe kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.

..... Slices for dose[x] SΣ1..11회량
Slice: Unordered, Closed by type:$this
...... doseRangeRange
...... doseQuantityQuantity(SimpleQuantity)
...... dose[x]:doseQuantity SC0..1SimpleQuantity1회량 수치 정보
Binding: UCUMCodes (preferred)
...... dose[x]:doseRange SΣ0..1Range1회량 범위 정보
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... low Σ0..1SimpleQuantity최소
Binding: UCUMCodes (preferred)
....... high Σ0..1SimpleQuantity최대
Binding: UCUMCodes (preferred)
..... rate[x] Σ0..1Amount of medication per unit of time
...... rateRatioRatio
...... rateRangeRange
...... rateQuantityQuantity(SimpleQuantity)
.... maxDosePerPeriod Σ0..1RatioUpper limit on medication per unit of time
.... maxDosePerAdministration Σ0..1SimpleQuantityUpper limit on medication per administration
.... maxDosePerLifetime Σ0..1SimpleQuantityUpper limit on medication per lifetime of the patient
... dispenseRequest S0..1BackboneElement처방 요청
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... initialFill 0..1BackboneElementFirst fill details
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... quantity 0..1SimpleQuantityFirst fill quantity
..... duration 0..1DurationFirst fill duration
.... dispenseInterval 0..1DurationMinimum period of time between dispenses
.... validityPeriod 0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed 0..1unsignedIntNumber of refills authorized
.... quantity 0..1SimpleQuantity총량
Binding: UCUMCodes (preferred)
.... expectedSupplyDuration S0..1Duration처방 기간: s | min | h | d | wk | mo | a
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... value Σ0..1decimalNumerical value (with implicit precision)
..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit Σ0..1stringUnit representation
..... system ΣC0..1uriSystem that defines coded unit form
..... code Σ0..1code처방 기간 단위 코드
Example Value (Preferred): d
.... performer 0..1Reference(Organization)Intended dispenser
... substitution 0..1BackboneElementAny restrictions on medication substitution
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... allowed[x] 1..1Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.

..... allowedBooleanboolean
..... allowedCodeableConceptCodeableConcept
.... reason 0..1CodeableConceptWhy 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..1Reference(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 Documentation for this format

Terminology Bindings

PathConformanceValueSet
MedicationRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
MedicationRequest.statusrequiredmedicationrequest Status
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
MedicationRequest.intentrequiredmedicationRequest Intent
MedicationRequest.categoryexamplemedicationRequest Category Codes
MedicationRequest.priorityrequiredRequestPriority
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
MedicationRequest.dosageInstruction.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
MedicationRequest.dosageInstruction.timing.repeat.durationUnitrequiredUnitsOfTime
MedicationRequest.dosageInstruction.timing.repeat.periodUnitrequiredUnitsOfTime
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeekrequiredDaysOfWeek
MedicationRequest.dosageInstruction.timing.repeat.whenrequiredEventTiming
MedicationRequest.dosageInstruction.timing.codepreferredTimingAbbreviation
MedicationRequest.dosageInstruction.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
MedicationRequest.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
MedicationRequest.dosageInstruction.routeexampleSNOMEDCTRouteCodes
MedicationRequest.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
MedicationRequest.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantitypreferredUCUMCodes (a valid code from UCUM)
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.lowpreferredUCUMCodes (a valid code from UCUM)
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.highpreferredUCUMCodes (a valid code from UCUM)
MedicationRequest.dispenseRequest.quantitypreferredUCUMCodes (a valid code from UCUM)
MedicationRequest.dispenseRequest.expectedSupplyDuration.comparatorrequiredQuantityComparator
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason

This structure is derived from MedicationRequest

Summary

Mandatory: 3 elements
Must-Support: 16 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element MedicationRequest.dosageInstruction.doseAndRate.dose[x] is sliced based on the value of type:$this

 

Other representations of profile: CSV, Excel, Schematron

Notes:

KR Core IG를 따르는 Server는 반드시(SHALL) MedicationRequest Resource를 지원하고, KR Core MedicationRequest Profile을 반드시(SHALL) 지원해야 한다.
KR Core IG를 따르는 Client는 가능한 한(SHOULD) MedicationRequest Resource를 지원하고, MedicationRequest Resource를 지원하는 경우, KR Core MedicationRequest Profile을 반드시(SHALL) 지원해야 한다.

KR CDI 관련항목

KR Core Medication Profile은 KR CDI의 약물 정보 클래스 중 일부에 대응됨.

KR CDI 약물 정보 클래스 항목 KR Core Medication Profile 관련 항목
약품제품명 MedicationRequest.medicationReference
KR Core Medication Profile 참고
약품성분명 MedicationRequest.medicationReference
KR Core Medication Profile 참고
1회량 MedicationRequest.dosageInstruction.doseAndRate.dose
1회량 단위 MedicationRequest.dosageInstruction.doseAndRate.dose
복용횟수 MedicationRequest.dosageInstruction.timing.repeat.frequency
MedicationRequest.dosageInstruction.timing.repeat.period
MedicationRequest.dosageInstruction.timing.repeat.periodUnit
용법 MedicationRequest.dosageInstruction.text
처방일수 MedicationRequest.dispenseRequest.expectedSupplyDuration
총량 MedicationRequest.dispenseRequest.quantity
총량단위 MedicationRequest.dispenseRequest.quantity
처방상태 MedicationRequest.status
처방의도 MedicationRequest.intent

KR Core Search Parameters (derived)

MedicationRequest Resource를 검색하기 위해 기본 FHIR 사양을 기반으로 정의한 검색 파라미터.

Name Type Description Expression Expectations
authoredon date 약물 처방 일시 MedicationRequest.authoredOn MAY
intent token 약물 처방 의도 MedicationRequest.intent SHOULD
medication reference 처방한 약물 MedicationRequest.medication.reference SHOULD
patient reference 약물 처방 대상 MedicationRequest.subject.where(resolve() is Patient) SHALL
status token 약물 처방 진행 상태 MedicationRequest.status MAY

NOTE: 위 Search Parameter 목록은 아래 요소에 대한 구현 기대치를 정의함:

NOTE: 이 외 기본 FHIR 사양에서 정의하고 있는 Search Parameter들은 KR Core IG를 구현한 서버의 선택 사항에 따라 추가로 제공 가능.