Resumen Digital de Atención en Salud (RDA) - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Direccionamiento de la prescripción de Medicamentos (MedicationRequest) Addressing

Perfil FHIR del direccionamiento de la entrega de un medicamento, para su intercambio en Colombia.

Direccionamiento de la Orden o solicitud generada por un profesional de la salud autorizado para la dispensación y 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 (Direccionamiento de prescripciones 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, el direccionamiento de prescripciones de medicamentos hace parte del flujo de gestión de medicamentos, 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 EAPBs u otras entidades de salud autorizados para direccionar las prescripciones de medicamentos a uno o más gestor farmacéuticos.
• 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.
• Proveedores y consumidores de servicios interoperables de salud.

Se espera que sea utilizado en el escenario de direccionamiento de prescripciones de medicamentos financiados por la UPC.

Restricciones y extensiones clave

• Para los medicamentos y tecnologías que no están financiados dentro del Plan de Beneficios en Salud (PBS) mediante la Unidad de Pago por Capitación (UPC) y los demás que dispuso el MSPS (ej. Antiretrovirales) seguirán el flujo mediante el aplicativo actual de ´MIPRES´, y deberán ser gestionados mediante los mecanismos actuales para ello.
• 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.

Al momento de hacer el direccionamiento de la prescripción de medicamentos ambulatorios, es decir, de la fórmula de medicamentos que se entrega al paciente una vez se ha terminado la atención en salud. Esto puede ocurrir al terminar una consulta externa, y al dar de alta de urgencias o de la hospitalización. Se hará uso únicamente de los códigos DCI, en los tres respectivos RDA de hospitalización o internación, urgencias o atención inmediata y consulta externa.

Usages:

• Refer to this Profile: Dispensación de Medicamento RDA and Programación de la dispensación de Medicamentos (MedicationRequest) Scheduling

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	Direccionamiento de una prescripción
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		1..1	Identifier	Identificador del direccionamiento
system	SΣ	1..1	uri	Sistema de identificación del direccionamiento Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	Número identificador del direccionamiento Example General: 123456
status	?!Σ	1..1	code	Estado del direccionamiento Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
statusReason		0..1	CodeableConcept	Causal de no direccionamiento Binding: ValueSet: Mipres Causas no direccionamiento (required)
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, Closed 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
doNotPerform	?!SΣ	0..1	boolean	Indicador de no direccionamiento
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..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:DCI	Σ	0..*	Coding	Code defined by a terminology system Binding: ValueSet: Denominación Común Internacional (DCI) de substancias farmacéuticas - Colombia (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MipresINN
code	Σ	1..1	code	Código del medicamento (DCI)
display	Σ	0..1	string	Representation defined by the system
coding:IUMPrimerNivel	Σ	0..1	Coding	Code defined by a terminology system Binding: ValueSet: IUM Primer Nivel Codes (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/IUMPrimerNivel
code	Σ	1..1	code	Código del medicamento (IUM primer nivel)
display	Σ	0..1	string	Representation defined by the system
coding:IUM	Σ	0..1	Coding	Code defined by a terminology system Binding: ValueSet: IUM Primer Nivel Codes (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
text	SΣ	0..1	string	Texto que describe un medicamento o medicamento compuesto
subject	Σ	1..1	Reference(Paciente (Patient) RDA)	Referencia al paciente a quien se prescribe u ordena el direccionamiento
reference	SΣC	1..1	string	Referencia al paciente a quien se prescribe u ordena el direccionamiento
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Patient
identifier	Σ	0..1	Identifier	Identificación del paciente
id		1..1	string	Unique id for inter-element referencing Required Pattern: NationalPersonIdentifier-0
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Slices for coding	Σ	2..2	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:InternationalCode	Σ	1..1	Coding	Code defined by a terminology system Binding: Identifier Type Codes (extensible)
system	Σ	1..1	uri	Sistema de codificación internacional Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: PN
display	Σ	1..1	string	Representation defined by the system Fixed Value: Person number
coding:ColombianCode	Σ	1..1	Coding	Code defined by a terminology system Binding: ValueSet: Colombian Person Identifier Codes (required)
system	Σ	1..1	uri	Sistema de codificación colombiano Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianPersonIdentifier
code	SΣ	1..1	code	CN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SI
display	Σ	1..1	string	Cédula de ciudadanía | Tarjeta de identidad | Registro civil +
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: https://fhir.minsalud.gov.co/rda/NamingSystem/RNEC
value	SΣ	1..1	string	Número de documento de identificación Example General: 123456
display	SΣ	0..1	string	Nombre del paciente
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 prescripción del medicamento
Slices for supportingInformation		3..*	Reference(Resource)	Referencias a información de soporte del direccionamiento de la prescripción Slice: Unordered, Closed by value:id
supportingInformation:ReferenceRDA		1..1	Reference(Resumen Digital de Atención en Salud de Consulta (RDA Consulta) | Resumen Digital de Atención en Salud de Urgencias (RDA Urgencias) | Resumen Digital de Atención en Salud de Hospitalización (RDA Hospitalización))	Referencia al código VIDA del documento RDA que originó la prescripción de medicamentos
id		1..1	string	Unique id for inter-element referencing Required Pattern: ReferenceRDA
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Composition
supportingInformation:PrescriberPractitioner		1..1	Reference(Profesional de salud (Practitioner) RDA)	Referencia al profesional de la salud que realizó la prescripción del medicamento
id		1..1	string	Unique id for inter-element referencing Required Pattern: PrescriberPractitioner
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Practitioner
identifier	Σ	0..1	Identifier	Identificación del profesional de la salud
id		1..1	string	Unique id for inter-element referencing Fixed Value: PrescriberIdentifier
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/RETHUS
value	SΣ	1..1	string	Valor de la identificación Example General: 123456
supportingInformation:CareDeliveryOrganization		1..1	Reference(Institución Prestadora de Servicios de Salud (Organization) RDA)	Referencia a la organización de atención en salud donde se realizó la prescripción del medicamento
id		1..1	string	Unique id for inter-element referencing Required Pattern: CareDeliveryOrganization
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Organization
identifier	Σ	0..1	Identifier	Identificación de la organización de atención en salud
id		1..1	string	Unique id for inter-element referencing Fixed Value: OrganizationIdentifier
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/REPS
value	SΣ	1..1	string	Valor del identificador Example General: 123456
supportingInformation:CareDeliveryLocation		0..1	Reference(Punto de atención en salud (Location) RDA)	Referencia al punto de atención en salud (sede) donde se realizó la prescripción del medicamento
id		1..1	string	Unique id for inter-element referencing Required Pattern: CareDeliveryLocation
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Location
identifier	Σ	0..1	Identifier	Identificador del punto de atención en salud (sede)
id		0..1	string	Unique id for inter-element referencing Fixed Value: LocationIdentifier
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/REPS
value	SΣ	1..1	string	Valor del identificador Example General: 123456
authoredOn	SΣ	1..1	dateTime	Fecha de direccionamiento de la prescripción (Tecnología en salud)
requester	Σ	1..1	Reference(Entidad Administradora de Planes de Beneficios en Salud - EAPB (Organization) RDA)	Who/What requested the Request
reference	SΣC	1..1	string	Referencia a la entidad responsable del direccionamiento de la prescripción
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Organization
identifier	Σ	1..1	Identifier	Identificación de la Entidad Administradora de Planes de Beneficios en Salud (EAPB)
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/EAPBS
value	SΣ	1..1	string	Código EAPBS Example General: 123456
display	SΣ	0..1	string	Nombre de la Entidad Administradora de Planes de Beneficios en Salud (EAPB)
reasonCode	S	1..1	CodeableConcept	Finalidad de la tecnología en Salud Binding: ValueSet: Colombian Encounter ReasonCode (required)
reasonReference		0..*	Reference(Diagnóstico de condición de salud (Condition) RDA)	Condition or observation that supports why the prescription is being written
basedOn	Σ	1..1	Reference(Prescripción de Medicamentos (MedicationRequest) RDA)	What request fulfills
identifier	Σ	1..1	Identifier	Identificador de la prescripción
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	Sistema de identificación de la prescripción Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	Número de la prescripción Example General: 123456
groupIdentifier	SΣ	1..1	Identifier	Número externo de direccionamiento
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Sistema de identificación del direccionamiento Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	Número del direccionamiento Example General: 123456
dispenseRequest		0..1	BackboneElement	Medication supply authorization
Slices for extension	S	2..3	Extension	Extension Slice: Unordered, Open by value:url
extension:ExtensionDeliveryMunicipality	S	1..1	Address	Código y nombre del municipio donde se direcciona la entrega (dispensación) del medicamento URL: https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionAddress
extension:ExtensionMedicationDispenseQuantity	S	1..1	SimpleQuantity	Cantidad total direccionada URL: https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionMedicationDispenseQuantity
extension:ExtensionDeliveryNumber	S	0..1	positiveInt	Número de entrega URL: https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionDeliveryNumber
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
validityPeriod	S	1..1	Period	Vigencia de la prescripción
end	SΣC	1..1	dateTime	Fecha máxima de entrega del medicamento
numberOfRepeatsAllowed	S	1..1	unsignedInt	Número de entregas direccionadas
quantity		0..1	SimpleQuantity	Cantidad de medicamento a suministrar por cada entrega (dispensación) Binding: ValueSet: Mipres Dispense Unit (required)
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	ΣC	1..1	uri	System that defines coded unit form Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MipresDispenseUnit
code	SΣ	1..1	code	Coded form of the unit
performer		1..1	Reference(Proveedor de Tecnología en Salud PTS (Organization))	Referencia a la entidad responsable de gestionar la dispensación al paciente
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Código del gestor farmacéutico
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/DIAN
value	SΣ	1..1	string	The value that is unique Example General: 123456
display	SΣ	0..1	string	Nombre de la entidad responsable de gestionar la dispensación al paciente
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 From the FHIR Standard
MedicationRequest.statusReason	required	MipresCausasNoDireccionamientoCodes(a valid code from CodeSystem: Causas de no direccionamiento) https://fhir.minsalud.gov.co/rda/ValueSet/MipresCausasNoDireccionamientoCodes From this IG
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:DCI	required	MipresINNCodes(a valid code from CodeSystem: Denominación Común Internacional (DCI) de substancias farmacéuticas - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/MipresDCI From this IG
MedicationRequest.medication[x].coding:IUMPrimerNivel	required	IUMPrimerNivelCodes(a valid code from CodeSystem: Codificación de medicamentos MIPRES) https://fhir.minsalud.gov.co/rda/ValueSet/IUMPrimerNivelCodes From this IG
MedicationRequest.medication[x].coding:IUM	required	IUMPrimerNivelCodes(a valid code from CodeSystem: Codificación de medicamentos MIPRES) https://fhir.minsalud.gov.co/rda/ValueSet/IUMPrimerNivelCodes 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.subject.type	extensible	Fixed Value: Patient http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationRequest.subject.identifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationRequest.subject.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationRequest.subject.identifier.type.coding:InternationalCode	extensible	Fixed Value: PN http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationRequest.subject.identifier.type.coding:ColombianCode	required	ColombianPersonIdentifierCodes https://fhir.minsalud.gov.co/rda/ValueSet/ColombianPersonIdentifierCodes From this IG
MedicationRequest.supportingInformation:ReferenceRDA.type	extensible	Fixed Value: Composition http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationRequest.supportingInformation:PrescriberPractitioner.type	extensible	Fixed Value: Practitioner http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationRequest.supportingInformation:PrescriberPractitioner.identifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationRequest.supportingInformation:CareDeliveryOrganization.type	extensible	Fixed Value: Organization http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationRequest.supportingInformation:CareDeliveryOrganization.identifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationRequest.supportingInformation:CareDeliveryLocation.type	extensible	Fixed Value: Location http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationRequest.supportingInformation:CareDeliveryLocation.identifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationRequest.requester.type	extensible	Fixed Value: Organization http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationRequest.requester.identifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationRequest.reasonCode	required	RIPSFinalidadConsultaVersion2Codigos(a valid code from CodeSystem: Colombian Encounter ReasonCode) https://fhir.minsalud.gov.co/rda/ValueSet/RIPSFinalidadConsultaVersion2Codigos From this IG
MedicationRequest.basedOn.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationRequest.groupIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationRequest.dispenseRequest.quantity	required	MipresDispenseUnitCodes(a valid code from CodeSystem: Mipres Dispense Unit) https://fhir.minsalud.gov.co/rda/ValueSet/MipresDispenseUnitCodes From this IG
MedicationRequest.dispenseRequest.performer.identifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard

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()

This structure is derived from MedicationRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest	Direccionamiento de una prescripción
meta
profile		1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/MedicationRequestAddressing
contained		0..0
identifier		1..1	Identifier	Identificador del direccionamiento
use		0..0
type		0..0
system	S	1..1	uri	Sistema de identificación del direccionamiento
value	S	1..1	string	Número identificador del direccionamiento
period		0..0
assigner		0..0
status		1..1	code	Estado del direccionamiento
statusReason		0..1	CodeableConcept	Causal de no direccionamiento Binding: ValueSet: Mipres Causas no direccionamiento (required)
coding
system		0..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MipresCausasNoDireccionamiento
intent		1..1	code	Valor por defecto: order Fixed Value: order
category		1..1	CodeableConcept	Tipo de tecnología en salud (medicamento)
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:R866		0..1	Coding	Code defined by a terminology system Binding: CodeSystem: Tipo de tecnología en salud (medicamentos) (required)
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianHealthTechnologyCategory
code	S	1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
priority		0..0
doNotPerform	S	0..1	boolean	Indicador de no direccionamiento
reported[x]		1..1	boolean	Indicador de registro reportado
medication[x]		1..1	CodeableConcept	Código del medicamento (código de la tecnología en salud)
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:DCI		0..*	Coding	Code defined by a terminology system Binding: ValueSet: Denominación Común Internacional (DCI) de substancias farmacéuticas - Colombia (required)
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MipresINN
code		1..1	code	Código del medicamento (DCI)
display		0..1	string	Representation defined by the system
coding:IUMPrimerNivel		0..1	Coding	Code defined by a terminology system Binding: ValueSet: IUM Primer Nivel Codes (required)
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/IUMPrimerNivel
code		1..1	code	Código del medicamento (IUM primer nivel)
display		0..1	string	Representation defined by the system
coding:IUM		0..1	Coding	Code defined by a terminology system Binding: ValueSet: IUM Primer Nivel Codes (required)
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/IUM
code	S	1..1	code	Código del medicamento (IUM)
display	S	0..1	string	Nombre del medicamento
coding:CUMS		0..1	Coding	Code defined by a terminology system Binding: Codificacion CUMS (required)
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/CUMS
code		1..1	code	Symbol in syntax defined by the system
text	S	0..1	string	Texto que describe un medicamento o medicamento compuesto
subject		1..1	Reference(Paciente (Patient) RDA)	Referencia al paciente a quien se prescribe u ordena el direccionamiento
reference	S	1..1	string	Referencia al paciente a quien se prescribe u ordena el direccionamiento
type		1..1	uri	Type the reference refers to (e.g. "Patient") Fixed Value: Patient
identifier		0..1	Identifier	Identificación del paciente
id		1..1	string	Unique id for inter-element referencing Required Pattern: NationalPersonIdentifier-0
use		1..1	code	usual | official | temp | secondary | old (If known) Fixed Value: official
type		1..1	CodeableConcept	Description of identifier
Slices for coding		2..2	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:InternationalCode		1..1	Coding	Code defined by a terminology system Binding: Identifier Type Codes (extensible)
system		1..1	uri	Sistema de codificación internacional Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PN
display		1..1	string	Representation defined by the system Fixed Value: Person number
coding:ColombianCode		1..1	Coding	Code defined by a terminology system Binding: ValueSet: Colombian Person Identifier Codes (required)
system		1..1	uri	Sistema de codificación colombiano Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianPersonIdentifier
code	S	1..1	code	CN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SI
display		1..1	string	Cédula de ciudadanía | Tarjeta de identidad | Registro civil +
system		0..1	uri	The namespace for the identifier value Required Pattern: https://fhir.minsalud.gov.co/rda/NamingSystem/RNEC
value	S	1..1	string	Número de documento de identificación
display	S	0..1	string	Nombre del paciente
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 prescripción del medicamento
Slices for supportingInformation		3..*	Reference(Resource)	Referencias a información de soporte del direccionamiento de la prescripción Slice: Unordered, Closed by value:id
supportingInformation:ReferenceRDA		1..1	Reference(Resumen Digital de Atención en Salud de Consulta (RDA Consulta) | Resumen Digital de Atención en Salud de Urgencias (RDA Urgencias) | Resumen Digital de Atención en Salud de Hospitalización (RDA Hospitalización))	Referencia al código VIDA del documento RDA que originó la prescripción de medicamentos
id		1..1	string	Unique id for inter-element referencing Required Pattern: ReferenceRDA
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
type		1..1	uri	Type the reference refers to (e.g. "Patient") Fixed Value: Composition
supportingInformation:PrescriberPractitioner		1..1	Reference(Profesional de salud (Practitioner) RDA)	Referencia al profesional de la salud que realizó la prescripción del medicamento
id		1..1	string	Unique id for inter-element referencing Required Pattern: PrescriberPractitioner
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
type		1..1	uri	Type the reference refers to (e.g. "Patient") Fixed Value: Practitioner
identifier		0..1	Identifier	Identificación del profesional de la salud
id		1..1	string	Unique id for inter-element referencing Fixed Value: PrescriberIdentifier
use		1..1	code	usual | official | temp | secondary | old (If known) Fixed Value: official
system		1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/RETHUS
value	S	1..1	string	Valor de la identificación
supportingInformation:CareDeliveryOrganization		1..1	Reference(Institución Prestadora de Servicios de Salud (Organization) RDA)	Referencia a la organización de atención en salud donde se realizó la prescripción del medicamento
id		1..1	string	Unique id for inter-element referencing Required Pattern: CareDeliveryOrganization
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
type		1..1	uri	Type the reference refers to (e.g. "Patient") Fixed Value: Organization
identifier		0..1	Identifier	Identificación de la organización de atención en salud
id		1..1	string	Unique id for inter-element referencing Fixed Value: OrganizationIdentifier
use		1..1	code	usual | official | temp | secondary | old (If known) Fixed Value: official
system		1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/REPS
value	S	1..1	string	Valor del identificador
supportingInformation:CareDeliveryLocation		0..1	Reference(Punto de atención en salud (Location) RDA)	Referencia al punto de atención en salud (sede) donde se realizó la prescripción del medicamento
id		1..1	string	Unique id for inter-element referencing Required Pattern: CareDeliveryLocation
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
type		1..1	uri	Type the reference refers to (e.g. "Patient") Fixed Value: Location
identifier		0..1	Identifier	Identificador del punto de atención en salud (sede)
id		0..1	string	Unique id for inter-element referencing Fixed Value: LocationIdentifier
use		1..1	code	usual | official | temp | secondary | old (If known) Fixed Value: official
system		1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/REPS
value	S	1..1	string	Valor del identificador
authoredOn	S	1..1	dateTime	Fecha de direccionamiento de la prescripción (Tecnología en salud)
requester		1..1	Reference(Entidad Administradora de Planes de Beneficios en Salud - EAPB (Organization) RDA)	Who/What requested the Request
reference	S	1..1	string	Referencia a la entidad responsable del direccionamiento de la prescripción
type		1..1	uri	Type the reference refers to (e.g. "Patient") Fixed Value: Organization
identifier		1..1	Identifier	Identificación de la Entidad Administradora de Planes de Beneficios en Salud (EAPB)
use		1..1	code	usual | official | temp | secondary | old (If known) Fixed Value: official
system		1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/EAPBS
value	S	1..1	string	Código EAPBS
display	S	0..1	string	Nombre de la Entidad Administradora de Planes de Beneficios en Salud (EAPB)
recorder		0..0
reasonCode	S	1..1	CodeableConcept	Finalidad de la tecnología en Salud Binding: ValueSet: Colombian Encounter ReasonCode (required)
coding
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/RIPSFinalidadConsultaVersion2
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
reasonReference		0..*	Reference(Diagnóstico de condición de salud (Condition) RDA)	Condition or observation that supports why the prescription is being written
instantiatesCanonical		0..0
instantiatesUri		0..0
basedOn		1..1	Reference(Prescripción de Medicamentos (MedicationRequest) RDA)	What request fulfills
identifier		1..1	Identifier	Identificador de la prescripción
system	S	1..1	uri	Sistema de identificación de la prescripción
value	S	1..1	string	Número de la prescripción
groupIdentifier	S	1..1	Identifier	Número externo de direccionamiento
system		1..1	uri	Sistema de identificación del direccionamiento
value	S	1..1	string	Número del direccionamiento
courseOfTherapyType		0..0
insurance		0..0
dispenseRequest
Slices for extension	S	2..3	Extension	Extension Slice: Unordered, Open by value:url
extension:ExtensionDeliveryMunicipality	S	1..1	Address	Código y nombre del municipio donde se direcciona la entrega (dispensación) del medicamento URL: https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionAddress
extension:ExtensionMedicationDispenseQuantity	S	1..1	SimpleQuantity	Cantidad total direccionada URL: https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionMedicationDispenseQuantity
extension:ExtensionDeliveryNumber	S	0..1	positiveInt	Número de entrega URL: https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionDeliveryNumber
validityPeriod	S	1..1	Period	Vigencia de la prescripción
start		0..0
end	S	1..1	dateTime	Fecha máxima de entrega del medicamento
numberOfRepeatsAllowed	S	1..1	unsignedInt	Número de entregas direccionadas
quantity		0..1	SimpleQuantity	Cantidad de medicamento a suministrar por cada entrega (dispensación) Binding: ValueSet: Mipres Dispense Unit (required)
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MipresDispenseUnit
code	S	1..1	code	Coded form of the unit
performer		1..1	Reference(Proveedor de Tecnología en Salud PTS (Organization))	Referencia a la entidad responsable de gestionar la dispensación al paciente
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
identifier		0..1	Identifier	Código del gestor farmacéutico
use		1..1	code	usual | official | temp | secondary | old (If known) Fixed Value: official
system		1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/DIAN
value	S	1..1	string	The value that is unique
display	S	0..1	string	Nombre de la entidad responsable de gestionar la dispensación al paciente
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationRequest.statusReason	required	MipresCausasNoDireccionamientoCodes(a valid code from CodeSystem: Causas de no direccionamiento) https://fhir.minsalud.gov.co/rda/ValueSet/MipresCausasNoDireccionamientoCodes From this IG
MedicationRequest.category.coding:R866	required	ColombianHealthTechnologyMedicationCodes https://fhir.minsalud.gov.co/rda/ValueSet/ColombianHealthTechnologyMedicationCodes From this IG
MedicationRequest.medication[x].coding:DCI	required	MipresINNCodes(a valid code from CodeSystem: Denominación Común Internacional (DCI) de substancias farmacéuticas - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/MipresDCI From this IG
MedicationRequest.medication[x].coding:IUMPrimerNivel	required	IUMPrimerNivelCodes(a valid code from CodeSystem: Codificación de medicamentos MIPRES) https://fhir.minsalud.gov.co/rda/ValueSet/IUMPrimerNivelCodes From this IG
MedicationRequest.medication[x].coding:IUM	required	IUMPrimerNivelCodes(a valid code from CodeSystem: Codificación de medicamentos MIPRES) https://fhir.minsalud.gov.co/rda/ValueSet/IUMPrimerNivelCodes 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.subject.identifier.type.coding:InternationalCode	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationRequest.subject.identifier.type.coding:ColombianCode	required	ColombianPersonIdentifierCodes https://fhir.minsalud.gov.co/rda/ValueSet/ColombianPersonIdentifierCodes 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.dispenseRequest.quantity	required	MipresDispenseUnitCodes(a valid code from CodeSystem: Mipres Dispense Unit) https://fhir.minsalud.gov.co/rda/ValueSet/MipresDispenseUnitCodes From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest	Direccionamiento de una prescripción
id	Σ	0..1	id	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/MedicationRequestAddressing
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
identifier		1..1	Identifier	Identificador del direccionamiento
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	SΣ	1..1	uri	Sistema de identificación del direccionamiento Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	Número identificador del direccionamiento Example General: 123456
status	?!Σ	1..1	code	Estado del direccionamiento Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
statusReason		0..1	CodeableConcept	Causal de no direccionamiento Binding: ValueSet: Mipres Causas no direccionamiento (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	0..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MipresCausasNoDireccionamiento
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
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, Closed 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
doNotPerform	?!SΣ	0..1	boolean	Indicador de no direccionamiento
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..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:DCI	Σ	0..*	Coding	Code defined by a terminology system Binding: ValueSet: Denominación Común Internacional (DCI) de substancias farmacéuticas - 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/MipresINN
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Código del medicamento (DCI)
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:IUMPrimerNivel	Σ	0..1	Coding	Code defined by a terminology system Binding: ValueSet: IUM Primer Nivel Codes (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/IUMPrimerNivel
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Código del medicamento (IUM primer nivel)
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:IUM	Σ	0..1	Coding	Code defined by a terminology system Binding: ValueSet: IUM Primer Nivel Codes (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	Texto que describe un medicamento o medicamento compuesto
subject	Σ	1..1	Reference(Paciente (Patient) RDA)	Referencia al paciente a quien se prescribe u ordena el direccionamiento
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Referencia al paciente a quien se prescribe u ordena el direccionamiento
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Patient
identifier	Σ	0..1	Identifier	Identificación del paciente
id		1..1	string	Unique id for inter-element referencing Required Pattern: NationalPersonIdentifier-0
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
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	2..2	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:InternationalCode	Σ	1..1	Coding	Code defined by a terminology system Binding: Identifier Type Codes (extensible)
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	Sistema de codificación internacional Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: PN
display	Σ	1..1	string	Representation defined by the system Fixed Value: Person number
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:ColombianCode	Σ	1..1	Coding	Code defined by a terminology system Binding: ValueSet: Colombian Person Identifier Codes (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	Sistema de codificación colombiano Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianPersonIdentifier
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	CN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SI
display	Σ	1..1	string	Cédula de ciudadanía | Tarjeta de identidad | Registro civil +
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
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: https://fhir.minsalud.gov.co/rda/NamingSystem/RNEC
value	SΣ	1..1	string	Número de documento de identificación Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	SΣ	0..1	string	Nombre del paciente
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 prescripción del medicamento
Slices for supportingInformation		3..*	Reference(Resource)	Referencias a información de soporte del direccionamiento de la prescripción Slice: Unordered, Closed by value:id
supportingInformation:ReferenceRDA		1..1	Reference(Resumen Digital de Atención en Salud de Consulta (RDA Consulta) | Resumen Digital de Atención en Salud de Urgencias (RDA Urgencias) | Resumen Digital de Atención en Salud de Hospitalización (RDA Hospitalización))	Referencia al código VIDA del documento RDA que originó la prescripción de medicamentos
id		1..1	string	Unique id for inter-element referencing Required Pattern: ReferenceRDA
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Composition
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
supportingInformation:PrescriberPractitioner		1..1	Reference(Profesional de salud (Practitioner) RDA)	Referencia al profesional de la salud que realizó la prescripción del medicamento
id		1..1	string	Unique id for inter-element referencing Required Pattern: PrescriberPractitioner
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Practitioner
identifier	Σ	0..1	Identifier	Identificación del profesional de la salud
id		1..1	string	Unique id for inter-element referencing Fixed Value: PrescriberIdentifier
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/RETHUS
value	SΣ	1..1	string	Valor de la identificación Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
supportingInformation:CareDeliveryOrganization		1..1	Reference(Institución Prestadora de Servicios de Salud (Organization) RDA)	Referencia a la organización de atención en salud donde se realizó la prescripción del medicamento
id		1..1	string	Unique id for inter-element referencing Required Pattern: CareDeliveryOrganization
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Organization
identifier	Σ	0..1	Identifier	Identificación de la organización de atención en salud
id		1..1	string	Unique id for inter-element referencing Fixed Value: OrganizationIdentifier
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/REPS
value	SΣ	1..1	string	Valor del identificador Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
supportingInformation:CareDeliveryLocation		0..1	Reference(Punto de atención en salud (Location) RDA)	Referencia al punto de atención en salud (sede) donde se realizó la prescripción del medicamento
id		1..1	string	Unique id for inter-element referencing Required Pattern: CareDeliveryLocation
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Location
identifier	Σ	0..1	Identifier	Identificador del punto de atención en salud (sede)
id		0..1	string	Unique id for inter-element referencing Fixed Value: LocationIdentifier
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/REPS
value	SΣ	1..1	string	Valor del identificador Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
authoredOn	SΣ	1..1	dateTime	Fecha de direccionamiento de la prescripción (Tecnología en salud)
requester	Σ	1..1	Reference(Entidad Administradora de Planes de Beneficios en Salud - EAPB (Organization) RDA)	Who/What requested the Request
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Referencia a la entidad responsable del direccionamiento de la prescripción
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Organization
identifier	Σ	1..1	Identifier	Identificación de la Entidad Administradora de Planes de Beneficios en Salud (EAPB)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/EAPBS
value	SΣ	1..1	string	Código EAPBS Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	SΣ	0..1	string	Nombre de la Entidad Administradora de Planes de Beneficios en Salud (EAPB)
performer		0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration
performerType	Σ	0..1	CodeableConcept	Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
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
reasonReference		0..*	Reference(Diagnóstico de condición de salud (Condition) RDA)	Condition or observation that supports why the prescription is being written
basedOn	Σ	1..1	Reference(Prescripción de Medicamentos (MedicationRequest) RDA)	What request fulfills
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Identificador de la prescripción
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	Sistema de identificación de la prescripción Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	Número de la prescripción Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
groupIdentifier	SΣ	1..1	Identifier	Número externo de direccionamiento
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Sistema de identificación del direccionamiento Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	Número del direccionamiento Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
note		0..*	Annotation	Information about the prescription
dosageInstruction		0..*	Dosage	How the medication should be taken
dispenseRequest		0..1	BackboneElement	Medication supply authorization
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	2..3	Extension	Extension Slice: Unordered, Open by value:url
extension:ExtensionDeliveryMunicipality	S	1..1	Address	Código y nombre del municipio donde se direcciona la entrega (dispensación) del medicamento URL: https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionAddress
extension:ExtensionMedicationDispenseQuantity	S	1..1	SimpleQuantity	Cantidad total direccionada URL: https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionMedicationDispenseQuantity
extension:ExtensionDeliveryNumber	S	0..1	positiveInt	Número de entrega URL: https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionDeliveryNumber
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
initialFill		0..1	BackboneElement	First fill details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity		0..1	SimpleQuantity	First fill quantity
duration		0..1	Duration	First fill duration
dispenseInterval		0..1	Duration	Minimum period of time between dispenses
validityPeriod	S	1..1	Period	Vigencia de la prescripción
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
end	SΣC	1..1	dateTime	Fecha máxima de entrega del medicamento
numberOfRepeatsAllowed	S	1..1	unsignedInt	Número de entregas direccionadas
quantity		0..1	SimpleQuantity	Cantidad de medicamento a suministrar por cada entrega (dispensación) Binding: ValueSet: Mipres Dispense Unit (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
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	ΣC	1..1	uri	System that defines coded unit form Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MipresDispenseUnit
code	SΣ	1..1	code	Coded form of the unit
expectedSupplyDuration		0..1	Duration	Number of days supply per dispense
performer		1..1	Reference(Proveedor de Tecnología en Salud PTS (Organization))	Referencia a la entidad responsable de gestionar la dispensación al paciente
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Código del gestor farmacéutico
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/DIAN
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	SΣ	0..1	string	Nombre de la entidad responsable de gestionar la dispensación al paciente
substitution		0..1	BackboneElement	Any restrictions on medication substitution
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
allowed[x]		1..1		Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
reason		0..1	CodeableConcept	Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
priorPrescription		0..1	Reference(MedicationRequest)	An order/prescription that is being replaced
detectedIssue		0..*	Reference(DetectedIssue)	Clinical Issue with action
eventHistory		0..*	Reference(Provenance)	A list of events of interest in the lifecycle
Documentation for this format

Terminology Bindings

Path	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	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 From the FHIR Standard
MedicationRequest.statusReason	required	MipresCausasNoDireccionamientoCodes(a valid code from CodeSystem: Causas de no direccionamiento) https://fhir.minsalud.gov.co/rda/ValueSet/MipresCausasNoDireccionamientoCodes From this IG
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:DCI	required	MipresINNCodes(a valid code from CodeSystem: Denominación Común Internacional (DCI) de substancias farmacéuticas - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/MipresDCI From this IG
MedicationRequest.medication[x].coding:IUMPrimerNivel	required	IUMPrimerNivelCodes(a valid code from CodeSystem: Codificación de medicamentos MIPRES) https://fhir.minsalud.gov.co/rda/ValueSet/IUMPrimerNivelCodes From this IG
MedicationRequest.medication[x].coding:IUM	required	IUMPrimerNivelCodes(a valid code from CodeSystem: Codificación de medicamentos MIPRES) https://fhir.minsalud.gov.co/rda/ValueSet/IUMPrimerNivelCodes 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.subject.type	extensible	Fixed Value: Patient http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationRequest.subject.identifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationRequest.subject.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationRequest.subject.identifier.type.coding:InternationalCode	extensible	Fixed Value: PN http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationRequest.subject.identifier.type.coding:ColombianCode	required	ColombianPersonIdentifierCodes https://fhir.minsalud.gov.co/rda/ValueSet/ColombianPersonIdentifierCodes From this IG
MedicationRequest.supportingInformation:ReferenceRDA.type	extensible	Fixed Value: Composition http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationRequest.supportingInformation:PrescriberPractitioner.type	extensible	Fixed Value: Practitioner http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationRequest.supportingInformation:PrescriberPractitioner.identifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationRequest.supportingInformation:PrescriberPractitioner.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationRequest.supportingInformation:CareDeliveryOrganization.type	extensible	Fixed Value: Organization http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationRequest.supportingInformation:CareDeliveryOrganization.identifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationRequest.supportingInformation:CareDeliveryOrganization.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationRequest.supportingInformation:CareDeliveryLocation.type	extensible	Fixed Value: Location http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationRequest.supportingInformation:CareDeliveryLocation.identifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationRequest.supportingInformation:CareDeliveryLocation.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationRequest.requester.type	extensible	Fixed Value: Organization http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationRequest.requester.identifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationRequest.requester.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationRequest.performerType	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role From the FHIR Standard
MedicationRequest.reasonCode	required	RIPSFinalidadConsultaVersion2Codigos(a valid code from CodeSystem: Colombian Encounter ReasonCode) https://fhir.minsalud.gov.co/rda/ValueSet/RIPSFinalidadConsultaVersion2Codigos From this IG
MedicationRequest.basedOn.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationRequest.basedOn.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationRequest.basedOn.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationRequest.groupIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationRequest.groupIdentifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationRequest.dispenseRequest.quantity	required	MipresDispenseUnitCodes(a valid code from CodeSystem: Mipres Dispense Unit) https://fhir.minsalud.gov.co/rda/ValueSet/MipresDispenseUnitCodes From this IG
MedicationRequest.dispenseRequest.performer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationRequest.dispenseRequest.performer.identifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationRequest.dispenseRequest.performer.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-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()

This structure is derived from MedicationRequest

Summary

Mandatory: 36 elements(54 nested mandatory elements)
Must-Support: 41 elements
Fixed: 34 elements
Prohibited: 12 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)
• Resumen Digital de Atención en Salud de Consulta (RDA Consulta) (https://fhir.minsalud.gov.co/rda/StructureDefinition/CompositionAmbulatoryRDA)
• Resumen Digital de Atención en Salud de Urgencias (RDA Urgencias) (https://fhir.minsalud.gov.co/rda/StructureDefinition/CompositionEmergencyRDA)
• Resumen Digital de Atención en Salud de Hospitalización (RDA Hospitalización) (https://fhir.minsalud.gov.co/rda/StructureDefinition/CompositionHospitalizationRDA)
• 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)
• Punto de atención en salud (Location) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/CareDeliveryLocationRDA)
• Entidad Administradora de Planes de Beneficios en Salud - EAPB (Organization) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/HealthBenefitPlanAdminOrganizationRDA)
• Diagnóstico de condición de salud (Condition) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/ConditionRDA)
• Prescripción de Medicamentos (MedicationRequest) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/MedicationRequestRDA)
• Proveedor de Tecnología en Salud PTS (Organization) (https://fhir.minsalud.gov.co/rda/StructureDefinition/HealthTechProviderOrganization)

Extensions

This structure refers to these extensions:

• https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionAddress
• https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionMedicationDispenseQuantity
• https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionDeliveryNumber

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationRequest.category.coding (Closed)
• The element 1 is sliced based on the value of MedicationRequest.medication[x].coding (Closed)
• The element 1 is sliced based on the value of MedicationRequest.subject.identifier.type.coding
• The element 1 is sliced based on the value of MedicationRequest.supportingInformation (Closed)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest	Direccionamiento de una prescripción
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		1..1	Identifier	Identificador del direccionamiento
system	SΣ	1..1	uri	Sistema de identificación del direccionamiento Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	Número identificador del direccionamiento Example General: 123456
status	?!Σ	1..1	code	Estado del direccionamiento Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
statusReason		0..1	CodeableConcept	Causal de no direccionamiento Binding: ValueSet: Mipres Causas no direccionamiento (required)
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, Closed 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
doNotPerform	?!SΣ	0..1	boolean	Indicador de no direccionamiento
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..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:DCI	Σ	0..*	Coding	Code defined by a terminology system Binding: ValueSet: Denominación Común Internacional (DCI) de substancias farmacéuticas - Colombia (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MipresINN
code	Σ	1..1	code	Código del medicamento (DCI)
display	Σ	0..1	string	Representation defined by the system
coding:IUMPrimerNivel	Σ	0..1	Coding	Code defined by a terminology system Binding: ValueSet: IUM Primer Nivel Codes (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/IUMPrimerNivel
code	Σ	1..1	code	Código del medicamento (IUM primer nivel)
display	Σ	0..1	string	Representation defined by the system
coding:IUM	Σ	0..1	Coding	Code defined by a terminology system Binding: ValueSet: IUM Primer Nivel Codes (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
text	SΣ	0..1	string	Texto que describe un medicamento o medicamento compuesto
subject	Σ	1..1	Reference(Paciente (Patient) RDA)	Referencia al paciente a quien se prescribe u ordena el direccionamiento
reference	SΣC	1..1	string	Referencia al paciente a quien se prescribe u ordena el direccionamiento
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Patient
identifier	Σ	0..1	Identifier	Identificación del paciente
id		1..1	string	Unique id for inter-element referencing Required Pattern: NationalPersonIdentifier-0
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Slices for coding	Σ	2..2	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:InternationalCode	Σ	1..1	Coding	Code defined by a terminology system Binding: Identifier Type Codes (extensible)
system	Σ	1..1	uri	Sistema de codificación internacional Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: PN
display	Σ	1..1	string	Representation defined by the system Fixed Value: Person number
coding:ColombianCode	Σ	1..1	Coding	Code defined by a terminology system Binding: ValueSet: Colombian Person Identifier Codes (required)
system	Σ	1..1	uri	Sistema de codificación colombiano Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianPersonIdentifier
code	SΣ	1..1	code	CN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SI
display	Σ	1..1	string	Cédula de ciudadanía | Tarjeta de identidad | Registro civil +
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: https://fhir.minsalud.gov.co/rda/NamingSystem/RNEC
value	SΣ	1..1	string	Número de documento de identificación Example General: 123456
display	SΣ	0..1	string	Nombre del paciente
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 prescripción del medicamento
Slices for supportingInformation		3..*	Reference(Resource)	Referencias a información de soporte del direccionamiento de la prescripción Slice: Unordered, Closed by value:id
supportingInformation:ReferenceRDA		1..1	Reference(Resumen Digital de Atención en Salud de Consulta (RDA Consulta) | Resumen Digital de Atención en Salud de Urgencias (RDA Urgencias) | Resumen Digital de Atención en Salud de Hospitalización (RDA Hospitalización))	Referencia al código VIDA del documento RDA que originó la prescripción de medicamentos
id		1..1	string	Unique id for inter-element referencing Required Pattern: ReferenceRDA
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Composition
supportingInformation:PrescriberPractitioner		1..1	Reference(Profesional de salud (Practitioner) RDA)	Referencia al profesional de la salud que realizó la prescripción del medicamento
id		1..1	string	Unique id for inter-element referencing Required Pattern: PrescriberPractitioner
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Practitioner
identifier	Σ	0..1	Identifier	Identificación del profesional de la salud
id		1..1	string	Unique id for inter-element referencing Fixed Value: PrescriberIdentifier
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/RETHUS
value	SΣ	1..1	string	Valor de la identificación Example General: 123456
supportingInformation:CareDeliveryOrganization		1..1	Reference(Institución Prestadora de Servicios de Salud (Organization) RDA)	Referencia a la organización de atención en salud donde se realizó la prescripción del medicamento
id		1..1	string	Unique id for inter-element referencing Required Pattern: CareDeliveryOrganization
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Organization
identifier	Σ	0..1	Identifier	Identificación de la organización de atención en salud
id		1..1	string	Unique id for inter-element referencing Fixed Value: OrganizationIdentifier
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/REPS
value	SΣ	1..1	string	Valor del identificador Example General: 123456
supportingInformation:CareDeliveryLocation		0..1	Reference(Punto de atención en salud (Location) RDA)	Referencia al punto de atención en salud (sede) donde se realizó la prescripción del medicamento
id		1..1	string	Unique id for inter-element referencing Required Pattern: CareDeliveryLocation
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Location
identifier	Σ	0..1	Identifier	Identificador del punto de atención en salud (sede)
id		0..1	string	Unique id for inter-element referencing Fixed Value: LocationIdentifier
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/REPS
value	SΣ	1..1	string	Valor del identificador Example General: 123456
authoredOn	SΣ	1..1	dateTime	Fecha de direccionamiento de la prescripción (Tecnología en salud)
requester	Σ	1..1	Reference(Entidad Administradora de Planes de Beneficios en Salud - EAPB (Organization) RDA)	Who/What requested the Request
reference	SΣC	1..1	string	Referencia a la entidad responsable del direccionamiento de la prescripción
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Organization
identifier	Σ	1..1	Identifier	Identificación de la Entidad Administradora de Planes de Beneficios en Salud (EAPB)
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/EAPBS
value	SΣ	1..1	string	Código EAPBS Example General: 123456
display	SΣ	0..1	string	Nombre de la Entidad Administradora de Planes de Beneficios en Salud (EAPB)
reasonCode	S	1..1	CodeableConcept	Finalidad de la tecnología en Salud Binding: ValueSet: Colombian Encounter ReasonCode (required)
reasonReference		0..*	Reference(Diagnóstico de condición de salud (Condition) RDA)	Condition or observation that supports why the prescription is being written
basedOn	Σ	1..1	Reference(Prescripción de Medicamentos (MedicationRequest) RDA)	What request fulfills
identifier	Σ	1..1	Identifier	Identificador de la prescripción
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	SΣ	1..1	uri	Sistema de identificación de la prescripción Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	Número de la prescripción Example General: 123456
groupIdentifier	SΣ	1..1	Identifier	Número externo de direccionamiento
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	Sistema de identificación del direccionamiento Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	Número del direccionamiento Example General: 123456
dispenseRequest		0..1	BackboneElement	Medication supply authorization
Slices for extension	S	2..3	Extension	Extension Slice: Unordered, Open by value:url
extension:ExtensionDeliveryMunicipality	S	1..1	Address	Código y nombre del municipio donde se direcciona la entrega (dispensación) del medicamento URL: https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionAddress
extension:ExtensionMedicationDispenseQuantity	S	1..1	SimpleQuantity	Cantidad total direccionada URL: https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionMedicationDispenseQuantity
extension:ExtensionDeliveryNumber	S	0..1	positiveInt	Número de entrega URL: https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionDeliveryNumber
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
validityPeriod	S	1..1	Period	Vigencia de la prescripción
end	SΣC	1..1	dateTime	Fecha máxima de entrega del medicamento
numberOfRepeatsAllowed	S	1..1	unsignedInt	Número de entregas direccionadas
quantity		0..1	SimpleQuantity	Cantidad de medicamento a suministrar por cada entrega (dispensación) Binding: ValueSet: Mipres Dispense Unit (required)
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	ΣC	1..1	uri	System that defines coded unit form Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MipresDispenseUnit
code	SΣ	1..1	code	Coded form of the unit
performer		1..1	Reference(Proveedor de Tecnología en Salud PTS (Organization))	Referencia a la entidad responsable de gestionar la dispensación al paciente
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Código del gestor farmacéutico
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/DIAN
value	SΣ	1..1	string	The value that is unique Example General: 123456
display	SΣ	0..1	string	Nombre de la entidad responsable de gestionar la dispensación al paciente
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 From the FHIR Standard
MedicationRequest.statusReason	required	MipresCausasNoDireccionamientoCodes(a valid code from CodeSystem: Causas de no direccionamiento) https://fhir.minsalud.gov.co/rda/ValueSet/MipresCausasNoDireccionamientoCodes From this IG
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:DCI	required	MipresINNCodes(a valid code from CodeSystem: Denominación Común Internacional (DCI) de substancias farmacéuticas - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/MipresDCI From this IG
MedicationRequest.medication[x].coding:IUMPrimerNivel	required	IUMPrimerNivelCodes(a valid code from CodeSystem: Codificación de medicamentos MIPRES) https://fhir.minsalud.gov.co/rda/ValueSet/IUMPrimerNivelCodes From this IG
MedicationRequest.medication[x].coding:IUM	required	IUMPrimerNivelCodes(a valid code from CodeSystem: Codificación de medicamentos MIPRES) https://fhir.minsalud.gov.co/rda/ValueSet/IUMPrimerNivelCodes 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.subject.type	extensible	Fixed Value: Patient http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationRequest.subject.identifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationRequest.subject.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationRequest.subject.identifier.type.coding:InternationalCode	extensible	Fixed Value: PN http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationRequest.subject.identifier.type.coding:ColombianCode	required	ColombianPersonIdentifierCodes https://fhir.minsalud.gov.co/rda/ValueSet/ColombianPersonIdentifierCodes From this IG
MedicationRequest.supportingInformation:ReferenceRDA.type	extensible	Fixed Value: Composition http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationRequest.supportingInformation:PrescriberPractitioner.type	extensible	Fixed Value: Practitioner http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationRequest.supportingInformation:PrescriberPractitioner.identifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationRequest.supportingInformation:CareDeliveryOrganization.type	extensible	Fixed Value: Organization http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationRequest.supportingInformation:CareDeliveryOrganization.identifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationRequest.supportingInformation:CareDeliveryLocation.type	extensible	Fixed Value: Location http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationRequest.supportingInformation:CareDeliveryLocation.identifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationRequest.requester.type	extensible	Fixed Value: Organization http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationRequest.requester.identifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationRequest.reasonCode	required	RIPSFinalidadConsultaVersion2Codigos(a valid code from CodeSystem: Colombian Encounter ReasonCode) https://fhir.minsalud.gov.co/rda/ValueSet/RIPSFinalidadConsultaVersion2Codigos From this IG
MedicationRequest.basedOn.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationRequest.groupIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationRequest.dispenseRequest.quantity	required	MipresDispenseUnitCodes(a valid code from CodeSystem: Mipres Dispense Unit) https://fhir.minsalud.gov.co/rda/ValueSet/MipresDispenseUnitCodes From this IG
MedicationRequest.dispenseRequest.performer.identifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard

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()

Differential View

This structure is derived from MedicationRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest	Direccionamiento de una prescripción
meta
profile		1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/MedicationRequestAddressing
contained		0..0
identifier		1..1	Identifier	Identificador del direccionamiento
use		0..0
type		0..0
system	S	1..1	uri	Sistema de identificación del direccionamiento
value	S	1..1	string	Número identificador del direccionamiento
period		0..0
assigner		0..0
status		1..1	code	Estado del direccionamiento
statusReason		0..1	CodeableConcept	Causal de no direccionamiento Binding: ValueSet: Mipres Causas no direccionamiento (required)
coding
system		0..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MipresCausasNoDireccionamiento
intent		1..1	code	Valor por defecto: order Fixed Value: order
category		1..1	CodeableConcept	Tipo de tecnología en salud (medicamento)
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:R866		0..1	Coding	Code defined by a terminology system Binding: CodeSystem: Tipo de tecnología en salud (medicamentos) (required)
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianHealthTechnologyCategory
code	S	1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
priority		0..0
doNotPerform	S	0..1	boolean	Indicador de no direccionamiento
reported[x]		1..1	boolean	Indicador de registro reportado
medication[x]		1..1	CodeableConcept	Código del medicamento (código de la tecnología en salud)
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:DCI		0..*	Coding	Code defined by a terminology system Binding: ValueSet: Denominación Común Internacional (DCI) de substancias farmacéuticas - Colombia (required)
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MipresINN
code		1..1	code	Código del medicamento (DCI)
display		0..1	string	Representation defined by the system
coding:IUMPrimerNivel		0..1	Coding	Code defined by a terminology system Binding: ValueSet: IUM Primer Nivel Codes (required)
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/IUMPrimerNivel
code		1..1	code	Código del medicamento (IUM primer nivel)
display		0..1	string	Representation defined by the system
coding:IUM		0..1	Coding	Code defined by a terminology system Binding: ValueSet: IUM Primer Nivel Codes (required)
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/IUM
code	S	1..1	code	Código del medicamento (IUM)
display	S	0..1	string	Nombre del medicamento
coding:CUMS		0..1	Coding	Code defined by a terminology system Binding: Codificacion CUMS (required)
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/CUMS
code		1..1	code	Symbol in syntax defined by the system
text	S	0..1	string	Texto que describe un medicamento o medicamento compuesto
subject		1..1	Reference(Paciente (Patient) RDA)	Referencia al paciente a quien se prescribe u ordena el direccionamiento
reference	S	1..1	string	Referencia al paciente a quien se prescribe u ordena el direccionamiento
type		1..1	uri	Type the reference refers to (e.g. "Patient") Fixed Value: Patient
identifier		0..1	Identifier	Identificación del paciente
id		1..1	string	Unique id for inter-element referencing Required Pattern: NationalPersonIdentifier-0
use		1..1	code	usual | official | temp | secondary | old (If known) Fixed Value: official
type		1..1	CodeableConcept	Description of identifier
Slices for coding		2..2	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:InternationalCode		1..1	Coding	Code defined by a terminology system Binding: Identifier Type Codes (extensible)
system		1..1	uri	Sistema de codificación internacional Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PN
display		1..1	string	Representation defined by the system Fixed Value: Person number
coding:ColombianCode		1..1	Coding	Code defined by a terminology system Binding: ValueSet: Colombian Person Identifier Codes (required)
system		1..1	uri	Sistema de codificación colombiano Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianPersonIdentifier
code	S	1..1	code	CN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SI
display		1..1	string	Cédula de ciudadanía | Tarjeta de identidad | Registro civil +
system		0..1	uri	The namespace for the identifier value Required Pattern: https://fhir.minsalud.gov.co/rda/NamingSystem/RNEC
value	S	1..1	string	Número de documento de identificación
display	S	0..1	string	Nombre del paciente
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 prescripción del medicamento
Slices for supportingInformation		3..*	Reference(Resource)	Referencias a información de soporte del direccionamiento de la prescripción Slice: Unordered, Closed by value:id
supportingInformation:ReferenceRDA		1..1	Reference(Resumen Digital de Atención en Salud de Consulta (RDA Consulta) | Resumen Digital de Atención en Salud de Urgencias (RDA Urgencias) | Resumen Digital de Atención en Salud de Hospitalización (RDA Hospitalización))	Referencia al código VIDA del documento RDA que originó la prescripción de medicamentos
id		1..1	string	Unique id for inter-element referencing Required Pattern: ReferenceRDA
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
type		1..1	uri	Type the reference refers to (e.g. "Patient") Fixed Value: Composition
supportingInformation:PrescriberPractitioner		1..1	Reference(Profesional de salud (Practitioner) RDA)	Referencia al profesional de la salud que realizó la prescripción del medicamento
id		1..1	string	Unique id for inter-element referencing Required Pattern: PrescriberPractitioner
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
type		1..1	uri	Type the reference refers to (e.g. "Patient") Fixed Value: Practitioner
identifier		0..1	Identifier	Identificación del profesional de la salud
id		1..1	string	Unique id for inter-element referencing Fixed Value: PrescriberIdentifier
use		1..1	code	usual | official | temp | secondary | old (If known) Fixed Value: official
system		1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/RETHUS
value	S	1..1	string	Valor de la identificación
supportingInformation:CareDeliveryOrganization		1..1	Reference(Institución Prestadora de Servicios de Salud (Organization) RDA)	Referencia a la organización de atención en salud donde se realizó la prescripción del medicamento
id		1..1	string	Unique id for inter-element referencing Required Pattern: CareDeliveryOrganization
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
type		1..1	uri	Type the reference refers to (e.g. "Patient") Fixed Value: Organization
identifier		0..1	Identifier	Identificación de la organización de atención en salud
id		1..1	string	Unique id for inter-element referencing Fixed Value: OrganizationIdentifier
use		1..1	code	usual | official | temp | secondary | old (If known) Fixed Value: official
system		1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/REPS
value	S	1..1	string	Valor del identificador
supportingInformation:CareDeliveryLocation		0..1	Reference(Punto de atención en salud (Location) RDA)	Referencia al punto de atención en salud (sede) donde se realizó la prescripción del medicamento
id		1..1	string	Unique id for inter-element referencing Required Pattern: CareDeliveryLocation
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
type		1..1	uri	Type the reference refers to (e.g. "Patient") Fixed Value: Location
identifier		0..1	Identifier	Identificador del punto de atención en salud (sede)
id		0..1	string	Unique id for inter-element referencing Fixed Value: LocationIdentifier
use		1..1	code	usual | official | temp | secondary | old (If known) Fixed Value: official
system		1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/REPS
value	S	1..1	string	Valor del identificador
authoredOn	S	1..1	dateTime	Fecha de direccionamiento de la prescripción (Tecnología en salud)
requester		1..1	Reference(Entidad Administradora de Planes de Beneficios en Salud - EAPB (Organization) RDA)	Who/What requested the Request
reference	S	1..1	string	Referencia a la entidad responsable del direccionamiento de la prescripción
type		1..1	uri	Type the reference refers to (e.g. "Patient") Fixed Value: Organization
identifier		1..1	Identifier	Identificación de la Entidad Administradora de Planes de Beneficios en Salud (EAPB)
use		1..1	code	usual | official | temp | secondary | old (If known) Fixed Value: official
system		1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/EAPBS
value	S	1..1	string	Código EAPBS
display	S	0..1	string	Nombre de la Entidad Administradora de Planes de Beneficios en Salud (EAPB)
recorder		0..0
reasonCode	S	1..1	CodeableConcept	Finalidad de la tecnología en Salud Binding: ValueSet: Colombian Encounter ReasonCode (required)
coding
system		1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/RIPSFinalidadConsultaVersion2
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
reasonReference		0..*	Reference(Diagnóstico de condición de salud (Condition) RDA)	Condition or observation that supports why the prescription is being written
instantiatesCanonical		0..0
instantiatesUri		0..0
basedOn		1..1	Reference(Prescripción de Medicamentos (MedicationRequest) RDA)	What request fulfills
identifier		1..1	Identifier	Identificador de la prescripción
system	S	1..1	uri	Sistema de identificación de la prescripción
value	S	1..1	string	Número de la prescripción
groupIdentifier	S	1..1	Identifier	Número externo de direccionamiento
system		1..1	uri	Sistema de identificación del direccionamiento
value	S	1..1	string	Número del direccionamiento
courseOfTherapyType		0..0
insurance		0..0
dispenseRequest
Slices for extension	S	2..3	Extension	Extension Slice: Unordered, Open by value:url
extension:ExtensionDeliveryMunicipality	S	1..1	Address	Código y nombre del municipio donde se direcciona la entrega (dispensación) del medicamento URL: https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionAddress
extension:ExtensionMedicationDispenseQuantity	S	1..1	SimpleQuantity	Cantidad total direccionada URL: https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionMedicationDispenseQuantity
extension:ExtensionDeliveryNumber	S	0..1	positiveInt	Número de entrega URL: https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionDeliveryNumber
validityPeriod	S	1..1	Period	Vigencia de la prescripción
start		0..0
end	S	1..1	dateTime	Fecha máxima de entrega del medicamento
numberOfRepeatsAllowed	S	1..1	unsignedInt	Número de entregas direccionadas
quantity		0..1	SimpleQuantity	Cantidad de medicamento a suministrar por cada entrega (dispensación) Binding: ValueSet: Mipres Dispense Unit (required)
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MipresDispenseUnit
code	S	1..1	code	Coded form of the unit
performer		1..1	Reference(Proveedor de Tecnología en Salud PTS (Organization))	Referencia a la entidad responsable de gestionar la dispensación al paciente
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
identifier		0..1	Identifier	Código del gestor farmacéutico
use		1..1	code	usual | official | temp | secondary | old (If known) Fixed Value: official
system		1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/DIAN
value	S	1..1	string	The value that is unique
display	S	0..1	string	Nombre de la entidad responsable de gestionar la dispensación al paciente
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationRequest.statusReason	required	MipresCausasNoDireccionamientoCodes(a valid code from CodeSystem: Causas de no direccionamiento) https://fhir.minsalud.gov.co/rda/ValueSet/MipresCausasNoDireccionamientoCodes From this IG
MedicationRequest.category.coding:R866	required	ColombianHealthTechnologyMedicationCodes https://fhir.minsalud.gov.co/rda/ValueSet/ColombianHealthTechnologyMedicationCodes From this IG
MedicationRequest.medication[x].coding:DCI	required	MipresINNCodes(a valid code from CodeSystem: Denominación Común Internacional (DCI) de substancias farmacéuticas - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/MipresDCI From this IG
MedicationRequest.medication[x].coding:IUMPrimerNivel	required	IUMPrimerNivelCodes(a valid code from CodeSystem: Codificación de medicamentos MIPRES) https://fhir.minsalud.gov.co/rda/ValueSet/IUMPrimerNivelCodes From this IG
MedicationRequest.medication[x].coding:IUM	required	IUMPrimerNivelCodes(a valid code from CodeSystem: Codificación de medicamentos MIPRES) https://fhir.minsalud.gov.co/rda/ValueSet/IUMPrimerNivelCodes 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.subject.identifier.type.coding:InternationalCode	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationRequest.subject.identifier.type.coding:ColombianCode	required	ColombianPersonIdentifierCodes https://fhir.minsalud.gov.co/rda/ValueSet/ColombianPersonIdentifierCodes 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.dispenseRequest.quantity	required	MipresDispenseUnitCodes(a valid code from CodeSystem: Mipres Dispense Unit) https://fhir.minsalud.gov.co/rda/ValueSet/MipresDispenseUnitCodes From this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest	Direccionamiento de una prescripción
id	Σ	0..1	id	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/MedicationRequestAddressing
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
identifier		1..1	Identifier	Identificador del direccionamiento
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	SΣ	1..1	uri	Sistema de identificación del direccionamiento Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	Número identificador del direccionamiento Example General: 123456
status	?!Σ	1..1	code	Estado del direccionamiento Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
statusReason		0..1	CodeableConcept	Causal de no direccionamiento Binding: ValueSet: Mipres Causas no direccionamiento (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	0..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MipresCausasNoDireccionamiento
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
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, Closed 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
doNotPerform	?!SΣ	0..1	boolean	Indicador de no direccionamiento
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..*	Coding	Code defined by a terminology system Slice: Unordered, Closed by value:system
coding:DCI	Σ	0..*	Coding	Code defined by a terminology system Binding: ValueSet: Denominación Común Internacional (DCI) de substancias farmacéuticas - 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/MipresINN
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Código del medicamento (DCI)
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:IUMPrimerNivel	Σ	0..1	Coding	Code defined by a terminology system Binding: ValueSet: IUM Primer Nivel Codes (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/IUMPrimerNivel
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Código del medicamento (IUM primer nivel)
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:IUM	Σ	0..1	Coding	Code defined by a terminology system Binding: ValueSet: IUM Primer Nivel Codes (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	Texto que describe un medicamento o medicamento compuesto
subject	Σ	1..1	Reference(Paciente (Patient) RDA)	Referencia al paciente a quien se prescribe u ordena el direccionamiento
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Referencia al paciente a quien se prescribe u ordena el direccionamiento
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Patient
identifier	Σ	0..1	Identifier	Identificación del paciente
id		1..1	string	Unique id for inter-element referencing Required Pattern: NationalPersonIdentifier-0
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
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	2..2	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:InternationalCode	Σ	1..1	Coding	Code defined by a terminology system Binding: Identifier Type Codes (extensible)
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	Sistema de codificación internacional Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Fixed Value: PN
display	Σ	1..1	string	Representation defined by the system Fixed Value: Person number
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:ColombianCode	Σ	1..1	Coding	Code defined by a terminology system Binding: ValueSet: Colombian Person Identifier Codes (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	Sistema de codificación colombiano Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianPersonIdentifier
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	CN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SI
display	Σ	1..1	string	Cédula de ciudadanía | Tarjeta de identidad | Registro civil +
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
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: https://fhir.minsalud.gov.co/rda/NamingSystem/RNEC
value	SΣ	1..1	string	Número de documento de identificación Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	SΣ	0..1	string	Nombre del paciente
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 prescripción del medicamento
Slices for supportingInformation		3..*	Reference(Resource)	Referencias a información de soporte del direccionamiento de la prescripción Slice: Unordered, Closed by value:id
supportingInformation:ReferenceRDA		1..1	Reference(Resumen Digital de Atención en Salud de Consulta (RDA Consulta) | Resumen Digital de Atención en Salud de Urgencias (RDA Urgencias) | Resumen Digital de Atención en Salud de Hospitalización (RDA Hospitalización))	Referencia al código VIDA del documento RDA que originó la prescripción de medicamentos
id		1..1	string	Unique id for inter-element referencing Required Pattern: ReferenceRDA
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Composition
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
supportingInformation:PrescriberPractitioner		1..1	Reference(Profesional de salud (Practitioner) RDA)	Referencia al profesional de la salud que realizó la prescripción del medicamento
id		1..1	string	Unique id for inter-element referencing Required Pattern: PrescriberPractitioner
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Practitioner
identifier	Σ	0..1	Identifier	Identificación del profesional de la salud
id		1..1	string	Unique id for inter-element referencing Fixed Value: PrescriberIdentifier
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/RETHUS
value	SΣ	1..1	string	Valor de la identificación Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
supportingInformation:CareDeliveryOrganization		1..1	Reference(Institución Prestadora de Servicios de Salud (Organization) RDA)	Referencia a la organización de atención en salud donde se realizó la prescripción del medicamento
id		1..1	string	Unique id for inter-element referencing Required Pattern: CareDeliveryOrganization
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Organization
identifier	Σ	0..1	Identifier	Identificación de la organización de atención en salud
id		1..1	string	Unique id for inter-element referencing Fixed Value: OrganizationIdentifier
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/REPS
value	SΣ	1..1	string	Valor del identificador Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
supportingInformation:CareDeliveryLocation		0..1	Reference(Punto de atención en salud (Location) RDA)	Referencia al punto de atención en salud (sede) donde se realizó la prescripción del medicamento
id		1..1	string	Unique id for inter-element referencing Required Pattern: CareDeliveryLocation
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Location
identifier	Σ	0..1	Identifier	Identificador del punto de atención en salud (sede)
id		0..1	string	Unique id for inter-element referencing Fixed Value: LocationIdentifier
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/REPS
value	SΣ	1..1	string	Valor del identificador Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
authoredOn	SΣ	1..1	dateTime	Fecha de direccionamiento de la prescripción (Tecnología en salud)
requester	Σ	1..1	Reference(Entidad Administradora de Planes de Beneficios en Salud - EAPB (Organization) RDA)	Who/What requested the Request
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Referencia a la entidad responsable del direccionamiento de la prescripción
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Organization
identifier	Σ	1..1	Identifier	Identificación de la Entidad Administradora de Planes de Beneficios en Salud (EAPB)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/EAPBS
value	SΣ	1..1	string	Código EAPBS Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	SΣ	0..1	string	Nombre de la Entidad Administradora de Planes de Beneficios en Salud (EAPB)
performer		0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration
performerType	Σ	0..1	CodeableConcept	Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
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
reasonReference		0..*	Reference(Diagnóstico de condición de salud (Condition) RDA)	Condition or observation that supports why the prescription is being written
basedOn	Σ	1..1	Reference(Prescripción de Medicamentos (MedicationRequest) RDA)	What request fulfills
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Identificador de la prescripción
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	1..1	uri	Sistema de identificación de la prescripción Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	Número de la prescripción Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
groupIdentifier	SΣ	1..1	Identifier	Número externo de direccionamiento
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	Sistema de identificación del direccionamiento Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	Número del direccionamiento Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
note		0..*	Annotation	Information about the prescription
dosageInstruction		0..*	Dosage	How the medication should be taken
dispenseRequest		0..1	BackboneElement	Medication supply authorization
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	2..3	Extension	Extension Slice: Unordered, Open by value:url
extension:ExtensionDeliveryMunicipality	S	1..1	Address	Código y nombre del municipio donde se direcciona la entrega (dispensación) del medicamento URL: https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionAddress
extension:ExtensionMedicationDispenseQuantity	S	1..1	SimpleQuantity	Cantidad total direccionada URL: https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionMedicationDispenseQuantity
extension:ExtensionDeliveryNumber	S	0..1	positiveInt	Número de entrega URL: https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionDeliveryNumber
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
initialFill		0..1	BackboneElement	First fill details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity		0..1	SimpleQuantity	First fill quantity
duration		0..1	Duration	First fill duration
dispenseInterval		0..1	Duration	Minimum period of time between dispenses
validityPeriod	S	1..1	Period	Vigencia de la prescripción
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
end	SΣC	1..1	dateTime	Fecha máxima de entrega del medicamento
numberOfRepeatsAllowed	S	1..1	unsignedInt	Número de entregas direccionadas
quantity		0..1	SimpleQuantity	Cantidad de medicamento a suministrar por cada entrega (dispensación) Binding: ValueSet: Mipres Dispense Unit (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
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	ΣC	1..1	uri	System that defines coded unit form Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MipresDispenseUnit
code	SΣ	1..1	code	Coded form of the unit
expectedSupplyDuration		0..1	Duration	Number of days supply per dispense
performer		1..1	Reference(Proveedor de Tecnología en Salud PTS (Organization))	Referencia a la entidad responsable de gestionar la dispensación al paciente
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Código del gestor farmacéutico
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/DIAN
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	SΣ	0..1	string	Nombre de la entidad responsable de gestionar la dispensación al paciente
substitution		0..1	BackboneElement	Any restrictions on medication substitution
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
allowed[x]		1..1		Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
reason		0..1	CodeableConcept	Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
priorPrescription		0..1	Reference(MedicationRequest)	An order/prescription that is being replaced
detectedIssue		0..*	Reference(DetectedIssue)	Clinical Issue with action
eventHistory		0..*	Reference(Provenance)	A list of events of interest in the lifecycle
Documentation for this format

Terminology Bindings

Path	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	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 From the FHIR Standard
MedicationRequest.statusReason	required	MipresCausasNoDireccionamientoCodes(a valid code from CodeSystem: Causas de no direccionamiento) https://fhir.minsalud.gov.co/rda/ValueSet/MipresCausasNoDireccionamientoCodes From this IG
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:DCI	required	MipresINNCodes(a valid code from CodeSystem: Denominación Común Internacional (DCI) de substancias farmacéuticas - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/MipresDCI From this IG
MedicationRequest.medication[x].coding:IUMPrimerNivel	required	IUMPrimerNivelCodes(a valid code from CodeSystem: Codificación de medicamentos MIPRES) https://fhir.minsalud.gov.co/rda/ValueSet/IUMPrimerNivelCodes From this IG
MedicationRequest.medication[x].coding:IUM	required	IUMPrimerNivelCodes(a valid code from CodeSystem: Codificación de medicamentos MIPRES) https://fhir.minsalud.gov.co/rda/ValueSet/IUMPrimerNivelCodes 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.subject.type	extensible	Fixed Value: Patient http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationRequest.subject.identifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationRequest.subject.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationRequest.subject.identifier.type.coding:InternationalCode	extensible	Fixed Value: PN http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationRequest.subject.identifier.type.coding:ColombianCode	required	ColombianPersonIdentifierCodes https://fhir.minsalud.gov.co/rda/ValueSet/ColombianPersonIdentifierCodes From this IG
MedicationRequest.supportingInformation:ReferenceRDA.type	extensible	Fixed Value: Composition http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationRequest.supportingInformation:PrescriberPractitioner.type	extensible	Fixed Value: Practitioner http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationRequest.supportingInformation:PrescriberPractitioner.identifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationRequest.supportingInformation:PrescriberPractitioner.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationRequest.supportingInformation:CareDeliveryOrganization.type	extensible	Fixed Value: Organization http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationRequest.supportingInformation:CareDeliveryOrganization.identifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationRequest.supportingInformation:CareDeliveryOrganization.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationRequest.supportingInformation:CareDeliveryLocation.type	extensible	Fixed Value: Location http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationRequest.supportingInformation:CareDeliveryLocation.identifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationRequest.supportingInformation:CareDeliveryLocation.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationRequest.requester.type	extensible	Fixed Value: Organization http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationRequest.requester.identifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationRequest.requester.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationRequest.performerType	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role From the FHIR Standard
MedicationRequest.reasonCode	required	RIPSFinalidadConsultaVersion2Codigos(a valid code from CodeSystem: Colombian Encounter ReasonCode) https://fhir.minsalud.gov.co/rda/ValueSet/RIPSFinalidadConsultaVersion2Codigos From this IG
MedicationRequest.basedOn.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationRequest.basedOn.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationRequest.basedOn.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationRequest.groupIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationRequest.groupIdentifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
MedicationRequest.dispenseRequest.quantity	required	MipresDispenseUnitCodes(a valid code from CodeSystem: Mipres Dispense Unit) https://fhir.minsalud.gov.co/rda/ValueSet/MipresDispenseUnitCodes From this IG
MedicationRequest.dispenseRequest.performer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
MedicationRequest.dispenseRequest.performer.identifier.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
MedicationRequest.dispenseRequest.performer.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-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()

This structure is derived from MedicationRequest

Summary

Mandatory: 36 elements(54 nested mandatory elements)
Must-Support: 41 elements
Fixed: 34 elements
Prohibited: 12 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)
• Resumen Digital de Atención en Salud de Consulta (RDA Consulta) (https://fhir.minsalud.gov.co/rda/StructureDefinition/CompositionAmbulatoryRDA)
• Resumen Digital de Atención en Salud de Urgencias (RDA Urgencias) (https://fhir.minsalud.gov.co/rda/StructureDefinition/CompositionEmergencyRDA)
• Resumen Digital de Atención en Salud de Hospitalización (RDA Hospitalización) (https://fhir.minsalud.gov.co/rda/StructureDefinition/CompositionHospitalizationRDA)
• 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)
• Punto de atención en salud (Location) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/CareDeliveryLocationRDA)
• Entidad Administradora de Planes de Beneficios en Salud - EAPB (Organization) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/HealthBenefitPlanAdminOrganizationRDA)
• Diagnóstico de condición de salud (Condition) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/ConditionRDA)
• Prescripción de Medicamentos (MedicationRequest) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/MedicationRequestRDA)
• Proveedor de Tecnología en Salud PTS (Organization) (https://fhir.minsalud.gov.co/rda/StructureDefinition/HealthTechProviderOrganization)

Extensions

This structure refers to these extensions:

• https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionAddress
• https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionMedicationDispenseQuantity
• https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionDeliveryNumber

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationRequest.category.coding (Closed)
• The element 1 is sliced based on the value of MedicationRequest.medication[x].coding (Closed)
• The element 1 is sliced based on the value of MedicationRequest.subject.identifier.type.coding
• The element 1 is sliced based on the value of MedicationRequest.supportingInformation (Closed)