Resumen Digital de Atención en Salud (RDA) - Local Development build (v0.7.2) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Prescripción de administración de medicamentos (MedicationRequest) RDA

Perfil FHIR de la solicitud o prescripción de un medicamento administrado durante un encuentro de atención en salud, para su intercambio en un documento RDA en Colombia.

Orden o solicitud generada por un profesional de la salud autorizado para la administración de un medicamento a un paciente, en el marco de un proceso de atención en salud.

La prescripción de medicamentos es el resultado de un proceso clínico mediante el cual un profesional de la salud, autorizado y habilitado, determina la necesidad de un medicamento para un paciente con base en la evaluación de signos, síntomas, diagnóstico, antecedentes y criterios definidos por la ciencia médica, con el objetivo de tratar, controlar o prevenir condiciones de salud, garantizando el uso seguro, eficaz y racional de medicamentos.

Ámbito

Este perfil define las restricciones y extensiones aplicables al recurso FHIR MedicationRequest (Solicitud o Prescripción de Medicamentos), con el objetivo de estandarizar y representar la información de medicamentos prescritos a un paciente, dentro del contexto del Resumen Digital de Atención en salud (RDA).

Ha sido diseñado a partir de los lineamientos normativos definidos por el Ministerio de Salud y Protección Social, y está armonizado con la Guía de Implementación FHIR Core Colombia.

En Colombia, la prescripción de medicamentos debe registrarse en la historia clínica del paciente, de acuerdo con los lineamientos establecidos por el Ministerio de Salud y Protección Social y con la normatividad vigente sobre la gestión de la información en salud.

Características

• Proceso clínico profesional: realizado por médicos, odontólogos u otros profesionales de salud autorizados para prescribir medicamentos, conforme a su formación y marco legal.
• Sustentado en evidencia: incluye anamnesis, diagnóstico, evaluación clínica y criterios de pertinencia terapéutica.
• Incluye detalles de la prescripción: como medicamento, dosis, vía de administración, frecuencia y duración del tratamiento.
• Se expresa mediante terminologías estandarizadas: como ATC, CUM, SNOMED CT o códigos controlados nacionales.
• Facilita la trazabilidad de medicamentos desde la prescripción hasta la dispensación.

Uso previsto

Este perfil está diseñado para ser implementado por:

• Plataforma de interoperabilidad del Ministerio de Salud y Protección Social.
• Instituciones Prestadoras de Servicios de Salud.
• Sistemas de información en salud (HIS, HCE, LIS, RIS, etc.).
• Repositorios de datos clínicos (CDR).
• Proveedores y consumidores de servicios interoperables de salud.

Se espera que sea utilizado principalmente en el escenario de intercambio del Resumen Digital de Atención (RDA).

Restricciones y extensiones clave

• Se requiere el uso de terminologías controladas nacionales.
• Se aplican restricciones sobre elementos obligatorios y cardinalidad.
• Utiliza extensiones para representar información adicional relevante para el contexto colombiano.

Relación con otras guías o perfiles

Este perfil se basa en:

• MedicationRequest FHIR R4

Consideraciones adicionales

• Este perfil no sustituye las obligaciones legales sobre el registro clínico.
• Se recomienda verificar la conformidad de su implementación.

Cuando se prescriben y administran medicamentos al paciente, lo cual ocurre actualmente durante la atención definida en el RDA de hospitalización o internación y en el RDA de urgencias o atención inmediata. Para registrar los medicamentos prescritos y administrados en estos eventos de atención, la resolución 1888 de 2025 indica el uso del IUM, pero dado que no todos los medicamentos tienen este código, el mecanismo acepta también la codificación CUM.

Usages:

• Use this Profile: Paquete transaccional (Bundle) de documento RDA (Urgencias) and Paquete transaccional (Bundle) de documento RDA (Hospitalización)
• Refer to this Profile: Resumen Digital de Atención en Salud de Urgencias (RDA Urgencias), Resumen Digital de Atención en Salud de Hospitalización (RDA Hospitalización), Administración de medicamentos (MedicationAdministration) RDA and Nota aclaratoria, posterior al reporte del encuentro de atención (Observation) RDA

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	Valor por defecto: completed Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Fixed Value: completed
intent	?!Σ	1..1	code	Valor por defecto: order Binding: medicationRequest Intent (required): The kind of medication order. Fixed Value: order
category		1..1	CodeableConcept	Tipo de tecnología en salud (medicamento) 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.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:R866	Σ	0..1	Coding	Code defined by a terminology system Binding: CodeSystem: Tipo de tecnología en salud (medicamentos) (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianHealthTechnologyCategory
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
reported[x]	Σ	1..1	boolean	Indicador de registro reportado
medication[x]	Σ	1..1	CodeableConcept	Código del medicamento (código de la tecnología en salud) Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
Slices for coding	Σ	1..3	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:IUM	Σ	0..1	Coding	Code defined by a terminology system Binding: ValueSet: Identificador Único de Medicamento (IUM) - Colombia (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/IUM
code	SΣ	1..1	code	Código del medicamento (IUM)
display	SΣ	0..1	string	Nombre del medicamento
coding:CUMS	Σ	0..1	Coding	Code defined by a terminology system Binding: Codificacion CUMS (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/CUMS
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
text	SΣ	0..1	string	Descripción común del medicamento
subject	SΣ	1..1	Reference(Paciente (Patient) RDA)	Referencia al paciente a que se le administró el medicamento
encounter	S	0..1	Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA)	Referencia al encuentro durante el cual se realizó la administración del medicamento
authoredOn	SΣ	1..1	dateTime	Fecha de prescripción del medicamento (Tecnología en salud)
requester	Σ	0..1	Reference(Profesional de salud (Practitioner) RDA)	Referencia al profesional que realizó la prescripción del medicamento
performer		0..1	Reference(Institución Prestadora de Servicios de Salud (Organization) RDA)	Referencia a la organización que administró el medicamento
reasonCode	S	1..1	CodeableConcept	Finalidad de la tecnología en Salud Binding: ValueSet: Colombian Encounter ReasonCode (required)
dosageInstruction		1..1	Dosage	Instrucciones para la dosificación del medicamento (posología)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
timing	Σ	1..1	Timing	Frecuencia de administración del medicamento
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
repeat	ΣC	1..1	Element	When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
duration	SΣ	1..1	decimal	Duración prescrita del medicamento - Cantidad
durationUnit	SΣ	1..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
code	Σ	1..1	CodeableConcept	Duración prescrita del medicamento - Código de unidad de tiempo Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: ValueSet: Fecuencia de administración de medicamento (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MedicationTime
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.status	required	Fixed Value: completed http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 From the FHIR Standard
MedicationRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 From the FHIR Standard
MedicationRequest.category	example	medicationRequest Category Codes http://hl7.org/fhir/ValueSet/medicationrequest-category From the FHIR Standard
MedicationRequest.category.coding:R866	required	ColombianHealthTechnologyMedicationCodes https://fhir.minsalud.gov.co/rda/ValueSet/ColombianHealthTechnologyMedicationCodes From this IG
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard
MedicationRequest.medication[x].coding:IUM	required	IUMCodes https://fhir.minsalud.gov.co/rda/ValueSet/IUMCodes From this IG
MedicationRequest.medication[x].coding:CUMS	required	CUMSVS(a valid code from CodeSystem: Unique Medication Codes - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/CUMSVS From this IG
MedicationRequest.reasonCode	required	RIPSFinalidadConsultaVersion2Codigos(a valid code from CodeSystem: Colombian Encounter ReasonCode) https://fhir.minsalud.gov.co/rda/ValueSet/RIPSFinalidadConsultaVersion2Codigos From this IG
MedicationRequest.dosageInstruction.timing.repeat.durationUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 From the FHIR Standard
MedicationRequest.dosageInstruction.timing.code	preferred	TimingAbbreviation http://hl7.org/fhir/ValueSet/timing-abbreviation From the FHIR Standard
MedicationRequest.dosageInstruction.timing.code.coding	required	MedicationTimeCodes(a valid code from CodeSystem: Unidades de tiempo, asociadas a la administración del medicamento) https://fhir.minsalud.gov.co/rda/ValueSet/MedicationTimeCodes From this IG
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode

Constraints

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

This structure is derived from MedicationRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest			MedicationRequest
meta
profile		1..		Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/MedicationAdminRequestRDA
contained		..0
identifier		..0
status				Valor por defecto: completed Fixed Value: completed
statusReason		..0
intent				Valor por defecto: order Fixed Value: order
category		1..1		Tipo de tecnología en salud (medicamento)
Slices for coding				Slice: Unordered, Open by value:system
coding:R866		0..1		Binding: CodeSystem: Tipo de tecnología en salud (medicamentos) (required)
system		1..		Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianHealthTechnologyCategory
code	S	1..
display		1..
priority		..0
doNotPerform		..0
reported[x]		1..	boolean	Indicador de registro reportado
medication[x]			CodeableConcept	Código del medicamento (código de la tecnología en salud)
Slices for coding		1..3		Slice: Unordered, Open by value:system
coding:IUM		0..1		Binding: ValueSet: Identificador Único de Medicamento (IUM) - Colombia (required)
system		1..		Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/IUM
code	S	1..		Código del medicamento (IUM)
display	S			Nombre del medicamento
coding:CUMS		0..1		Binding: Codificacion CUMS (required)
system		1..		Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/CUMS
code		1..
display
text	S			Descripción común del medicamento
subject	S		Reference(Paciente (Patient) RDA)	Referencia al paciente a que se le administró el medicamento
encounter	S		Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA)	Referencia al encuentro durante el cual se realizó la administración del medicamento
supportingInformation		..0
authoredOn	S	1..		Fecha de prescripción del medicamento (Tecnología en salud)
requester			Reference(Profesional de salud (Practitioner) RDA)	Referencia al profesional que realizó la prescripción del medicamento
performer			Reference(Institución Prestadora de Servicios de Salud (Organization) RDA)	Referencia a la organización que administró el medicamento
performerType		..0
recorder		..0
reasonCode	S	1..1		Finalidad de la tecnología en Salud Binding: ValueSet: Colombian Encounter ReasonCode (required)
coding
system		1..		Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/RIPSFinalidadConsultaVersion2
code		1..
display		1..
reasonReference		..0
instantiatesCanonical		..0
instantiatesUri		..0
basedOn		..0
groupIdentifier		..0
courseOfTherapyType		..0
insurance		..0
note		..0
dosageInstruction		1..1		Instrucciones para la dosificación del medicamento (posología)
sequence		..0
text		..0
additionalInstruction		..0
patientInstruction		..0
timing		1..		Frecuencia de administración del medicamento
event		..0
repeat		1..
duration	S	1..		Duración prescrita del medicamento - Cantidad
durationMax		..0
durationUnit	S	1..
frequency		..0
frequencyMax		..0
period		..0
periodMax		..0
periodUnit		..0
code		1..		Duración prescrita del medicamento - Código de unidad de tiempo
coding				Binding: ValueSet: Fecuencia de administración de medicamento (required)
system		1..		Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MedicationTime
code	S	1..
display		1..
asNeeded[x]		..0
site		..0
route		..0
method		..0
doseAndRate		..0
maxDosePerPeriod		..0
maxDosePerAdministration		..0
maxDosePerLifetime		..0
dispenseRequest		..0
substitution		..0
priorPrescription		..0
detectedIssue		..0
eventHistory		..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationRequest.category.coding:R866	required	ColombianHealthTechnologyMedicationCodes https://fhir.minsalud.gov.co/rda/ValueSet/ColombianHealthTechnologyMedicationCodes From this IG
MedicationRequest.medication[x].coding:IUM	required	IUMCodes https://fhir.minsalud.gov.co/rda/ValueSet/IUMCodes From this IG
MedicationRequest.medication[x].coding:CUMS	required	CUMSVS(a valid code from CodeSystem: Unique Medication Codes - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/CUMSVS From this IG
MedicationRequest.reasonCode	required	RIPSFinalidadConsultaVersion2Codigos(a valid code from CodeSystem: Colombian Encounter ReasonCode) https://fhir.minsalud.gov.co/rda/ValueSet/RIPSFinalidadConsultaVersion2Codigos From this IG
MedicationRequest.dosageInstruction.timing.code.coding	required	MedicationTimeCodes(a valid code from CodeSystem: Unidades de tiempo, asociadas a la administración del medicamento) https://fhir.minsalud.gov.co/rda/ValueSet/MedicationTimeCodes From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group
id	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/MedicationAdminRequestRDA
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	Valor por defecto: completed Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Fixed Value: completed
intent	?!Σ	1..1	code	Valor por defecto: order Binding: medicationRequest Intent (required): The kind of medication order. Fixed Value: order
category		1..1	CodeableConcept	Tipo de tecnología en salud (medicamento) 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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:R866	Σ	0..1	Coding	Code defined by a terminology system Binding: CodeSystem: Tipo de tecnología en salud (medicamentos) (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianHealthTechnologyCategory
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..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
reported[x]	Σ	1..1	boolean	Indicador de registro reportado
medication[x]	Σ	1..1	CodeableConcept	Código del medicamento (código de la tecnología en salud) Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..3	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:IUM	Σ	0..1	Coding	Code defined by a terminology system Binding: ValueSet: Identificador Único de Medicamento (IUM) - Colombia (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/IUM
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Código del medicamento (IUM)
display	SΣ	0..1	string	Nombre del medicamento
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:CUMS	Σ	0..1	Coding	Code defined by a terminology system Binding: Codificacion CUMS (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/CUMS
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	SΣ	0..1	string	Descripción común del medicamento
subject	SΣ	1..1	Reference(Paciente (Patient) RDA)	Referencia al paciente a que se le administró el medicamento
encounter	S	0..1	Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA)	Referencia al encuentro durante el cual se realizó la administración del medicamento
authoredOn	SΣ	1..1	dateTime	Fecha de prescripción del medicamento (Tecnología en salud)
requester	Σ	0..1	Reference(Profesional de salud (Practitioner) RDA)	Referencia al profesional que realizó la prescripción del medicamento
performer		0..1	Reference(Institución Prestadora de Servicios de Salud (Organization) RDA)	Referencia a la organización que administró el medicamento
reasonCode	S	1..1	CodeableConcept	Finalidad de la tecnología en Salud Binding: ValueSet: Colombian Encounter ReasonCode (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	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 Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/RIPSFinalidadConsultaVersion2
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	1..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
dosageInstruction		1..1	Dosage	Instrucciones para la dosificación del medicamento (posología)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
timing	Σ	1..1	Timing	Frecuencia de administración del medicamento
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
repeat	ΣC	1..1	Element	When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
count	Σ	0..1	positiveInt	Number of times to repeat
countMax	Σ	0..1	positiveInt	Maximum number of times to repeat
duration	SΣ	1..1	decimal	Duración prescrita del medicamento - Cantidad
durationUnit	SΣ	1..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek	Σ	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay	Σ	0..*	time	Time of day for action
when	Σ	0..*	code	Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset	Σ	0..1	unsignedInt	Minutes from event (before or after)
code	Σ	1..1	CodeableConcept	Duración prescrita del medicamento - Código de unidad de tiempo Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: ValueSet: Fecuencia de administración de medicamento (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MedicationTime
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
MedicationRequest.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
MedicationRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationRequest.status	required	Fixed Value: completed http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 From the FHIR Standard
MedicationRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 From the FHIR Standard
MedicationRequest.category	example	medicationRequest Category Codes http://hl7.org/fhir/ValueSet/medicationrequest-category From the FHIR Standard
MedicationRequest.category.coding:R866	required	ColombianHealthTechnologyMedicationCodes https://fhir.minsalud.gov.co/rda/ValueSet/ColombianHealthTechnologyMedicationCodes From this IG
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard
MedicationRequest.medication[x].coding:IUM	required	IUMCodes https://fhir.minsalud.gov.co/rda/ValueSet/IUMCodes From this IG
MedicationRequest.medication[x].coding:CUMS	required	CUMSVS(a valid code from CodeSystem: Unique Medication Codes - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/CUMSVS From this IG
MedicationRequest.reasonCode	required	RIPSFinalidadConsultaVersion2Codigos(a valid code from CodeSystem: Colombian Encounter ReasonCode) https://fhir.minsalud.gov.co/rda/ValueSet/RIPSFinalidadConsultaVersion2Codigos From this IG
MedicationRequest.dosageInstruction.timing.repeat.durationUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 From the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 From the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.when	required	EventTiming http://hl7.org/fhir/ValueSet/event-timing|4.0.1 From the FHIR Standard
MedicationRequest.dosageInstruction.timing.code	preferred	TimingAbbreviation http://hl7.org/fhir/ValueSet/timing-abbreviation From the FHIR Standard
MedicationRequest.dosageInstruction.timing.code.coding	required	MedicationTimeCodes(a valid code from CodeSystem: Unidades de tiempo, asociadas a la administración del medicamento) https://fhir.minsalud.gov.co/rda/ValueSet/MedicationTimeCodes From this IG
MedicationRequest.dosageInstruction.doseAndRate.type	example	DoseAndRateType http://hl7.org/fhir/ValueSet/dose-rate-type From the FHIR Standard
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

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

This structure is derived from MedicationRequest

Summary

Mandatory: 0 element(25 nested mandatory elements)
Must-Support: 11 elements
Fixed: 8 elements
Prohibited: 40 elements

Structures

This structure refers to these other structures:

• Paciente (Patient) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/PatientRDA)
• Encuentro de atención ambulatoria (Encounter) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterAmbulatoryRDA)
• Encuentro de atención de urgencias en salud (Encounter) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterEmergencyRDA)
• Encuentro de hospitalización (Encounter) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterHospitalizationRDA)
• Profesional de salud (Practitioner) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/PractitionerRDA)
• Institución Prestadora de Servicios de Salud (Organization) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/CareDeliveryOrganizationRDA)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationRequest.category.coding
• The element 1 is sliced based on the value of MedicationRequest.medication[x].coding

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
status	?!Σ	1..1	code	Valor por defecto: completed Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Fixed Value: completed
intent	?!Σ	1..1	code	Valor por defecto: order Binding: medicationRequest Intent (required): The kind of medication order. Fixed Value: order
category		1..1	CodeableConcept	Tipo de tecnología en salud (medicamento) 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.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:R866	Σ	0..1	Coding	Code defined by a terminology system Binding: CodeSystem: Tipo de tecnología en salud (medicamentos) (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianHealthTechnologyCategory
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
reported[x]	Σ	1..1	boolean	Indicador de registro reportado
medication[x]	Σ	1..1	CodeableConcept	Código del medicamento (código de la tecnología en salud) Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
Slices for coding	Σ	1..3	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:IUM	Σ	0..1	Coding	Code defined by a terminology system Binding: ValueSet: Identificador Único de Medicamento (IUM) - Colombia (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/IUM
code	SΣ	1..1	code	Código del medicamento (IUM)
display	SΣ	0..1	string	Nombre del medicamento
coding:CUMS	Σ	0..1	Coding	Code defined by a terminology system Binding: Codificacion CUMS (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/CUMS
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
text	SΣ	0..1	string	Descripción común del medicamento
subject	SΣ	1..1	Reference(Paciente (Patient) RDA)	Referencia al paciente a que se le administró el medicamento
encounter	S	0..1	Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA)	Referencia al encuentro durante el cual se realizó la administración del medicamento
authoredOn	SΣ	1..1	dateTime	Fecha de prescripción del medicamento (Tecnología en salud)
requester	Σ	0..1	Reference(Profesional de salud (Practitioner) RDA)	Referencia al profesional que realizó la prescripción del medicamento
performer		0..1	Reference(Institución Prestadora de Servicios de Salud (Organization) RDA)	Referencia a la organización que administró el medicamento
reasonCode	S	1..1	CodeableConcept	Finalidad de la tecnología en Salud Binding: ValueSet: Colombian Encounter ReasonCode (required)
dosageInstruction		1..1	Dosage	Instrucciones para la dosificación del medicamento (posología)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
timing	Σ	1..1	Timing	Frecuencia de administración del medicamento
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
repeat	ΣC	1..1	Element	When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
duration	SΣ	1..1	decimal	Duración prescrita del medicamento - Cantidad
durationUnit	SΣ	1..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
code	Σ	1..1	CodeableConcept	Duración prescrita del medicamento - Código de unidad de tiempo Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: ValueSet: Fecuencia de administración de medicamento (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MedicationTime
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.status	required	Fixed Value: completed http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 From the FHIR Standard
MedicationRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 From the FHIR Standard
MedicationRequest.category	example	medicationRequest Category Codes http://hl7.org/fhir/ValueSet/medicationrequest-category From the FHIR Standard
MedicationRequest.category.coding:R866	required	ColombianHealthTechnologyMedicationCodes https://fhir.minsalud.gov.co/rda/ValueSet/ColombianHealthTechnologyMedicationCodes From this IG
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard
MedicationRequest.medication[x].coding:IUM	required	IUMCodes https://fhir.minsalud.gov.co/rda/ValueSet/IUMCodes From this IG
MedicationRequest.medication[x].coding:CUMS	required	CUMSVS(a valid code from CodeSystem: Unique Medication Codes - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/CUMSVS From this IG
MedicationRequest.reasonCode	required	RIPSFinalidadConsultaVersion2Codigos(a valid code from CodeSystem: Colombian Encounter ReasonCode) https://fhir.minsalud.gov.co/rda/ValueSet/RIPSFinalidadConsultaVersion2Codigos From this IG
MedicationRequest.dosageInstruction.timing.repeat.durationUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 From the FHIR Standard
MedicationRequest.dosageInstruction.timing.code	preferred	TimingAbbreviation http://hl7.org/fhir/ValueSet/timing-abbreviation From the FHIR Standard
MedicationRequest.dosageInstruction.timing.code.coding	required	MedicationTimeCodes(a valid code from CodeSystem: Unidades de tiempo, asociadas a la administración del medicamento) https://fhir.minsalud.gov.co/rda/ValueSet/MedicationTimeCodes From this IG
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode

Constraints

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

Differential View

This structure is derived from MedicationRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest			MedicationRequest
meta
profile		1..		Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/MedicationAdminRequestRDA
contained		..0
identifier		..0
status				Valor por defecto: completed Fixed Value: completed
statusReason		..0
intent				Valor por defecto: order Fixed Value: order
category		1..1		Tipo de tecnología en salud (medicamento)
Slices for coding				Slice: Unordered, Open by value:system
coding:R866		0..1		Binding: CodeSystem: Tipo de tecnología en salud (medicamentos) (required)
system		1..		Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianHealthTechnologyCategory
code	S	1..
display		1..
priority		..0
doNotPerform		..0
reported[x]		1..	boolean	Indicador de registro reportado
medication[x]			CodeableConcept	Código del medicamento (código de la tecnología en salud)
Slices for coding		1..3		Slice: Unordered, Open by value:system
coding:IUM		0..1		Binding: ValueSet: Identificador Único de Medicamento (IUM) - Colombia (required)
system		1..		Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/IUM
code	S	1..		Código del medicamento (IUM)
display	S			Nombre del medicamento
coding:CUMS		0..1		Binding: Codificacion CUMS (required)
system		1..		Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/CUMS
code		1..
display
text	S			Descripción común del medicamento
subject	S		Reference(Paciente (Patient) RDA)	Referencia al paciente a que se le administró el medicamento
encounter	S		Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA)	Referencia al encuentro durante el cual se realizó la administración del medicamento
supportingInformation		..0
authoredOn	S	1..		Fecha de prescripción del medicamento (Tecnología en salud)
requester			Reference(Profesional de salud (Practitioner) RDA)	Referencia al profesional que realizó la prescripción del medicamento
performer			Reference(Institución Prestadora de Servicios de Salud (Organization) RDA)	Referencia a la organización que administró el medicamento
performerType		..0
recorder		..0
reasonCode	S	1..1		Finalidad de la tecnología en Salud Binding: ValueSet: Colombian Encounter ReasonCode (required)
coding
system		1..		Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/RIPSFinalidadConsultaVersion2
code		1..
display		1..
reasonReference		..0
instantiatesCanonical		..0
instantiatesUri		..0
basedOn		..0
groupIdentifier		..0
courseOfTherapyType		..0
insurance		..0
note		..0
dosageInstruction		1..1		Instrucciones para la dosificación del medicamento (posología)
sequence		..0
text		..0
additionalInstruction		..0
patientInstruction		..0
timing		1..		Frecuencia de administración del medicamento
event		..0
repeat		1..
duration	S	1..		Duración prescrita del medicamento - Cantidad
durationMax		..0
durationUnit	S	1..
frequency		..0
frequencyMax		..0
period		..0
periodMax		..0
periodUnit		..0
code		1..		Duración prescrita del medicamento - Código de unidad de tiempo
coding				Binding: ValueSet: Fecuencia de administración de medicamento (required)
system		1..		Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MedicationTime
code	S	1..
display		1..
asNeeded[x]		..0
site		..0
route		..0
method		..0
doseAndRate		..0
maxDosePerPeriod		..0
maxDosePerAdministration		..0
maxDosePerLifetime		..0
dispenseRequest		..0
substitution		..0
priorPrescription		..0
detectedIssue		..0
eventHistory		..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationRequest.category.coding:R866	required	ColombianHealthTechnologyMedicationCodes https://fhir.minsalud.gov.co/rda/ValueSet/ColombianHealthTechnologyMedicationCodes From this IG
MedicationRequest.medication[x].coding:IUM	required	IUMCodes https://fhir.minsalud.gov.co/rda/ValueSet/IUMCodes From this IG
MedicationRequest.medication[x].coding:CUMS	required	CUMSVS(a valid code from CodeSystem: Unique Medication Codes - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/CUMSVS From this IG
MedicationRequest.reasonCode	required	RIPSFinalidadConsultaVersion2Codigos(a valid code from CodeSystem: Colombian Encounter ReasonCode) https://fhir.minsalud.gov.co/rda/ValueSet/RIPSFinalidadConsultaVersion2Codigos From this IG
MedicationRequest.dosageInstruction.timing.code.coding	required	MedicationTimeCodes(a valid code from CodeSystem: Unidades de tiempo, asociadas a la administración del medicamento) https://fhir.minsalud.gov.co/rda/ValueSet/MedicationTimeCodes From this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group
id	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/MedicationAdminRequestRDA
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	Valor por defecto: completed Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Fixed Value: completed
intent	?!Σ	1..1	code	Valor por defecto: order Binding: medicationRequest Intent (required): The kind of medication order. Fixed Value: order
category		1..1	CodeableConcept	Tipo de tecnología en salud (medicamento) 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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:R866	Σ	0..1	Coding	Code defined by a terminology system Binding: CodeSystem: Tipo de tecnología en salud (medicamentos) (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianHealthTechnologyCategory
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..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
reported[x]	Σ	1..1	boolean	Indicador de registro reportado
medication[x]	Σ	1..1	CodeableConcept	Código del medicamento (código de la tecnología en salud) Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..3	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:IUM	Σ	0..1	Coding	Code defined by a terminology system Binding: ValueSet: Identificador Único de Medicamento (IUM) - Colombia (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/IUM
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Código del medicamento (IUM)
display	SΣ	0..1	string	Nombre del medicamento
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:CUMS	Σ	0..1	Coding	Code defined by a terminology system Binding: Codificacion CUMS (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/CUMS
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	SΣ	0..1	string	Descripción común del medicamento
subject	SΣ	1..1	Reference(Paciente (Patient) RDA)	Referencia al paciente a que se le administró el medicamento
encounter	S	0..1	Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA)	Referencia al encuentro durante el cual se realizó la administración del medicamento
authoredOn	SΣ	1..1	dateTime	Fecha de prescripción del medicamento (Tecnología en salud)
requester	Σ	0..1	Reference(Profesional de salud (Practitioner) RDA)	Referencia al profesional que realizó la prescripción del medicamento
performer		0..1	Reference(Institución Prestadora de Servicios de Salud (Organization) RDA)	Referencia a la organización que administró el medicamento
reasonCode	S	1..1	CodeableConcept	Finalidad de la tecnología en Salud Binding: ValueSet: Colombian Encounter ReasonCode (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	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 Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/RIPSFinalidadConsultaVersion2
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	1..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
dosageInstruction		1..1	Dosage	Instrucciones para la dosificación del medicamento (posología)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
timing	Σ	1..1	Timing	Frecuencia de administración del medicamento
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
repeat	ΣC	1..1	Element	When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
count	Σ	0..1	positiveInt	Number of times to repeat
countMax	Σ	0..1	positiveInt	Maximum number of times to repeat
duration	SΣ	1..1	decimal	Duración prescrita del medicamento - Cantidad
durationUnit	SΣ	1..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek	Σ	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay	Σ	0..*	time	Time of day for action
when	Σ	0..*	code	Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset	Σ	0..1	unsignedInt	Minutes from event (before or after)
code	Σ	1..1	CodeableConcept	Duración prescrita del medicamento - Código de unidad de tiempo Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: ValueSet: Fecuencia de administración de medicamento (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MedicationTime
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
MedicationRequest.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
MedicationRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationRequest.status	required	Fixed Value: completed http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 From the FHIR Standard
MedicationRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 From the FHIR Standard
MedicationRequest.category	example	medicationRequest Category Codes http://hl7.org/fhir/ValueSet/medicationrequest-category From the FHIR Standard
MedicationRequest.category.coding:R866	required	ColombianHealthTechnologyMedicationCodes https://fhir.minsalud.gov.co/rda/ValueSet/ColombianHealthTechnologyMedicationCodes From this IG
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes From the FHIR Standard
MedicationRequest.medication[x].coding:IUM	required	IUMCodes https://fhir.minsalud.gov.co/rda/ValueSet/IUMCodes From this IG
MedicationRequest.medication[x].coding:CUMS	required	CUMSVS(a valid code from CodeSystem: Unique Medication Codes - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/CUMSVS From this IG
MedicationRequest.reasonCode	required	RIPSFinalidadConsultaVersion2Codigos(a valid code from CodeSystem: Colombian Encounter ReasonCode) https://fhir.minsalud.gov.co/rda/ValueSet/RIPSFinalidadConsultaVersion2Codigos From this IG
MedicationRequest.dosageInstruction.timing.repeat.durationUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 From the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek	required	DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 From the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.when	required	EventTiming http://hl7.org/fhir/ValueSet/event-timing|4.0.1 From the FHIR Standard
MedicationRequest.dosageInstruction.timing.code	preferred	TimingAbbreviation http://hl7.org/fhir/ValueSet/timing-abbreviation From the FHIR Standard
MedicationRequest.dosageInstruction.timing.code.coding	required	MedicationTimeCodes(a valid code from CodeSystem: Unidades de tiempo, asociadas a la administración del medicamento) https://fhir.minsalud.gov.co/rda/ValueSet/MedicationTimeCodes From this IG
MedicationRequest.dosageInstruction.doseAndRate.type	example	DoseAndRateType http://hl7.org/fhir/ValueSet/dose-rate-type From the FHIR Standard
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

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

This structure is derived from MedicationRequest

Summary

Mandatory: 0 element(25 nested mandatory elements)
Must-Support: 11 elements
Fixed: 8 elements
Prohibited: 40 elements

Structures

This structure refers to these other structures:

• Paciente (Patient) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/PatientRDA)
• Encuentro de atención ambulatoria (Encounter) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterAmbulatoryRDA)
• Encuentro de atención de urgencias en salud (Encounter) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterEmergencyRDA)
• Encuentro de hospitalización (Encounter) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterHospitalizationRDA)
• Profesional de salud (Practitioner) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/PractitionerRDA)
• Institución Prestadora de Servicios de Salud (Organization) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/CareDeliveryOrganizationRDA)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationRequest.category.coding
• The element 1 is sliced based on the value of MedicationRequest.medication[x].coding