{ "resourceType" : "StructureDefinition", "id" : "MedicationRequestAddressing", "language" : "es", "text" : { "status" : "extensions", "div" : "

Generated Narrative: DefinicionDeEstructura MedicationRequestAddressing

Language: es

\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" MedicationRequest 0..*MedicationRequestDireccionamiento 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..1IdentifierIdentificador del direccionamiento
\".\"\".\"\".\"\".\" use 0..0
\".\"\".\"\".\"\".\" type 0..0
\".\"\".\"\".\"\".\" system S1..1uriSistema de identificación del direccionamiento
\".\"\".\"\".\"\".\" value S1..1stringNúmero identificador del direccionamiento
\".\"\".\"\".\"\".\" period 0..0
\".\"\".\"\".\"\".\" assigner 0..0
\".\"\".\"\".\" status 1..1codeEstado del direccionamiento
\".\"\".\"\".\" statusReason 0..1CodeableConceptCausal de no direccionamiento
Binding: ValueSet: Mipres Causas no direccionamiento (required)
\".\"\".\"\".\"\".\" coding
\".\"\".\"\".\"\".\"\".\" system 0..1uriIdentity of the terminology system
Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MipresCausasNoDireccionamiento
\".\"\".\"\".\" intent 1..1codeValor por defecto: order
Fixed Value: order
\".\"\".\"\".\" category 1..1CodeableConceptTipo de tecnología en salud (medicamento)
\".\"\".\"\".\"\".\" Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Closed by value:system
\".\"\".\"\".\"\".\"\".\" coding:R866 0..1CodingCode defined by a terminology system
Binding: CodeSystem: Tipo de tecnología en salud (medicamentos) (required)
\".\"\".\"\".\"\".\"\".\"\".\" system 1..1uriIdentity of the terminology system
Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianHealthTechnologyCategory
\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeSymbol in syntax defined by the system
\".\"\".\"\".\"\".\"\".\"\".\" display 1..1stringRepresentation defined by the system
\".\"\".\"\".\" priority 0..0
\".\"\".\"\".\" doNotPerform S0..1booleanIndicador de no direccionamiento
\".\"\".\"\".\" reported[x] 1..1booleanIndicador de registro reportado
\".\"\".\"\".\" medication[x] 1..1CodeableConceptCódigo del medicamento (código de la tecnología en salud)
\".\"\".\"\".\"\".\" Slices for coding 1..*CodingCode defined by a terminology system
Slice: Unordered, Closed by value:system
\".\"\".\"\".\"\".\"\".\" coding:DCI 0..*CodingCode defined by a terminology system
Binding: ValueSet: Denominación Común Internacional (DCI) de substancias farmacéuticas - Colombia (required)
\".\"\".\"\".\"\".\"\".\"\".\" system 1..1uriIdentity of the terminology system
Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MipresINN
\".\"\".\"\".\"\".\"\".\"\".\" code 1..1codeCódigo del medicamento (DCI)
\".\"\".\"\".\"\".\"\".\"\".\" display 0..1stringRepresentation defined by the system
\".\"\".\"\".\"\".\"\".\" coding:IUMPrimerNivel 0..1CodingCode defined by a terminology system
Binding: ValueSet: IUM Primer Nivel Codes (required)
\".\"\".\"\".\"\".\"\".\"\".\" system 1..1uriIdentity of the terminology system
Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/IUMPrimerNivel
\".\"\".\"\".\"\".\"\".\"\".\" code 1..1codeCódigo del medicamento (IUM primer nivel)
\".\"\".\"\".\"\".\"\".\"\".\" display 0..1stringRepresentation defined by the system
\".\"\".\"\".\"\".\"\".\" coding:IUM 0..1CodingCode defined by a terminology system
Binding: ValueSet: IUM Primer Nivel Codes (required)
\".\"\".\"\".\"\".\"\".\"\".\" system 1..1uriIdentity of the terminology system
Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/IUM
\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeCódigo del medicamento (IUM)
\".\"\".\"\".\"\".\"\".\"\".\" display S0..1stringNombre del medicamento
\".\"\".\"\".\"\".\"\".\" coding:CUMS 0..1CodingCode defined by a terminology system
Binding: Codificacion CUMS (required)
\".\"\".\"\".\"\".\"\".\"\".\" system 1..1uriIdentity of the terminology system
Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/CUMS
\".\"\".\"\".\"\".\"\".\"\".\" code 1..1codeSymbol in syntax defined by the system
\".\"\".\"\".\"\".\" text S0..1stringTexto que describe un medicamento o medicamento compuesto
\".\"\".\"\".\" subject 1..1Reference(Paciente (Patient) RDA)Referencia al paciente a quien se prescribe u ordena el direccionamiento
\".\"\".\"\".\"\".\" reference S1..1stringReferencia al paciente a quien se prescribe u ordena el direccionamiento
\".\"\".\"\".\"\".\" type 1..1uriType the reference refers to (e.g. "Patient")
Fixed Value: Patient
\".\"\".\"\".\"\".\" identifier 0..1IdentifierIdentificación del paciente
\".\"\".\"\".\"\".\"\".\" id 1..1stringUnique id for inter-element referencing
Required Pattern: NationalPersonIdentifier-0
\".\"\".\"\".\"\".\"\".\" use 1..1codeusual | official | temp | secondary | old (If known)
Fixed Value: official
\".\"\".\"\".\"\".\"\".\" type 1..1CodeableConceptDescription of identifier
\".\"\".\"\".\"\".\"\".\"\".\" Slices for coding 2..2CodingCode defined by a terminology system
Slice: Unordered, Open by value:system
\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding:InternationalCode 1..1CodingCode defined by a terminology system
Binding: Identifier Type Codes (extensible)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system 1..1uriSistema de codificación internacional
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code 1..1codeSymbol in syntax defined by the system
Fixed Value: PN
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display 1..1stringRepresentation defined by the system
Fixed Value: Person number
\".\"\".\"\".\"\".\"\".\"\".\"\".\" coding:ColombianCode 1..1CodingCode defined by a terminology system
Binding: ValueSet: Colombian Person Identifier Codes (required)
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" system 1..1uriSistema de codificación colombiano
Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianPersonIdentifier
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" code S1..1codeCN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SI
\".\"\".\"\".\"\".\"\".\"\".\"\".\"\".\" display 1..1stringCédula de ciudadanía | Tarjeta de identidad | Registro civil +
\".\"\".\"\".\"\".\"\".\" system 0..1uriThe namespace for the identifier value
Required Pattern: https://fhir.minsalud.gov.co/rda/NamingSystem/RNEC
\".\"\".\"\".\"\".\"\".\" value S1..1stringNúmero de documento de identificación
\".\"\".\"\".\"\".\" display S0..1stringNombre del paciente
\".\"\".\"\".\" encounter S0..1Reference(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..1Reference(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..1stringUnique id for inter-element referencing
Required Pattern: ReferenceRDA
\".\"\".\"\".\"\".\"\".\" reference S1..1stringLiteral reference, Relative, internal or absolute URL
\".\"\".\"\".\"\".\"\".\" type 1..1uriType the reference refers to (e.g. "Patient")
Fixed Value: Composition
\".\"\".\"\".\"\".\" supportingInformation:PrescriberPractitioner 1..1Reference(Profesional de salud (Practitioner) RDA)Referencia al profesional de la salud que realizó la prescripción del medicamento
\".\"\".\"\".\"\".\"\".\" id 1..1stringUnique id for inter-element referencing
Required Pattern: PrescriberPractitioner
\".\"\".\"\".\"\".\"\".\" reference S1..1stringLiteral reference, Relative, internal or absolute URL
\".\"\".\"\".\"\".\"\".\" type 1..1uriType the reference refers to (e.g. "Patient")
Fixed Value: Practitioner
\".\"\".\"\".\"\".\"\".\" identifier 0..1IdentifierIdentificación del profesional de la salud
\".\"\".\"\".\"\".\"\".\"\".\" id 1..1stringUnique id for inter-element referencing
Fixed Value: PrescriberIdentifier
\".\"\".\"\".\"\".\"\".\"\".\" use 1..1codeusual | official | temp | secondary | old (If known)
Fixed Value: official
\".\"\".\"\".\"\".\"\".\"\".\" system 1..1uriThe namespace for the identifier value
Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/RETHUS
\".\"\".\"\".\"\".\"\".\"\".\" value S1..1stringValor de la identificación
\".\"\".\"\".\"\".\" supportingInformation:CareDeliveryOrganization 1..1Reference(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..1stringUnique id for inter-element referencing
Required Pattern: CareDeliveryOrganization
\".\"\".\"\".\"\".\"\".\" reference S1..1stringLiteral reference, Relative, internal or absolute URL
\".\"\".\"\".\"\".\"\".\" type 1..1uriType the reference refers to (e.g. "Patient")
Fixed Value: Organization
\".\"\".\"\".\"\".\"\".\" identifier 0..1IdentifierIdentificación de la organización de atención en salud
\".\"\".\"\".\"\".\"\".\"\".\" id 1..1stringUnique id for inter-element referencing
Fixed Value: OrganizationIdentifier
\".\"\".\"\".\"\".\"\".\"\".\" use 1..1codeusual | official | temp | secondary | old (If known)
Fixed Value: official
\".\"\".\"\".\"\".\"\".\"\".\" system 1..1uriThe namespace for the identifier value
Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/REPS
\".\"\".\"\".\"\".\"\".\"\".\" value S1..1stringValor del identificador
\".\"\".\"\".\"\".\" supportingInformation:CareDeliveryLocation 0..1Reference(Punto de atención en salud (Location) RDA)Referencia al punto de atención en salud (sede) donde se realizó la prescripción del medicamento
\".\"\".\"\".\"\".\"\".\" id 1..1stringUnique id for inter-element referencing
Required Pattern: CareDeliveryLocation
\".\"\".\"\".\"\".\"\".\" reference S1..1stringLiteral reference, Relative, internal or absolute URL
\".\"\".\"\".\"\".\"\".\" type 1..1uriType the reference refers to (e.g. "Patient")
Fixed Value: Location
\".\"\".\"\".\"\".\"\".\" identifier 0..1IdentifierIdentificador del punto de atención en salud (sede)
\".\"\".\"\".\"\".\"\".\"\".\" id 0..1stringUnique id for inter-element referencing
Fixed Value: LocationIdentifier
\".\"\".\"\".\"\".\"\".\"\".\" use 1..1codeusual | official | temp | secondary | old (If known)
Fixed Value: official
\".\"\".\"\".\"\".\"\".\"\".\" system 1..1uriThe namespace for the identifier value
Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/REPS
\".\"\".\"\".\"\".\"\".\"\".\" value S1..1stringValor del identificador
\".\"\".\"\".\" authoredOn S1..1dateTimeFecha de direccionamiento de la prescripción (Tecnología en salud)
\".\"\".\"\".\" requester 1..1Reference(Entidad Administradora de Planes de Beneficios en Salud - EAPB (Organization) RDA)Who/What requested the Request
\".\"\".\"\".\"\".\" reference S1..1stringReferencia a la entidad responsable del direccionamiento de la prescripción
\".\"\".\"\".\"\".\" type 1..1uriType the reference refers to (e.g. "Patient")
Fixed Value: Organization
\".\"\".\"\".\"\".\" identifier 1..1IdentifierIdentificación de la Entidad Administradora de Planes de Beneficios en Salud (EAPB)
\".\"\".\"\".\"\".\"\".\" use 1..1codeusual | official | temp | secondary | old (If known)
Fixed Value: official
\".\"\".\"\".\"\".\"\".\" system 1..1uriThe namespace for the identifier value
Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/EAPBS
\".\"\".\"\".\"\".\"\".\" value S1..1stringCódigo EAPBS
\".\"\".\"\".\"\".\" display S0..1stringNombre de la Entidad Administradora de Planes de Beneficios en Salud (EAPB)
\".\"\".\"\".\" recorder 0..0
\".\"\".\"\".\" reasonCode S1..1CodeableConceptFinalidad de la tecnología en Salud
Binding: ValueSet: Colombian Encounter ReasonCode (required)
\".\"\".\"\".\"\".\" coding
\".\"\".\"\".\"\".\"\".\" system 1..1uriIdentity of the terminology system
Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/RIPSFinalidadConsultaVersion2
\".\"\".\"\".\"\".\"\".\" code 1..1codeSymbol in syntax defined by the system
\".\"\".\"\".\"\".\"\".\" display 1..1stringRepresentation 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..1Reference(Prescripción de Medicamentos (MedicationRequest) RDA)What request fulfills
\".\"\".\"\".\"\".\" identifier 1..1IdentifierIdentificador de la prescripción
\".\"\".\"\".\"\".\"\".\" system S1..1uriSistema de identificación de la prescripción
\".\"\".\"\".\"\".\"\".\" value S1..1stringNúmero de la prescripción
\".\"\".\"\".\" groupIdentifier S1..1IdentifierNúmero externo de direccionamiento
\".\"\".\"\".\"\".\" system 1..1uriSistema de identificación del direccionamiento
\".\"\".\"\".\"\".\" value S1..1stringNúmero del direccionamiento
\".\"\".\"\".\" courseOfTherapyType 0..0
\".\"\".\"\".\" insurance 0..0
\".\"\".\"\".\" dispenseRequest
\".\"\".\"\".\"\".\" Slices for extension S2..3ExtensionExtension
Slice: Unordered, Open by value:url
\".\"\".\"\".\"\".\"\".\" extension:ExtensionDeliveryMunicipality S1..1AddressCódigo y nombre del municipio donde se direcciona la entrega (dispensación) del medicamento
URL: https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionAddress
\".\"\".\"\".\"\".\"\".\" extension:ExtensionMedicationDispenseQuantity S1..1SimpleQuantityCantidad total direccionada
URL: https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionMedicationDispenseQuantity
\".\"\".\"\".\"\".\"\".\" extension:ExtensionDeliveryNumber S0..1positiveIntNúmero de entrega
URL: https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionDeliveryNumber
\".\"\".\"\".\"\".\" validityPeriod S1..1PeriodVigencia de la prescripción
\".\"\".\"\".\"\".\"\".\" start 0..0
\".\"\".\"\".\"\".\"\".\" end S1..1dateTimeFecha máxima de entrega del medicamento
\".\"\".\"\".\"\".\" numberOfRepeatsAllowed S1..1unsignedIntNúmero de entregas direccionadas
\".\"\".\"\".\"\".\" quantity 0..1SimpleQuantityCantidad de medicamento a suministrar por cada entrega (dispensación)
Binding: ValueSet: Mipres Dispense Unit (required)
\".\"\".\"\".\"\".\"\".\" value S1..1decimalNumerical value (with implicit precision)
\".\"\".\"\".\"\".\"\".\" unit S0..1stringUnit representation
\".\"\".\"\".\"\".\"\".\" system 1..1uriSystem that defines coded unit form
Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/MipresDispenseUnit
\".\"\".\"\".\"\".\"\".\" code S1..1codeCoded form of the unit
\".\"\".\"\".\"\".\" performer 1..1Reference(Proveedor de Tecnología en Salud PTS (Organization))Referencia a la entidad responsable de gestionar la dispensación al paciente
\".\"\".\"\".\"\".\"\".\" reference S1..1stringLiteral reference, Relative, internal or absolute URL
\".\"\".\"\".\"\".\"\".\" identifier 0..1IdentifierCódigo del gestor farmacéutico
\".\"\".\"\".\"\".\"\".\"\".\" use 1..1codeusual | official | temp | secondary | old (If known)
Fixed Value: official
\".\"\".\"\".\"\".\"\".\"\".\" system 1..1uriThe namespace for the identifier value
Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/DIAN
\".\"\".\"\".\"\".\"\".\"\".\" value S1..1stringThe value that is unique
\".\"\".\"\".\"\".\"\".\" display S0..1stringNombre de la entidad responsable de gestionar la dispensación al paciente

\"doco\" Documentation for this format
" }, "url" : "https://fhir.minsalud.gov.co/rda/StructureDefinition/MedicationRequestAddressing", "version" : "1.0.0", "name" : "MedicationRequestAddressing", "title" : "Direccionamiento de la prescripción de Medicamentos (MedicationRequest) Addressing", "status" : "active", "date" : "2025-12-29", "publisher" : "Ministerio de Salud y Protección Social de Colombia", "contact" : [{ "name" : "Ministerio de Salud y Protección Social de Colombia", "telecom" : [{ "system" : "url", "value" : "https://www.minsalud.gov.co" }] }, { "name" : "Ministerio de Salud y Protección Social de Colombia", "telecom" : [{ "system" : "url", "value" : "https://www.minsalud.gov.co", "use" : "work" }] }, { "name" : "HL7 Colombia", "telecom" : [{ "system" : "url", "value" : "http://hl7co.org", "use" : "work" }] }], "description" : "Perfil FHIR del direccionamiento de la entrega de un medicamento, para su intercambio en Colombia.\n\nDireccionamiento 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.\n\nLa 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.", "jurisdiction" : [{ "coding" : [{ "system" : "urn:iso:std:iso:3166:-2", "code" : "CO", "display" : "Colombia" }] }], "purpose" : "## Ámbito\n\nEste 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).\n\nHa 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](https://co.fhir.guide/core).\n\nEn 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.\n\n## Características\n- Proceso clínico profesional: realizado EAPBs u otras entidades de salud autorizados para direccionar las prescripciones de medicamentos a uno o más gestor farmacéuticos.\n- Sustentado en evidencia: incluye anamnesis, diagnóstico, evaluación clínica y criterios de pertinencia terapéutica.\n- Incluye detalles de la prescripción: como medicamento, dosis, vía de administración, frecuencia y duración del tratamiento.\n- Se expresa mediante terminologías estandarizadas: como ATC, CUM, SNOMED CT o códigos controlados nacionales.\n- Facilita la trazabilidad de medicamentos desde la prescripción hasta la dispensación.\n\n## Uso previsto\n\nEste perfil está diseñado para ser implementado por:\n\n- Plataforma de interoperabilidad del Ministerio de Salud y Protección Social.\n- Proveedores y consumidores de servicios interoperables de salud.\n\nSe espera que sea utilizado en el escenario de direccionamiento de prescripciones de medicamentos financiados por la UPC.\n\n## Restricciones y extensiones clave\n\n- 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.\n- Se requiere el uso de terminologías controladas nacionales.\n- Se aplican restricciones sobre elementos obligatorios y cardinalidad.\n- Utiliza extensiones para representar información adicional relevante para el contexto colombiano.\n\n## Relación con otras guías o perfiles\n\nEste perfil se basa en:\n\n- [MedicationRequest FHIR R4](https://hl7.org/fhir/R4/medicationrequest.html)\n\n## Consideraciones adicionales\n\n- Este perfil no sustituye las obligaciones legales sobre el registro clínico.\n- Se recomienda verificar la conformidad de su implementación.\n\nAl 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.", "copyright" : "Ministerio de Salud y Protección Social, CC BY-NC-SA 4.0, 2025+", "fhirVersion" : "4.0.1", "mapping" : [{ "identity" : "workflow", "uri" : "http://hl7.org/fhir/workflow", "name" : "Workflow Pattern" }, { "identity" : "script10.6", "uri" : "http://ncpdp.org/SCRIPT10_6", "name" : "Mapping to NCPDP SCRIPT 10.6" }, { "identity" : "rim", "uri" : "http://hl7.org/v3", "name" : "RIM Mapping" }, { "identity" : "w5", "uri" : "http://hl7.org/fhir/fivews", "name" : "FiveWs Pattern Mapping" }, { "identity" : "v2", "uri" : "http://hl7.org/v2", "name" : "HL7 v2 Mapping" }], "kind" : "resource", "abstract" : false, "type" : "MedicationRequest", "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/MedicationRequest", "derivation" : "constraint", "snapshot" : { "extension" : [{ "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version", "valueString" : "4.0.1" }], "element" : [{ "id" : "MedicationRequest", "path" : "MedicationRequest", "short" : "Direccionamiento de una prescripción", "definition" : "Direccionamiento de una prescripción de medicamentos", "alias" : ["Prescription", "Order", "Addressing"], "min" : 0, "max" : "*", "base" : { "path" : "MedicationRequest", "min" : 0, "max" : "*" }, "constraint" : [{ "key" : "dom-2", "severity" : "error", "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression" : "contained.contained.empty()", "xpath" : "not(parent::f:contained and f:contained)", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "dom-3", "severity" : "error", "human" : "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", "expression" : "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()", "xpath" : "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "dom-4", "severity" : "error", "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()", "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "dom-5", "severity" : "error", "human" : "If a resource is contained in another resource, it SHALL NOT have a security label", "expression" : "contained.meta.security.empty()", "xpath" : "not(exists(f:contained/*/f:meta/f:security))", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation", "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." }], "key" : "dom-6", "severity" : "warning", "human" : "A resource should have narrative for robust management", "expression" : "text.`div`.exists()", "xpath" : "exists(f:text/h:div)", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "Entity. Role, or Act" }, { "identity" : "workflow", "map" : "Request" }, { "identity" : "script10.6", "map" : "Message/Body/NewRx" }, { "identity" : "rim", "map" : "CombinedMedicationRequest" }] }, { "id" : "MedicationRequest.id", "path" : "MedicationRequest.id", "short" : "Logical id of this artifact", "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.", "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.", "min" : 0, "max" : "1", "base" : { "path" : "Resource.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : true }, { "id" : "MedicationRequest.meta", "path" : "MedicationRequest.meta", "short" : "Metadata about the resource", "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.", "min" : 0, "max" : "1", "base" : { "path" : "Resource.meta", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Meta" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true }, { "id" : "MedicationRequest.meta.id", "path" : "MedicationRequest.meta.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.meta.extension", "path" : "MedicationRequest.meta.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.meta.versionId", "path" : "MedicationRequest.meta.versionId", "short" : "Version specific identifier", "definition" : "The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.", "comment" : "The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.", "min" : 0, "max" : "1", "base" : { "path" : "Meta.versionId", "min" : 0, "max" : "1" }, "type" : [{ "code" : "id" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true }, { "id" : "MedicationRequest.meta.lastUpdated", "path" : "MedicationRequest.meta.lastUpdated", "short" : "When the resource version last changed", "definition" : "When the resource last changed - e.g. when the version changed.", "comment" : "This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read](http://hl7.org/fhir/R4/http.html#read) interaction.", "min" : 0, "max" : "1", "base" : { "path" : "Meta.lastUpdated", "min" : 0, "max" : "1" }, "type" : [{ "code" : "instant" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true }, { "id" : "MedicationRequest.meta.source", "path" : "MedicationRequest.meta.source", "short" : "Identifies where the resource comes from", "definition" : "A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](http://hl7.org/fhir/R4/provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.", "comment" : "In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. \n\nThis element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.", "min" : 0, "max" : "1", "base" : { "path" : "Meta.source", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true }, { "id" : "MedicationRequest.meta.profile", "path" : "MedicationRequest.meta.profile", "short" : "Profiles this resource claims to conform to", "definition" : "A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url).", "comment" : "It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.", "min" : 1, "max" : "*", "base" : { "path" : "Meta.profile", "min" : 0, "max" : "*" }, "type" : [{ "code" : "canonical", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"] }], "fixedCanonical" : "https://fhir.minsalud.gov.co/rda/StructureDefinition/MedicationRequestAddressing", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true }, { "id" : "MedicationRequest.meta.security", "path" : "MedicationRequest.meta.security", "short" : "Security Labels applied to this resource", "definition" : "Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.", "comment" : "The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.", "min" : 0, "max" : "*", "base" : { "path" : "Meta.security", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SecurityLabels" }], "strength" : "extensible", "description" : "Security Labels from the Healthcare Privacy and Security Classification System.", "valueSet" : "http://hl7.org/fhir/ValueSet/security-labels" } }, { "id" : "MedicationRequest.meta.tag", "path" : "MedicationRequest.meta.tag", "short" : "Tags applied to this resource", "definition" : "Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.", "comment" : "The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.", "min" : 0, "max" : "*", "base" : { "path" : "Meta.tag", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "Tags" }], "strength" : "example", "description" : "Codes that represent various types of tags, commonly workflow-related; e.g. \"Needs review by Dr. Jones\".", "valueSet" : "http://hl7.org/fhir/ValueSet/common-tags" } }, { "id" : "MedicationRequest.implicitRules", "path" : "MedicationRequest.implicitRules", "short" : "A set of rules under which this content was created", "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.", "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.", "min" : 0, "max" : "1", "base" : { "path" : "Resource.implicitRules", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : true, "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation", "isSummary" : true }, { "id" : "MedicationRequest.language", "path" : "MedicationRequest.language", "short" : "Language of the resource content", "definition" : "The base language in which the resource is written.", "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).", "min" : 0, "max" : "1", "base" : { "path" : "Resource.language", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages" }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "Language" }], "strength" : "preferred", "description" : "A human language.", "valueSet" : "http://hl7.org/fhir/ValueSet/languages" } }, { "id" : "MedicationRequest.text", "path" : "MedicationRequest.text", "short" : "Text summary of the resource, for human interpretation", "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.", "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.", "alias" : ["narrative", "html", "xhtml", "display"], "min" : 0, "max" : "1", "base" : { "path" : "DomainResource.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "Act.text?" }] }, { "id" : "MedicationRequest.contained", "path" : "MedicationRequest.contained", "short" : "Contained, inline Resources", "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.", "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.", "alias" : ["inline resources", "anonymous resources", "contained resources"], "min" : 0, "max" : "0", "base" : { "path" : "DomainResource.contained", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Resource" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "MedicationRequest.extension", "path" : "MedicationRequest.extension", "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "MedicationRequest.modifierExtension", "path" : "MedicationRequest.modifierExtension", "short" : "Extensions that cannot be ignored", "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.modifierExtension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them", "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "MedicationRequest.identifier", "path" : "MedicationRequest.identifier", "short" : "Identificador del direccionamiento", "definition" : "Número interno del direccionamiento asignado en la EAPB", "comment" : "This is a business identifier, not a resource identifier.", "min" : 1, "max" : "1", "base" : { "path" : "MedicationRequest.identifier", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Identifier" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "workflow", "map" : "Request.identifier" }, { "identity" : "script10.6", "map" : "Message/Header/PrescriberOrderNumber" }, { "identity" : "w5", "map" : "FiveWs.identifier" }, { "identity" : "v2", "map" : "ORC-2-Placer Order Number / ORC-3-Filler Order Number" }, { "identity" : "rim", "map" : ".id" }] }, { "id" : "MedicationRequest.identifier.id", "path" : "MedicationRequest.identifier.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.identifier.extension", "path" : "MedicationRequest.identifier.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.identifier.use", "path" : "MedicationRequest.identifier.use", "short" : "usual | official | temp | secondary | old (If known)", "definition" : "The purpose of this identifier.", "comment" : "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements" : "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min" : 0, "max" : "0", "base" : { "path" : "Identifier.use", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : true, "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "IdentifierUse" }], "strength" : "required", "description" : "Identifies the purpose for this identifier, if known .", "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping" : [{ "identity" : "v2", "map" : "N/A" }, { "identity" : "rim", "map" : "Role.code or implied by context" }] }, { "id" : "MedicationRequest.identifier.type", "path" : "MedicationRequest.identifier.type", "short" : "Description of identifier", "definition" : "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.", "comment" : "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.", "requirements" : "Allows users to make use of identifiers when the identifier system is not known.", "min" : 0, "max" : "0", "base" : { "path" : "Identifier.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "IdentifierType" }], "strength" : "extensible", "description" : "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping" : [{ "identity" : "v2", "map" : "CX.5" }, { "identity" : "rim", "map" : "Role.code or implied by context" }] }, { "id" : "MedicationRequest.identifier.system", "path" : "MedicationRequest.identifier.system", "short" : "Sistema de identificación del direccionamiento", "definition" : "Sistema de identificación del direccionamiento, el cual debe ser un URI que identifique de manera única el sistema utilizado para registrar el número del direccionamiento. Se recomienda utilizar la siguiente sintaxis de URI: 'https://example.org/NamingSystem/NumeroDireccionamiento', donde 'example.org' debe ser reemplazado por el dominio correspondiente de la EAPB.", "comment" : "Identifier.system is always case sensitive.", "requirements" : "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min" : 1, "max" : "1", "base" : { "path" : "Identifier.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "example" : [{ "label" : "General", "valueUri" : "http://www.acme.com/identifiers/patient" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.4 / EI-2-4" }, { "identity" : "rim", "map" : "II.root or Role.id.root" }, { "identity" : "servd", "map" : "./IdentifierType" }] }, { "id" : "MedicationRequest.identifier.value", "path" : "MedicationRequest.identifier.value", "short" : "Número identificador del direccionamiento", "definition" : "Número interno del direccionamiento asignado en la EAPB", "comment" : "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min" : 1, "max" : "1", "base" : { "path" : "Identifier.value", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "example" : [{ "label" : "General", "valueString" : "123456" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.1 / EI.1" }, { "identity" : "rim", "map" : "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity" : "servd", "map" : "./Value" }] }, { "id" : "MedicationRequest.identifier.period", "path" : "MedicationRequest.identifier.period", "short" : "Time period when id is/was valid for use", "definition" : "Time period during which identifier is/was valid for use.", "min" : 0, "max" : "0", "base" : { "path" : "Identifier.period", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Period" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.7 + CX.8" }, { "identity" : "rim", "map" : "Role.effectiveTime or implied by context" }, { "identity" : "servd", "map" : "./StartDate and ./EndDate" }] }, { "id" : "MedicationRequest.identifier.assigner", "path" : "MedicationRequest.identifier.assigner", "short" : "Organization that issued id (may be just text)", "definition" : "Organization that issued/manages the identifier.", "comment" : "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.", "min" : 0, "max" : "0", "base" : { "path" : "Identifier.assigner", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity" : "rim", "map" : "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity" : "servd", "map" : "./IdentifierIssuingAuthority" }] }, { "id" : "MedicationRequest.status", "path" : "MedicationRequest.status", "short" : "Estado del direccionamiento", "definition" : "Código que indica el estado actual del direccionamiento.", "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.", "min" : 1, "max" : "1", "base" : { "path" : "MedicationRequest.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : true, "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid", "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "MedicationRequestStatus" }], "strength" : "required", "description" : "A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.", "valueSet" : "http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1" }, "mapping" : [{ "identity" : "workflow", "map" : "Request.status" }, { "identity" : "script10.6", "map" : "no mapping" }, { "identity" : "w5", "map" : "FiveWs.status" }, { "identity" : "rim", "map" : ".statusCode" }] }, { "id" : "MedicationRequest.statusReason", "path" : "MedicationRequest.statusReason", "short" : "Causal de no direccionamiento", "definition" : "Código que indica la causa por la cual no se realizó el direccionamiento del medicamento. Obligatorio cuando status no es #active.", "comment" : "This is generally only used for \"exception\" statuses such as \"suspended\" or \"cancelled\". The reason why the MedicationRequest was created at all is captured in reasonCode, not here.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.statusReason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "binding" : { "strength" : "required", "valueSet" : "https://fhir.minsalud.gov.co/rda/ValueSet/MipresCausasNoDireccionamientoCodes" }, "mapping" : [{ "identity" : "workflow", "map" : "Request.statusReason" }, { "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde" }] }, { "id" : "MedicationRequest.statusReason.id", "path" : "MedicationRequest.statusReason.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.statusReason.extension", "path" : "MedicationRequest.statusReason.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.statusReason.coding", "path" : "MedicationRequest.statusReason.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.", "min" : 0, "max" : "*", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "MedicationRequest.statusReason.coding.id", "path" : "MedicationRequest.statusReason.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.statusReason.coding.extension", "path" : "MedicationRequest.statusReason.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.statusReason.coding.system", "path" : "MedicationRequest.statusReason.coding.system", "short" : "Identity of the terminology system", "definition" : "The identification of the code system that defines the meaning of the symbol in the code.", "comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.", "requirements" : "Need to be unambiguous about the source of the definition of the symbol.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "fixedUri" : "https://fhir.minsalud.gov.co/rda/CodeSystem/MipresCausasNoDireccionamiento", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.3" }, { "identity" : "rim", "map" : "./codeSystem" }, { "identity" : "orim", "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" }] }, { "id" : "MedicationRequest.statusReason.coding.version", "path" : "MedicationRequest.statusReason.coding.version", "short" : "Version of the system - if relevant", "definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.version", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.7" }, { "identity" : "rim", "map" : "./codeSystemVersion" }, { "identity" : "orim", "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" }] }, { "id" : "MedicationRequest.statusReason.coding.code", "path" : "MedicationRequest.statusReason.coding.code", "short" : "Symbol in syntax defined by the system", "definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).", "requirements" : "Need to refer to a particular code in the system.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" }] }, { "id" : "MedicationRequest.statusReason.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "MedicationRequest.statusReason.coding.display", "short" : "Representation defined by the system", "definition" : "A representation of the meaning of the code in the system, following the rules of the system.", "requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.2 - but note this is not well followed" }, { "identity" : "rim", "map" : "CV.displayName" }, { "identity" : "orim", "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" }] }, { "id" : "MedicationRequest.statusReason.coding.userSelected", "path" : "MedicationRequest.statusReason.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.", "requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "Sometimes implied by being first" }, { "identity" : "rim", "map" : "CD.codingRationale" }, { "identity" : "orim", "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" }] }, { "id" : "MedicationRequest.statusReason.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "MedicationRequest.statusReason.text", "short" : "Plain text representation of the concept", "definition" : "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min" : 0, "max" : "1", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.9. But note many systems use C*E.2 for this" }, { "identity" : "rim", "map" : "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" }] }, { "id" : "MedicationRequest.intent", "path" : "MedicationRequest.intent", "short" : "Valor por defecto: order", "definition" : "Código que indica la intención de la orden o solicitud. Para este perfil, el valor debe ser 'order', ya que se refiere a una solicitud formal de direccionamiento de un medicamento.", "comment" : "It is expected that the type of requester will be restricted for different stages of a MedicationRequest. For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device. Plans can be created by Practitioners, Patients, RelatedPersons and Devices. Original orders can be created by a Practitioner only.\r\rAn instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record.\r\rThis element is labeled as a modifier because the intent alters when and how the resource is actually applicable.", "min" : 1, "max" : "1", "base" : { "path" : "MedicationRequest.intent", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "order", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : true, "isModifierReason" : "This element changes the interpretation of all descriptive attributes. For example \"the time the request is recommended to occur\" vs. \"the time the request is authorized to occur\" or \"who is recommended to perform the request\" vs. \"who is authorized to perform the request", "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "MedicationRequestIntent" }], "strength" : "required", "description" : "The kind of medication order.", "valueSet" : "http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1" }, "mapping" : [{ "identity" : "workflow", "map" : "Request.intent" }, { "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)" }] }, { "id" : "MedicationRequest.category", "path" : "MedicationRequest.category", "short" : "Tipo de tecnología en salud (medicamento)", "definition" : "Indica el tipo de tecnología en salud, específicamente el tipo de medicamento direccionado, según la clasificación oficial establecida por el Ministerio de Salud y Protección Social de Colombia.", "comment" : "The category can be used to include where the medication is expected to be consumed or other types of requests.", "min" : 1, "max" : "1", "base" : { "path" : "MedicationRequest.category", "min" : 0, "max" : "*" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "MedicationRequestCategory" }], "strength" : "example", "description" : "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.", "valueSet" : "http://hl7.org/fhir/ValueSet/medicationrequest-category" }, "mapping" : [{ "identity" : "script10.6", "map" : "Message/Body/NewRx/MedicationPrescribed/Directions\r\ror \r\rMessage/Body/NewRx/MedicationPrescribed/StructuredSIG" }, { "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "rim", "map" : ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication usage\"].value" }] }, { "id" : "MedicationRequest.category.id", "path" : "MedicationRequest.category.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.category.extension", "path" : "MedicationRequest.category.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.category.coding", "path" : "MedicationRequest.category.coding", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "system" }], "description" : "Differences of category or medication type, applicable according to Res. 3374 of 2000 or Res. 2275 of 2023.", "ordered" : false, "rules" : "closed" }, "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.", "min" : 0, "max" : "*", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "MedicationRequest.category.coding:R866", "path" : "MedicationRequest.category.coding", "sliceName" : "R866", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.", "min" : 0, "max" : "1", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "https://fhir.minsalud.gov.co/rda/ValueSet/ColombianHealthTechnologyMedicationCodes" }, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "MedicationRequest.category.coding:R866.id", "path" : "MedicationRequest.category.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.category.coding:R866.extension", "path" : "MedicationRequest.category.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.category.coding:R866.system", "path" : "MedicationRequest.category.coding.system", "short" : "Identity of the terminology system", "definition" : "The identification of the code system that defines the meaning of the symbol in the code.", "comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.", "requirements" : "Need to be unambiguous about the source of the definition of the symbol.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "fixedUri" : "https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianHealthTechnologyCategory", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.3" }, { "identity" : "rim", "map" : "./codeSystem" }, { "identity" : "orim", "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" }] }, { "id" : "MedicationRequest.category.coding:R866.version", "path" : "MedicationRequest.category.coding.version", "short" : "Version of the system - if relevant", "definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.version", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.7" }, { "identity" : "rim", "map" : "./codeSystemVersion" }, { "identity" : "orim", "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" }] }, { "id" : "MedicationRequest.category.coding:R866.code", "path" : "MedicationRequest.category.coding.code", "label" : "Elemento: 24.1 (código)", "short" : "Symbol in syntax defined by the system", "definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).", "requirements" : "Need to refer to a particular code in the system.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" }] }, { "id" : "MedicationRequest.category.coding:R866.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "MedicationRequest.category.coding.display", "label" : "Elemento: 24.1 (descripción)", "short" : "Representation defined by the system", "definition" : "A representation of the meaning of the code in the system, following the rules of the system.", "requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.2 - but note this is not well followed" }, { "identity" : "rim", "map" : "CV.displayName" }, { "identity" : "orim", "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" }] }, { "id" : "MedicationRequest.category.coding:R866.userSelected", "path" : "MedicationRequest.category.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.", "requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "Sometimes implied by being first" }, { "identity" : "rim", "map" : "CD.codingRationale" }, { "identity" : "orim", "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" }] }, { "id" : "MedicationRequest.category.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "MedicationRequest.category.text", "short" : "Plain text representation of the concept", "definition" : "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min" : 0, "max" : "1", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.9. But note many systems use C*E.2 for this" }, { "identity" : "rim", "map" : "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" }] }, { "id" : "MedicationRequest.priority", "path" : "MedicationRequest.priority", "short" : "routine | urgent | asap | stat", "definition" : "Indicates how quickly the Medication Request should be addressed with respect to other requests.", "min" : 0, "max" : "0", "base" : { "path" : "MedicationRequest.priority", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "MedicationRequestPriority" }], "strength" : "required", "description" : "Identifies the level of importance to be assigned to actioning the request.", "valueSet" : "http://hl7.org/fhir/ValueSet/request-priority|4.0.1" }, "mapping" : [{ "identity" : "workflow", "map" : "Request.priority" }, { "identity" : "w5", "map" : "FiveWs.grade" }, { "identity" : "rim", "map" : ".priorityCode" }] }, { "id" : "MedicationRequest.doNotPerform", "path" : "MedicationRequest.doNotPerform", "short" : "Indicador de no direccionamiento", "definition" : "Valor booleano (true | false) que indica que no se realizó el direccionamiento de la prescripción de medicamentos.", "comment" : "If do not perform is not specified, the request is a positive request e.g. \"do perform\".", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.doNotPerform", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : true, "isModifierReason" : "This element is labeled as a modifier because this element negates the request to occur (ie, this is a request for the medication not to be ordered or prescribed, etc)", "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "SubstanceAdministration.actionNegationInd" }] }, { "id" : "MedicationRequest.reported[x]", "path" : "MedicationRequest.reported[x]", "short" : "Indicador de registro reportado", "definition" : "Indica que la información del direccionamiento fue reportada por la entidad responsable.", "min" : 1, "max" : "1", "base" : { "path" : "MedicationRequest.reported[x]", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".participation[typeCode=INF].role" }] }, { "id" : "MedicationRequest.medication[x]", "path" : "MedicationRequest.medication[x]", "short" : "Código del medicamento (código de la tecnología en salud)", "definition" : "Identifica el medicamento direccionado, utilizando los códigos estandarizados (IUM, CUM o DCI)", "comment" : "If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource.", "min" : 1, "max" : "1", "base" : { "path" : "MedicationRequest.medication[x]", "min" : 1, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "MedicationCode" }], "strength" : "example", "description" : "A coded concept identifying substance or product that can be ordered.", "valueSet" : "http://hl7.org/fhir/ValueSet/medication-codes" }, "mapping" : [{ "identity" : "workflow", "map" : "Request.code" }, { "identity" : "script10.6", "map" : "Message/Body/NewRx/MedicationPrescribed\r\rMedication.code.coding.code = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCode\r\rMedication.code.coding.system = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCodeQualifier\r\rMedication.code.coding.display = Message/Body/NewRx/MedicationPrescribed/DrugDescription" }, { "identity" : "w5", "map" : "FiveWs.what[x]" }, { "identity" : "v2", "map" : "RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code" }, { "identity" : "rim", "map" : "consumable.administrableMedication" }] }, { "id" : "MedicationRequest.medication[x].id", "path" : "MedicationRequest.medication[x].id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.medication[x].extension", "path" : "MedicationRequest.medication[x].extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.medication[x].coding", "path" : "MedicationRequest.medication[x].coding", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "system" }], "description" : "Código del medicamento, utilizando los sistemas de codificación estandarizados (IUM, CUM o DCI).", "ordered" : false, "rules" : "closed" }, "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.", "min" : 1, "max" : "*", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "MedicationRequest.medication[x].coding:DCI", "path" : "MedicationRequest.medication[x].coding", "sliceName" : "DCI", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.", "min" : 0, "max" : "*", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "https://fhir.minsalud.gov.co/rda/ValueSet/MipresDCI" }, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "MedicationRequest.medication[x].coding:DCI.id", "path" : "MedicationRequest.medication[x].coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.medication[x].coding:DCI.extension", "path" : "MedicationRequest.medication[x].coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.medication[x].coding:DCI.system", "path" : "MedicationRequest.medication[x].coding.system", "short" : "Identity of the terminology system", "definition" : "The identification of the code system that defines the meaning of the symbol in the code.", "comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.", "requirements" : "Need to be unambiguous about the source of the definition of the symbol.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "fixedUri" : "https://fhir.minsalud.gov.co/rda/CodeSystem/MipresINN", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.3" }, { "identity" : "rim", "map" : "./codeSystem" }, { "identity" : "orim", "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" }] }, { "id" : "MedicationRequest.medication[x].coding:DCI.version", "path" : "MedicationRequest.medication[x].coding.version", "short" : "Version of the system - if relevant", "definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.version", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.7" }, { "identity" : "rim", "map" : "./codeSystemVersion" }, { "identity" : "orim", "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" }] }, { "id" : "MedicationRequest.medication[x].coding:DCI.code", "path" : "MedicationRequest.medication[x].coding.code", "label" : "Código del medicamento (DCI)", "short" : "Código del medicamento (DCI)", "definition" : "Código que representa la Denominación Común Internacional (DCI) del medicamento. Para el caso de las preparaciones magistrales con DCI, predomina el principio activo dominante.", "requirements" : "Need to refer to a particular code in the system.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" }] }, { "id" : "MedicationRequest.medication[x].coding:DCI.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "MedicationRequest.medication[x].coding.display", "label" : "Elemento: 26", "short" : "Representation defined by the system", "definition" : "A representation of the meaning of the code in the system, following the rules of the system.", "requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.2 - but note this is not well followed" }, { "identity" : "rim", "map" : "CV.displayName" }, { "identity" : "orim", "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" }] }, { "id" : "MedicationRequest.medication[x].coding:DCI.userSelected", "path" : "MedicationRequest.medication[x].coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.", "requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "Sometimes implied by being first" }, { "identity" : "rim", "map" : "CD.codingRationale" }, { "identity" : "orim", "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" }] }, { "id" : "MedicationRequest.medication[x].coding:IUMPrimerNivel", "path" : "MedicationRequest.medication[x].coding", "sliceName" : "IUMPrimerNivel", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.", "min" : 0, "max" : "1", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "https://fhir.minsalud.gov.co/rda/ValueSet/IUMPrimerNivelCodes" }, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "MedicationRequest.medication[x].coding:IUMPrimerNivel.id", "path" : "MedicationRequest.medication[x].coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.medication[x].coding:IUMPrimerNivel.extension", "path" : "MedicationRequest.medication[x].coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.medication[x].coding:IUMPrimerNivel.system", "path" : "MedicationRequest.medication[x].coding.system", "short" : "Identity of the terminology system", "definition" : "The identification of the code system that defines the meaning of the symbol in the code.", "comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.", "requirements" : "Need to be unambiguous about the source of the definition of the symbol.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "fixedUri" : "https://fhir.minsalud.gov.co/rda/CodeSystem/IUMPrimerNivel", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.3" }, { "identity" : "rim", "map" : "./codeSystem" }, { "identity" : "orim", "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" }] }, { "id" : "MedicationRequest.medication[x].coding:IUMPrimerNivel.version", "path" : "MedicationRequest.medication[x].coding.version", "short" : "Version of the system - if relevant", "definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.version", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.7" }, { "identity" : "rim", "map" : "./codeSystemVersion" }, { "identity" : "orim", "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" }] }, { "id" : "MedicationRequest.medication[x].coding:IUMPrimerNivel.code", "path" : "MedicationRequest.medication[x].coding.code", "label" : "Código del medicamento (IUM primer nivel)", "short" : "Código del medicamento (IUM primer nivel)", "definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).", "requirements" : "Need to refer to a particular code in the system.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" }] }, { "id" : "MedicationRequest.medication[x].coding:IUMPrimerNivel.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "MedicationRequest.medication[x].coding.display", "label" : "Nombre genérico del medicamento", "short" : "Representation defined by the system", "definition" : "A representation of the meaning of the code in the system, following the rules of the system.", "requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.2 - but note this is not well followed" }, { "identity" : "rim", "map" : "CV.displayName" }, { "identity" : "orim", "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" }] }, { "id" : "MedicationRequest.medication[x].coding:IUMPrimerNivel.userSelected", "path" : "MedicationRequest.medication[x].coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.", "requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "Sometimes implied by being first" }, { "identity" : "rim", "map" : "CD.codingRationale" }, { "identity" : "orim", "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" }] }, { "id" : "MedicationRequest.medication[x].coding:IUM", "path" : "MedicationRequest.medication[x].coding", "sliceName" : "IUM", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.", "min" : 0, "max" : "1", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "https://fhir.minsalud.gov.co/rda/ValueSet/IUMPrimerNivelCodes" }, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "MedicationRequest.medication[x].coding:IUM.id", "path" : "MedicationRequest.medication[x].coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.medication[x].coding:IUM.extension", "path" : "MedicationRequest.medication[x].coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.medication[x].coding:IUM.system", "path" : "MedicationRequest.medication[x].coding.system", "short" : "Identity of the terminology system", "definition" : "The identification of the code system that defines the meaning of the symbol in the code.", "comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.", "requirements" : "Need to be unambiguous about the source of the definition of the symbol.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "fixedUri" : "https://fhir.minsalud.gov.co/rda/CodeSystem/IUM", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.3" }, { "identity" : "rim", "map" : "./codeSystem" }, { "identity" : "orim", "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" }] }, { "id" : "MedicationRequest.medication[x].coding:IUM.version", "path" : "MedicationRequest.medication[x].coding.version", "short" : "Version of the system - if relevant", "definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.version", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.7" }, { "identity" : "rim", "map" : "./codeSystemVersion" }, { "identity" : "orim", "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" }] }, { "id" : "MedicationRequest.medication[x].coding:IUM.code", "path" : "MedicationRequest.medication[x].coding.code", "short" : "Código del medicamento (IUM)", "definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).", "requirements" : "Need to refer to a particular code in the system.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" }] }, { "id" : "MedicationRequest.medication[x].coding:IUM.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "MedicationRequest.medication[x].coding.display", "short" : "Nombre del medicamento", "definition" : "A representation of the meaning of the code in the system, following the rules of the system.", "requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.2 - but note this is not well followed" }, { "identity" : "rim", "map" : "CV.displayName" }, { "identity" : "orim", "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" }] }, { "id" : "MedicationRequest.medication[x].coding:IUM.userSelected", "path" : "MedicationRequest.medication[x].coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.", "requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "Sometimes implied by being first" }, { "identity" : "rim", "map" : "CD.codingRationale" }, { "identity" : "orim", "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" }] }, { "id" : "MedicationRequest.medication[x].coding:CUMS", "path" : "MedicationRequest.medication[x].coding", "sliceName" : "CUMS", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.", "min" : 0, "max" : "1", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "https://fhir.minsalud.gov.co/rda/ValueSet/CUMSVS" }, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "MedicationRequest.medication[x].coding:CUMS.id", "path" : "MedicationRequest.medication[x].coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.medication[x].coding:CUMS.extension", "path" : "MedicationRequest.medication[x].coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.medication[x].coding:CUMS.system", "path" : "MedicationRequest.medication[x].coding.system", "short" : "Identity of the terminology system", "definition" : "The identification of the code system that defines the meaning of the symbol in the code.", "comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.", "requirements" : "Need to be unambiguous about the source of the definition of the symbol.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "fixedUri" : "https://fhir.minsalud.gov.co/rda/CodeSystem/CUMS", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.3" }, { "identity" : "rim", "map" : "./codeSystem" }, { "identity" : "orim", "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" }] }, { "id" : "MedicationRequest.medication[x].coding:CUMS.version", "path" : "MedicationRequest.medication[x].coding.version", "short" : "Version of the system - if relevant", "definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.version", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.7" }, { "identity" : "rim", "map" : "./codeSystemVersion" }, { "identity" : "orim", "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" }] }, { "id" : "MedicationRequest.medication[x].coding:CUMS.code", "path" : "MedicationRequest.medication[x].coding.code", "short" : "Symbol in syntax defined by the system", "definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).", "requirements" : "Need to refer to a particular code in the system.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" }] }, { "id" : "MedicationRequest.medication[x].coding:CUMS.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "MedicationRequest.medication[x].coding.display", "short" : "Representation defined by the system", "definition" : "A representation of the meaning of the code in the system, following the rules of the system.", "requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.2 - but note this is not well followed" }, { "identity" : "rim", "map" : "CV.displayName" }, { "identity" : "orim", "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" }] }, { "id" : "MedicationRequest.medication[x].coding:CUMS.userSelected", "path" : "MedicationRequest.medication[x].coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.", "requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "Sometimes implied by being first" }, { "identity" : "rim", "map" : "CD.codingRationale" }, { "identity" : "orim", "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" }] }, { "id" : "MedicationRequest.medication[x].text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "MedicationRequest.medication[x].text", "short" : "Texto que describe un medicamento o medicamento compuesto", "definition" : "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min" : 0, "max" : "1", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.9. But note many systems use C*E.2 for this" }, { "identity" : "rim", "map" : "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" }] }, { "id" : "MedicationRequest.subject", "path" : "MedicationRequest.subject", "short" : "Referencia al paciente a quien se prescribe u ordena el direccionamiento", "definition" : "Referencia al paciente a quien se prescribe u ordena el direccionamiento de la prescripción de medicamentos, utilizando el recurso Patient del RDA.", "comment" : "The subject on a medication request is mandatory. For the secondary use case where the actual subject is not provided, there still must be an anonymized subject specified.", "min" : 1, "max" : "1", "base" : { "path" : "MedicationRequest.subject", "min" : 1, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.minsalud.gov.co/rda/StructureDefinition/PatientRDA"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Request.subject" }, { "identity" : "script10.6", "map" : "Message/Body/NewRx/Patient\r\r(need detail to link to specific patient … Patient.Identification in SCRIPT)" }, { "identity" : "w5", "map" : "FiveWs.subject[x]" }, { "identity" : "v2", "map" : "PID-3-Patient ID List" }, { "identity" : "rim", "map" : ".participation[typeCode=AUT].role" }, { "identity" : "w5", "map" : "FiveWs.subject" }] }, { "id" : "MedicationRequest.subject.id", "path" : "MedicationRequest.subject.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.subject.extension", "path" : "MedicationRequest.subject.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.subject.reference", "path" : "MedicationRequest.subject.reference", "short" : "Referencia al paciente a quien se prescribe u ordena el direccionamiento", "definition" : "Referencia al paciente a quien se prescribe u ordena el direccionamiento de la prescripción de medicamentos, utilizando el recurso Patient del RDA.", "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min" : 1, "max" : "1", "base" : { "path" : "Reference.reference", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "MedicationRequest.subject.type", "path" : "MedicationRequest.subject.type", "short" : "Type the reference refers to (e.g. \"Patient\")", "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).", "comment" : "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.", "min" : 1, "max" : "1", "base" : { "path" : "Reference.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "fixedUri" : "Patient", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "FHIRResourceTypeExt" }], "strength" : "extensible", "description" : "Aa resource (or, for logical models, the URI of the logical model).", "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "MedicationRequest.subject.identifier", "path" : "MedicationRequest.subject.identifier", "label" : "Identificación nacional del paciente", "short" : "Identificación del paciente", "definition" : "Identificación de la persona que desempeña el rol de paciente", "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).", "min" : 0, "max" : "1", "base" : { "path" : "Reference.identifier", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Identifier" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".identifier" }] }, { "id" : "MedicationRequest.subject.identifier.id", "path" : "MedicationRequest.subject.identifier.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 1, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "patternString" : "NationalPersonIdentifier-0", "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.subject.identifier.extension", "path" : "MedicationRequest.subject.identifier.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.subject.identifier.use", "path" : "MedicationRequest.subject.identifier.use", "short" : "usual | official | temp | secondary | old (If known)", "definition" : "The purpose of this identifier.", "comment" : "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements" : "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min" : 1, "max" : "1", "base" : { "path" : "Identifier.use", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "official", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : true, "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "IdentifierUse" }], "strength" : "required", "description" : "Identifies the purpose for this identifier, if known .", "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping" : [{ "identity" : "v2", "map" : "N/A" }, { "identity" : "rim", "map" : "Role.code or implied by context" }] }, { "id" : "MedicationRequest.subject.identifier.type", "path" : "MedicationRequest.subject.identifier.type", "short" : "Description of identifier", "definition" : "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.", "comment" : "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.", "requirements" : "Allows users to make use of identifiers when the identifier system is not known.", "min" : 1, "max" : "1", "base" : { "path" : "Identifier.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "IdentifierType" }], "strength" : "extensible", "description" : "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping" : [{ "identity" : "v2", "map" : "CX.5" }, { "identity" : "rim", "map" : "Role.code or implied by context" }] }, { "id" : "MedicationRequest.subject.identifier.type.id", "path" : "MedicationRequest.subject.identifier.type.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.subject.identifier.type.extension", "path" : "MedicationRequest.subject.identifier.type.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.subject.identifier.type.coding", "path" : "MedicationRequest.subject.identifier.type.coding", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "system" }], "description" : "Codificación internacional de la identificación de personas y su equivalente en el sistema de identificaciones colombiano", "rules" : "open" }, "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.", "min" : 2, "max" : "2", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "MedicationRequest.subject.identifier.type.coding:InternationalCode", "path" : "MedicationRequest.subject.identifier.type.coding", "sliceName" : "InternationalCode", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.", "min" : 1, "max" : "1", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "extensible", "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "MedicationRequest.subject.identifier.type.coding:InternationalCode.id", "path" : "MedicationRequest.subject.identifier.type.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.subject.identifier.type.coding:InternationalCode.extension", "path" : "MedicationRequest.subject.identifier.type.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.subject.identifier.type.coding:InternationalCode.system", "path" : "MedicationRequest.subject.identifier.type.coding.system", "short" : "Sistema de codificación internacional", "definition" : "Codificación internacional de identificaciones para personas", "comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.", "requirements" : "Need to be unambiguous about the source of the definition of the symbol.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "fixedUri" : "http://terminology.hl7.org/CodeSystem/v2-0203", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.3" }, { "identity" : "rim", "map" : "./codeSystem" }, { "identity" : "orim", "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" }] }, { "id" : "MedicationRequest.subject.identifier.type.coding:InternationalCode.version", "path" : "MedicationRequest.subject.identifier.type.coding.version", "short" : "Version of the system - if relevant", "definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.version", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.7" }, { "identity" : "rim", "map" : "./codeSystemVersion" }, { "identity" : "orim", "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" }] }, { "id" : "MedicationRequest.subject.identifier.type.coding:InternationalCode.code", "path" : "MedicationRequest.subject.identifier.type.coding.code", "short" : "Symbol in syntax defined by the system", "definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).", "requirements" : "Need to refer to a particular code in the system.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "PN", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" }] }, { "id" : "MedicationRequest.subject.identifier.type.coding:InternationalCode.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "MedicationRequest.subject.identifier.type.coding.display", "short" : "Representation defined by the system", "definition" : "A representation of the meaning of the code in the system, following the rules of the system.", "requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "fixedString" : "Person number", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.2 - but note this is not well followed" }, { "identity" : "rim", "map" : "CV.displayName" }, { "identity" : "orim", "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" }] }, { "id" : "MedicationRequest.subject.identifier.type.coding:InternationalCode.userSelected", "path" : "MedicationRequest.subject.identifier.type.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.", "requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "Sometimes implied by being first" }, { "identity" : "rim", "map" : "CD.codingRationale" }, { "identity" : "orim", "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" }] }, { "id" : "MedicationRequest.subject.identifier.type.coding:ColombianCode", "path" : "MedicationRequest.subject.identifier.type.coding", "sliceName" : "ColombianCode", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.", "min" : 1, "max" : "1", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "https://fhir.minsalud.gov.co/rda/ValueSet/ColombianPersonIdentifierCodes" }, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "MedicationRequest.subject.identifier.type.coding:ColombianCode.id", "path" : "MedicationRequest.subject.identifier.type.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.subject.identifier.type.coding:ColombianCode.extension", "path" : "MedicationRequest.subject.identifier.type.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.subject.identifier.type.coding:ColombianCode.system", "path" : "MedicationRequest.subject.identifier.type.coding.system", "label" : "Tipo identificación", "short" : "Sistema de codificación colombiano", "definition" : "Codificación colombiana de identificaciones para personas", "comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.", "requirements" : "Need to be unambiguous about the source of the definition of the symbol.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "fixedUri" : "https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianPersonIdentifier", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.3" }, { "identity" : "rim", "map" : "./codeSystem" }, { "identity" : "orim", "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" }] }, { "id" : "MedicationRequest.subject.identifier.type.coding:ColombianCode.version", "path" : "MedicationRequest.subject.identifier.type.coding.version", "short" : "Version of the system - if relevant", "definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.version", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.7" }, { "identity" : "rim", "map" : "./codeSystemVersion" }, { "identity" : "orim", "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" }] }, { "id" : "MedicationRequest.subject.identifier.type.coding:ColombianCode.code", "path" : "MedicationRequest.subject.identifier.type.coding.code", "label" : "Elemento: 2.1", "short" : "CN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SI", "definition" : "Tipo de documento de identificación de la persona que desempeña el rol de paciente o usuario del sistema de salud", "requirements" : "Need to refer to a particular code in the system.", "alias" : ["Tipo de documento de identificación"], "min" : 1, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" }] }, { "id" : "MedicationRequest.subject.identifier.type.coding:ColombianCode.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "MedicationRequest.subject.identifier.type.coding.display", "label" : "Elemento: 2.1", "short" : "Cédula de ciudadanía | Tarjeta de identidad | Registro civil +", "definition" : "Representación del código definido por el sistema de identificaciones colombianas de personas", "requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.2 - but note this is not well followed" }, { "identity" : "rim", "map" : "CV.displayName" }, { "identity" : "orim", "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" }] }, { "id" : "MedicationRequest.subject.identifier.type.coding:ColombianCode.userSelected", "path" : "MedicationRequest.subject.identifier.type.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.", "requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "Sometimes implied by being first" }, { "identity" : "rim", "map" : "CD.codingRationale" }, { "identity" : "orim", "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" }] }, { "id" : "MedicationRequest.subject.identifier.type.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "MedicationRequest.subject.identifier.type.text", "short" : "Plain text representation of the concept", "definition" : "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min" : 0, "max" : "1", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.9. But note many systems use C*E.2 for this" }, { "identity" : "rim", "map" : "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" }] }, { "id" : "MedicationRequest.subject.identifier.system", "path" : "MedicationRequest.subject.identifier.system", "short" : "The namespace for the identifier value", "definition" : "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.", "comment" : "Identifier.system is always case sensitive.", "requirements" : "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "patternUri" : "https://fhir.minsalud.gov.co/rda/NamingSystem/RNEC", "example" : [{ "label" : "General", "valueUri" : "http://www.acme.com/identifiers/patient" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.4 / EI-2-4" }, { "identity" : "rim", "map" : "II.root or Role.id.root" }, { "identity" : "servd", "map" : "./IdentifierType" }] }, { "id" : "MedicationRequest.subject.identifier.value", "path" : "MedicationRequest.subject.identifier.value", "label" : "Elemento: 2.2", "short" : "Número de documento de identificación", "definition" : "Número de documento de identificación de la persona que desempeña el rol de paciente o usuario del sistema de salud", "comment" : "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "alias" : ["Identificación del paciente"], "min" : 1, "max" : "1", "base" : { "path" : "Identifier.value", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "example" : [{ "label" : "General", "valueString" : "123456" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.1 / EI.1" }, { "identity" : "rim", "map" : "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity" : "servd", "map" : "./Value" }] }, { "id" : "MedicationRequest.subject.identifier.period", "path" : "MedicationRequest.subject.identifier.period", "short" : "Time period when id is/was valid for use", "definition" : "Time period during which identifier is/was valid for use.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.period", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Period" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.7 + CX.8" }, { "identity" : "rim", "map" : "Role.effectiveTime or implied by context" }, { "identity" : "servd", "map" : "./StartDate and ./EndDate" }] }, { "id" : "MedicationRequest.subject.identifier.assigner", "path" : "MedicationRequest.subject.identifier.assigner", "short" : "Organization that issued id (may be just text)", "definition" : "Organization that issued/manages the identifier.", "comment" : "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.assigner", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity" : "rim", "map" : "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity" : "servd", "map" : "./IdentifierIssuingAuthority" }] }, { "id" : "MedicationRequest.subject.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "MedicationRequest.subject.display", "label" : "Elementos: 3.1, 3.2, 3.3 y 3.4", "short" : "Nombre del paciente", "definition" : "Nombre del paciente a quien se prescribe u ordena el direccionamiento de la prescripción de medicamentos, utilizando el recurso Patient del RDA.", "comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "MedicationRequest.encounter", "path" : "MedicationRequest.encounter", "short" : "Referencia al encuentro durante el cual se realizó la prescripción del medicamento", "definition" : "El encuentro de atención en salud durante el cual se realizó la prescripción del medicamento.", "comment" : "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.\" If there is a need to link to episodes of care they will be handled with an extension.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.encounter", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterAmbulatoryRDA", "https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterEmergencyRDA", "https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterHospitalizationRDA"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "workflow", "map" : "Request.context" }, { "identity" : "script10.6", "map" : "no mapping" }, { "identity" : "w5", "map" : "FiveWs.context" }, { "identity" : "v2", "map" : "PV1-19-Visit Number" }, { "identity" : "rim", "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]" }] }, { "id" : "MedicationRequest.supportingInformation", "path" : "MedicationRequest.supportingInformation", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "id" }], "description" : "Tipos de información de soporte del direccionamiento de la prescripción, que pueden incluir el Composition del RDA (consulta externa, urgencias u hospitalización) en el que se realizó la prescripción que originó este direccionamiento, o referencias a condiciones clínicas asociadas a la prescripción.", "ordered" : false, "rules" : "closed" }, "short" : "Referencias a información de soporte del direccionamiento de la prescripción", "definition" : "Referencias a información de soporte del direccionamiento de la prescripción, que puede incluir el Composition del RDA (consulta externa, urgencias u hospitalización) en el que se realizó la prescripción que originó este direccionamiento, o referencias a condiciones clínicas asociadas a la prescripción.", "min" : 3, "max" : "*", "base" : { "path" : "MedicationRequest.supportingInformation", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "workflow", "map" : "Request.supportingInfo" }, { "identity" : "w5", "map" : "FiveWs.context" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]" }] }, { "id" : "MedicationRequest.supportingInformation:ReferenceRDA", "path" : "MedicationRequest.supportingInformation", "sliceName" : "ReferenceRDA", "short" : "Referencia al código VIDA del documento RDA que originó la prescripción de medicamentos", "definition" : "Referencia al Composition del RDA (consulta externa, urgencias u hospitalización) en el que se realizó la prescripción que originó este direccionamiento. Cadena alfanumérica, que certifica la recepción y validación del RDA en el mecanismo de IHCE del Ministerio de Salud y Protección social.", "min" : 1, "max" : "1", "base" : { "path" : "MedicationRequest.supportingInformation", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.minsalud.gov.co/rda/StructureDefinition/CompositionAmbulatoryRDA", "https://fhir.minsalud.gov.co/rda/StructureDefinition/CompositionEmergencyRDA", "https://fhir.minsalud.gov.co/rda/StructureDefinition/CompositionHospitalizationRDA"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "workflow", "map" : "Request.supportingInfo" }, { "identity" : "w5", "map" : "FiveWs.context" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]" }] }, { "id" : "MedicationRequest.supportingInformation:ReferenceRDA.id", "path" : "MedicationRequest.supportingInformation.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 1, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "patternString" : "ReferenceRDA", "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.supportingInformation:ReferenceRDA.extension", "path" : "MedicationRequest.supportingInformation.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.supportingInformation:ReferenceRDA.reference", "path" : "MedicationRequest.supportingInformation.reference", "short" : "Literal reference, Relative, internal or absolute URL", "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min" : 1, "max" : "1", "base" : { "path" : "Reference.reference", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "MedicationRequest.supportingInformation:ReferenceRDA.type", "path" : "MedicationRequest.supportingInformation.type", "short" : "Type the reference refers to (e.g. \"Patient\")", "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).", "comment" : "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.", "min" : 1, "max" : "1", "base" : { "path" : "Reference.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "fixedUri" : "Composition", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "FHIRResourceTypeExt" }], "strength" : "extensible", "description" : "Aa resource (or, for logical models, the URI of the logical model).", "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "MedicationRequest.supportingInformation:ReferenceRDA.identifier", "path" : "MedicationRequest.supportingInformation.identifier", "short" : "Logical reference, when literal reference is not known", "definition" : "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.", "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).", "min" : 0, "max" : "1", "base" : { "path" : "Reference.identifier", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Identifier" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".identifier" }] }, { "id" : "MedicationRequest.supportingInformation:ReferenceRDA.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "MedicationRequest.supportingInformation.display", "short" : "Text alternative for the resource", "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.", "comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "MedicationRequest.supportingInformation:PrescriberPractitioner", "path" : "MedicationRequest.supportingInformation", "sliceName" : "PrescriberPractitioner", "short" : "Referencia al profesional de la salud que realizó la prescripción del medicamento", "definition" : "Referencia al profesional de la salud que realizó la prescripción del medicamento que originó este direccionamiento, utilizando el recurso Practitioner del RDA.", "min" : 1, "max" : "1", "base" : { "path" : "MedicationRequest.supportingInformation", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.minsalud.gov.co/rda/StructureDefinition/PractitionerRDA"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "workflow", "map" : "Request.supportingInfo" }, { "identity" : "w5", "map" : "FiveWs.context" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]" }] }, { "id" : "MedicationRequest.supportingInformation:PrescriberPractitioner.id", "path" : "MedicationRequest.supportingInformation.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 1, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "patternString" : "PrescriberPractitioner", "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.supportingInformation:PrescriberPractitioner.extension", "path" : "MedicationRequest.supportingInformation.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.supportingInformation:PrescriberPractitioner.reference", "path" : "MedicationRequest.supportingInformation.reference", "short" : "Literal reference, Relative, internal or absolute URL", "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min" : 1, "max" : "1", "base" : { "path" : "Reference.reference", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "MedicationRequest.supportingInformation:PrescriberPractitioner.type", "path" : "MedicationRequest.supportingInformation.type", "short" : "Type the reference refers to (e.g. \"Patient\")", "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).", "comment" : "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.", "min" : 1, "max" : "1", "base" : { "path" : "Reference.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "fixedUri" : "Practitioner", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "FHIRResourceTypeExt" }], "strength" : "extensible", "description" : "Aa resource (or, for logical models, the URI of the logical model).", "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "MedicationRequest.supportingInformation:PrescriberPractitioner.identifier", "path" : "MedicationRequest.supportingInformation.identifier", "label" : "Identificación prescriptor", "short" : "Identificación del profesional de la salud", "definition" : "Identificación del profesional de la salud que realizó la prescripción del medicamento", "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).", "min" : 0, "max" : "1", "base" : { "path" : "Reference.identifier", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Identifier" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".identifier" }] }, { "id" : "MedicationRequest.supportingInformation:PrescriberPractitioner.identifier.id", "path" : "MedicationRequest.supportingInformation.identifier.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 1, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "fixedString" : "PrescriberIdentifier", "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.supportingInformation:PrescriberPractitioner.identifier.extension", "path" : "MedicationRequest.supportingInformation.identifier.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.supportingInformation:PrescriberPractitioner.identifier.use", "path" : "MedicationRequest.supportingInformation.identifier.use", "short" : "usual | official | temp | secondary | old (If known)", "definition" : "The purpose of this identifier.", "comment" : "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements" : "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min" : 1, "max" : "1", "base" : { "path" : "Identifier.use", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "official", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : true, "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "IdentifierUse" }], "strength" : "required", "description" : "Identifies the purpose for this identifier, if known .", "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping" : [{ "identity" : "v2", "map" : "N/A" }, { "identity" : "rim", "map" : "Role.code or implied by context" }] }, { "id" : "MedicationRequest.supportingInformation:PrescriberPractitioner.identifier.type", "path" : "MedicationRequest.supportingInformation.identifier.type", "short" : "Description of identifier", "definition" : "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.", "comment" : "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.", "requirements" : "Allows users to make use of identifiers when the identifier system is not known.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "IdentifierType" }], "strength" : "extensible", "description" : "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping" : [{ "identity" : "v2", "map" : "CX.5" }, { "identity" : "rim", "map" : "Role.code or implied by context" }] }, { "id" : "MedicationRequest.supportingInformation:PrescriberPractitioner.identifier.system", "path" : "MedicationRequest.supportingInformation.identifier.system", "short" : "The namespace for the identifier value", "definition" : "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.", "comment" : "Identifier.system is always case sensitive.", "requirements" : "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min" : 1, "max" : "1", "base" : { "path" : "Identifier.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "fixedUri" : "https://fhir.minsalud.gov.co/rda/NamingSystem/RETHUS", "example" : [{ "label" : "General", "valueUri" : "http://www.acme.com/identifiers/patient" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.4 / EI-2-4" }, { "identity" : "rim", "map" : "II.root or Role.id.root" }, { "identity" : "servd", "map" : "./IdentifierType" }] }, { "id" : "MedicationRequest.supportingInformation:PrescriberPractitioner.identifier.value", "path" : "MedicationRequest.supportingInformation.identifier.value", "short" : "Valor de la identificación", "definition" : "Valor de la identificación del profesional de la salud que realizó la prescripción del medicamento", "comment" : "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min" : 1, "max" : "1", "base" : { "path" : "Identifier.value", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "example" : [{ "label" : "General", "valueString" : "123456" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.1 / EI.1" }, { "identity" : "rim", "map" : "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity" : "servd", "map" : "./Value" }] }, { "id" : "MedicationRequest.supportingInformation:PrescriberPractitioner.identifier.period", "path" : "MedicationRequest.supportingInformation.identifier.period", "short" : "Time period when id is/was valid for use", "definition" : "Time period during which identifier is/was valid for use.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.period", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Period" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.7 + CX.8" }, { "identity" : "rim", "map" : "Role.effectiveTime or implied by context" }, { "identity" : "servd", "map" : "./StartDate and ./EndDate" }] }, { "id" : "MedicationRequest.supportingInformation:PrescriberPractitioner.identifier.assigner", "path" : "MedicationRequest.supportingInformation.identifier.assigner", "short" : "Organization that issued id (may be just text)", "definition" : "Organization that issued/manages the identifier.", "comment" : "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.assigner", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity" : "rim", "map" : "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity" : "servd", "map" : "./IdentifierIssuingAuthority" }] }, { "id" : "MedicationRequest.supportingInformation:PrescriberPractitioner.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "MedicationRequest.supportingInformation.display", "short" : "Text alternative for the resource", "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.", "comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryOrganization", "path" : "MedicationRequest.supportingInformation", "sliceName" : "CareDeliveryOrganization", "short" : "Referencia a la organización de atención en salud donde se realizó la prescripción del medicamento", "definition" : "Referencia a la organización de atención en salud donde se realizó la prescripción del medicamento que originó este direccionamiento, utilizando el recurso Organization del RDA.", "min" : 1, "max" : "1", "base" : { "path" : "MedicationRequest.supportingInformation", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.minsalud.gov.co/rda/StructureDefinition/CareDeliveryOrganizationRDA"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "workflow", "map" : "Request.supportingInfo" }, { "identity" : "w5", "map" : "FiveWs.context" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]" }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryOrganization.id", "path" : "MedicationRequest.supportingInformation.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 1, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "patternString" : "CareDeliveryOrganization", "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryOrganization.extension", "path" : "MedicationRequest.supportingInformation.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryOrganization.reference", "path" : "MedicationRequest.supportingInformation.reference", "short" : "Literal reference, Relative, internal or absolute URL", "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min" : 1, "max" : "1", "base" : { "path" : "Reference.reference", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryOrganization.type", "path" : "MedicationRequest.supportingInformation.type", "short" : "Type the reference refers to (e.g. \"Patient\")", "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).", "comment" : "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.", "min" : 1, "max" : "1", "base" : { "path" : "Reference.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "fixedUri" : "Organization", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "FHIRResourceTypeExt" }], "strength" : "extensible", "description" : "Aa resource (or, for logical models, the URI of the logical model).", "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryOrganization.identifier", "path" : "MedicationRequest.supportingInformation.identifier", "label" : "Identificación IPS", "short" : "Identificación de la organización de atención en salud", "definition" : "Identificación de la organización de atención en salud donde se realizó la prescripción del medicamento que originó este direccionamiento", "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).", "min" : 0, "max" : "1", "base" : { "path" : "Reference.identifier", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Identifier" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".identifier" }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryOrganization.identifier.id", "path" : "MedicationRequest.supportingInformation.identifier.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 1, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "fixedString" : "OrganizationIdentifier", "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryOrganization.identifier.extension", "path" : "MedicationRequest.supportingInformation.identifier.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryOrganization.identifier.use", "path" : "MedicationRequest.supportingInformation.identifier.use", "short" : "usual | official | temp | secondary | old (If known)", "definition" : "The purpose of this identifier.", "comment" : "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements" : "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min" : 1, "max" : "1", "base" : { "path" : "Identifier.use", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "official", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : true, "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "IdentifierUse" }], "strength" : "required", "description" : "Identifies the purpose for this identifier, if known .", "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping" : [{ "identity" : "v2", "map" : "N/A" }, { "identity" : "rim", "map" : "Role.code or implied by context" }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryOrganization.identifier.type", "path" : "MedicationRequest.supportingInformation.identifier.type", "short" : "Description of identifier", "definition" : "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.", "comment" : "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.", "requirements" : "Allows users to make use of identifiers when the identifier system is not known.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "IdentifierType" }], "strength" : "extensible", "description" : "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping" : [{ "identity" : "v2", "map" : "CX.5" }, { "identity" : "rim", "map" : "Role.code or implied by context" }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryOrganization.identifier.system", "path" : "MedicationRequest.supportingInformation.identifier.system", "short" : "The namespace for the identifier value", "definition" : "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.", "comment" : "Identifier.system is always case sensitive.", "requirements" : "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min" : 1, "max" : "1", "base" : { "path" : "Identifier.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "fixedUri" : "https://fhir.minsalud.gov.co/rda/NamingSystem/REPS", "example" : [{ "label" : "General", "valueUri" : "http://www.acme.com/identifiers/patient" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.4 / EI-2-4" }, { "identity" : "rim", "map" : "II.root or Role.id.root" }, { "identity" : "servd", "map" : "./IdentifierType" }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryOrganization.identifier.value", "path" : "MedicationRequest.supportingInformation.identifier.value", "short" : "Valor del identificador", "definition" : "Valor del identificador de la organización de atención en salud", "comment" : "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min" : 1, "max" : "1", "base" : { "path" : "Identifier.value", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "example" : [{ "label" : "General", "valueString" : "123456" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.1 / EI.1" }, { "identity" : "rim", "map" : "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity" : "servd", "map" : "./Value" }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryOrganization.identifier.period", "path" : "MedicationRequest.supportingInformation.identifier.period", "short" : "Time period when id is/was valid for use", "definition" : "Time period during which identifier is/was valid for use.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.period", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Period" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.7 + CX.8" }, { "identity" : "rim", "map" : "Role.effectiveTime or implied by context" }, { "identity" : "servd", "map" : "./StartDate and ./EndDate" }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryOrganization.identifier.assigner", "path" : "MedicationRequest.supportingInformation.identifier.assigner", "short" : "Organization that issued id (may be just text)", "definition" : "Organization that issued/manages the identifier.", "comment" : "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.assigner", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity" : "rim", "map" : "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity" : "servd", "map" : "./IdentifierIssuingAuthority" }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryOrganization.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "MedicationRequest.supportingInformation.display", "short" : "Text alternative for the resource", "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.", "comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryLocation", "path" : "MedicationRequest.supportingInformation", "sliceName" : "CareDeliveryLocation", "short" : "Referencia al punto de atención en salud (sede) donde se realizó la prescripción del medicamento", "definition" : "Referencia al punto de atención en salud (sede) donde se realizó la prescripción del medicamento que originó este direccionamiento, utilizando el recurso Location del RDA.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.supportingInformation", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.minsalud.gov.co/rda/StructureDefinition/CareDeliveryLocationRDA"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "workflow", "map" : "Request.supportingInfo" }, { "identity" : "w5", "map" : "FiveWs.context" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]" }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryLocation.id", "path" : "MedicationRequest.supportingInformation.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 1, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "patternString" : "CareDeliveryLocation", "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryLocation.extension", "path" : "MedicationRequest.supportingInformation.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryLocation.reference", "path" : "MedicationRequest.supportingInformation.reference", "short" : "Literal reference, Relative, internal or absolute URL", "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min" : 1, "max" : "1", "base" : { "path" : "Reference.reference", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryLocation.type", "path" : "MedicationRequest.supportingInformation.type", "short" : "Type the reference refers to (e.g. \"Patient\")", "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).", "comment" : "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.", "min" : 1, "max" : "1", "base" : { "path" : "Reference.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "fixedUri" : "Location", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "FHIRResourceTypeExt" }], "strength" : "extensible", "description" : "Aa resource (or, for logical models, the URI of the logical model).", "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryLocation.identifier", "path" : "MedicationRequest.supportingInformation.identifier", "label" : "Identificación sede", "short" : "Identificador del punto de atención en salud (sede)", "definition" : "Identificador del punto de atención en salud (sede)", "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).", "min" : 0, "max" : "1", "base" : { "path" : "Reference.identifier", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Identifier" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".identifier" }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryLocation.identifier.id", "path" : "MedicationRequest.supportingInformation.identifier.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "fixedString" : "LocationIdentifier", "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryLocation.identifier.extension", "path" : "MedicationRequest.supportingInformation.identifier.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryLocation.identifier.use", "path" : "MedicationRequest.supportingInformation.identifier.use", "short" : "usual | official | temp | secondary | old (If known)", "definition" : "The purpose of this identifier.", "comment" : "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements" : "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min" : 1, "max" : "1", "base" : { "path" : "Identifier.use", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "official", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : true, "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "IdentifierUse" }], "strength" : "required", "description" : "Identifies the purpose for this identifier, if known .", "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping" : [{ "identity" : "v2", "map" : "N/A" }, { "identity" : "rim", "map" : "Role.code or implied by context" }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryLocation.identifier.type", "path" : "MedicationRequest.supportingInformation.identifier.type", "short" : "Description of identifier", "definition" : "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.", "comment" : "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.", "requirements" : "Allows users to make use of identifiers when the identifier system is not known.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "IdentifierType" }], "strength" : "extensible", "description" : "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping" : [{ "identity" : "v2", "map" : "CX.5" }, { "identity" : "rim", "map" : "Role.code or implied by context" }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryLocation.identifier.system", "path" : "MedicationRequest.supportingInformation.identifier.system", "short" : "The namespace for the identifier value", "definition" : "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.", "comment" : "Identifier.system is always case sensitive.", "requirements" : "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min" : 1, "max" : "1", "base" : { "path" : "Identifier.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "fixedUri" : "https://fhir.minsalud.gov.co/rda/NamingSystem/REPS", "example" : [{ "label" : "General", "valueUri" : "http://www.acme.com/identifiers/patient" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.4 / EI-2-4" }, { "identity" : "rim", "map" : "II.root or Role.id.root" }, { "identity" : "servd", "map" : "./IdentifierType" }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryLocation.identifier.value", "path" : "MedicationRequest.supportingInformation.identifier.value", "short" : "Valor del identificador", "definition" : "Valor del identificador del punto de atención en salud (sede)", "comment" : "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min" : 1, "max" : "1", "base" : { "path" : "Identifier.value", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "example" : [{ "label" : "General", "valueString" : "123456" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.1 / EI.1" }, { "identity" : "rim", "map" : "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity" : "servd", "map" : "./Value" }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryLocation.identifier.period", "path" : "MedicationRequest.supportingInformation.identifier.period", "short" : "Time period when id is/was valid for use", "definition" : "Time period during which identifier is/was valid for use.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.period", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Period" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.7 + CX.8" }, { "identity" : "rim", "map" : "Role.effectiveTime or implied by context" }, { "identity" : "servd", "map" : "./StartDate and ./EndDate" }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryLocation.identifier.assigner", "path" : "MedicationRequest.supportingInformation.identifier.assigner", "short" : "Organization that issued id (may be just text)", "definition" : "Organization that issued/manages the identifier.", "comment" : "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.assigner", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity" : "rim", "map" : "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity" : "servd", "map" : "./IdentifierIssuingAuthority" }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryLocation.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "MedicationRequest.supportingInformation.display", "short" : "Text alternative for the resource", "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.", "comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "MedicationRequest.authoredOn", "path" : "MedicationRequest.authoredOn", "label" : "Fecha y hora del direccionamiento", "short" : "Fecha de direccionamiento de la prescripción (Tecnología en salud)", "definition" : "La fecha y hora en que se realizó el direccionamiento de la prescripción.", "min" : 1, "max" : "1", "base" : { "path" : "MedicationRequest.authoredOn", "min" : 0, "max" : "1" }, "type" : [{ "code" : "dateTime" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Request.authoredOn" }, { "identity" : "script10.6", "map" : "Message/Body/NewRx/MedicationPrescribed/WrittenDate" }, { "identity" : "w5", "map" : "FiveWs.recorded" }, { "identity" : "v2", "map" : "RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction" }, { "identity" : "rim", "map" : "author.time" }] }, { "id" : "MedicationRequest.requester", "path" : "MedicationRequest.requester", "short" : "Who/What requested the Request", "definition" : "The individual, organization, or device that initiated the request and has responsibility for its activation.", "min" : 1, "max" : "1", "base" : { "path" : "MedicationRequest.requester", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.minsalud.gov.co/rda/StructureDefinition/HealthBenefitPlanAdminOrganizationRDA"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Request.requester" }, { "identity" : "w5", "map" : "FiveWs.author" }, { "identity" : "rim", "map" : ".participation[typeCode=AUT].role" }] }, { "id" : "MedicationRequest.requester.id", "path" : "MedicationRequest.requester.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.requester.extension", "path" : "MedicationRequest.requester.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.requester.reference", "path" : "MedicationRequest.requester.reference", "short" : "Referencia a la entidad responsable del direccionamiento de la prescripción", "definition" : "Referencia a la entidad responsable del direccionamiento de la prescripción, que puede ser una Entidad Administradora de Planes de Beneficios en Salud (EAPBS) u otra entidad de salud autorizada para realizar esta función.", "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min" : 1, "max" : "1", "base" : { "path" : "Reference.reference", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "MedicationRequest.requester.type", "path" : "MedicationRequest.requester.type", "short" : "Type the reference refers to (e.g. \"Patient\")", "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).", "comment" : "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.", "min" : 1, "max" : "1", "base" : { "path" : "Reference.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "fixedUri" : "Organization", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "FHIRResourceTypeExt" }], "strength" : "extensible", "description" : "Aa resource (or, for logical models, the URI of the logical model).", "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "MedicationRequest.requester.identifier", "path" : "MedicationRequest.requester.identifier", "label" : "Código EAPBS", "short" : "Identificación de la Entidad Administradora de Planes de Beneficios en Salud (EAPB)", "definition" : "Código asignado al administrador del plan de beneficios en el SGSSS", "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).", "min" : 1, "max" : "1", "base" : { "path" : "Reference.identifier", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Identifier" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".identifier" }] }, { "id" : "MedicationRequest.requester.identifier.id", "path" : "MedicationRequest.requester.identifier.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.requester.identifier.extension", "path" : "MedicationRequest.requester.identifier.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.requester.identifier.use", "path" : "MedicationRequest.requester.identifier.use", "short" : "usual | official | temp | secondary | old (If known)", "definition" : "The purpose of this identifier.", "comment" : "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements" : "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min" : 1, "max" : "1", "base" : { "path" : "Identifier.use", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "official", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : true, "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "IdentifierUse" }], "strength" : "required", "description" : "Identifies the purpose for this identifier, if known .", "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping" : [{ "identity" : "v2", "map" : "N/A" }, { "identity" : "rim", "map" : "Role.code or implied by context" }] }, { "id" : "MedicationRequest.requester.identifier.type", "path" : "MedicationRequest.requester.identifier.type", "short" : "Description of identifier", "definition" : "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.", "comment" : "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.", "requirements" : "Allows users to make use of identifiers when the identifier system is not known.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "IdentifierType" }], "strength" : "extensible", "description" : "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping" : [{ "identity" : "v2", "map" : "CX.5" }, { "identity" : "rim", "map" : "Role.code or implied by context" }] }, { "id" : "MedicationRequest.requester.identifier.system", "path" : "MedicationRequest.requester.identifier.system", "short" : "The namespace for the identifier value", "definition" : "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.", "comment" : "Identifier.system is always case sensitive.", "requirements" : "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min" : 1, "max" : "1", "base" : { "path" : "Identifier.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "fixedUri" : "https://fhir.minsalud.gov.co/rda/NamingSystem/EAPBS", "example" : [{ "label" : "General", "valueUri" : "http://www.acme.com/identifiers/patient" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.4 / EI-2-4" }, { "identity" : "rim", "map" : "II.root or Role.id.root" }, { "identity" : "servd", "map" : "./IdentifierType" }] }, { "id" : "MedicationRequest.requester.identifier.value", "path" : "MedicationRequest.requester.identifier.value", "label" : "Elemento: 15.1", "short" : "Código EAPBS", "definition" : "Código asignado al administrador del plan de beneficios en el SGSSS", "comment" : "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min" : 1, "max" : "1", "base" : { "path" : "Identifier.value", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "example" : [{ "label" : "General", "valueString" : "123456" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.1 / EI.1" }, { "identity" : "rim", "map" : "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity" : "servd", "map" : "./Value" }] }, { "id" : "MedicationRequest.requester.identifier.period", "path" : "MedicationRequest.requester.identifier.period", "short" : "Time period when id is/was valid for use", "definition" : "Time period during which identifier is/was valid for use.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.period", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Period" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.7 + CX.8" }, { "identity" : "rim", "map" : "Role.effectiveTime or implied by context" }, { "identity" : "servd", "map" : "./StartDate and ./EndDate" }] }, { "id" : "MedicationRequest.requester.identifier.assigner", "path" : "MedicationRequest.requester.identifier.assigner", "short" : "Organization that issued id (may be just text)", "definition" : "Organization that issued/manages the identifier.", "comment" : "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.assigner", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity" : "rim", "map" : "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity" : "servd", "map" : "./IdentifierIssuingAuthority" }] }, { "id" : "MedicationRequest.requester.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "MedicationRequest.requester.display", "label" : "Elemento: 15.2", "short" : "Nombre de la Entidad Administradora de Planes de Beneficios en Salud (EAPB)", "definition" : "Nombre asignado al administrador del plan de beneficios en el SGSSS", "comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "MedicationRequest.performer", "path" : "MedicationRequest.performer", "short" : "Intended performer of administration", "definition" : "The specified desired performer of the medication treatment (e.g. the performer of the medication administration).", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.performer", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Device", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/CareTeam"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "workflow", "map" : "Request.performer" }, { "identity" : "w5", "map" : "FiveWs.actor" }, { "identity" : "rim", "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]" }] }, { "id" : "MedicationRequest.performerType", "path" : "MedicationRequest.performerType", "short" : "Desired kind of performer of the medication administration", "definition" : "Indicates the type of performer of the administration of the medication.", "comment" : "If specified without indicating a performer, this indicates that the performer must be of the specified type. If specified with a performer then it indicates the requirements of the performer if the designated performer is not available.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.performerType", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "MedicationRequestPerformerType" }], "strength" : "example", "description" : "Identifies the type of individual that is desired to administer the medication.", "valueSet" : "http://hl7.org/fhir/ValueSet/performer-role" }, "mapping" : [{ "identity" : "workflow", "map" : "Request.performerType" }, { "identity" : "rim", "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=KIND].code" }] }, { "id" : "MedicationRequest.recorder", "path" : "MedicationRequest.recorder", "short" : "Person who entered the request", "definition" : "The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.", "min" : 0, "max" : "0", "base" : { "path" : "MedicationRequest.recorder", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.who" }, { "identity" : "rim", "map" : ".participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType)" }] }, { "id" : "MedicationRequest.reasonCode", "path" : "MedicationRequest.reasonCode", "label" : "Elemento: 25", "short" : "Finalidad de la tecnología en Salud", "definition" : "Código que permite identificar la finalidad del procedimiento realizado, de acuerdo con la taxonomía definida por el Ministerio de Salud y Protección Social para la clasificación de procedimientos, dispositivos y medicamentos.", "comment" : "This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonReference.", "min" : 1, "max" : "1", "base" : { "path" : "MedicationRequest.reasonCode", "min" : 0, "max" : "*" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "binding" : { "strength" : "required", "valueSet" : "https://fhir.minsalud.gov.co/rda/ValueSet/RIPSFinalidadConsultaVersion2Codigos" }, "mapping" : [{ "identity" : "workflow", "map" : "Request.reasonCode" }, { "identity" : "script10.6", "map" : "Message/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value" }, { "identity" : "w5", "map" : "FiveWs.why[x]" }, { "identity" : "v2", "map" : "ORC-16-Order Control Code Reason /RXE-27-Give Indication/RXO-20-Indication / RXD-21-Indication / RXG-22-Indication / RXA-19-Indication" }, { "identity" : "rim", "map" : "reason.observation.reasonCode" }] }, { "id" : "MedicationRequest.reasonCode.id", "path" : "MedicationRequest.reasonCode.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.reasonCode.extension", "path" : "MedicationRequest.reasonCode.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.reasonCode.coding", "path" : "MedicationRequest.reasonCode.coding", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.", "min" : 0, "max" : "*", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "MedicationRequest.reasonCode.coding.id", "path" : "MedicationRequest.reasonCode.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.reasonCode.coding.extension", "path" : "MedicationRequest.reasonCode.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.reasonCode.coding.system", "path" : "MedicationRequest.reasonCode.coding.system", "short" : "Identity of the terminology system", "definition" : "The identification of the code system that defines the meaning of the symbol in the code.", "comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.", "requirements" : "Need to be unambiguous about the source of the definition of the symbol.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "fixedUri" : "https://fhir.minsalud.gov.co/rda/CodeSystem/RIPSFinalidadConsultaVersion2", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.3" }, { "identity" : "rim", "map" : "./codeSystem" }, { "identity" : "orim", "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" }] }, { "id" : "MedicationRequest.reasonCode.coding.version", "path" : "MedicationRequest.reasonCode.coding.version", "short" : "Version of the system - if relevant", "definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.version", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.7" }, { "identity" : "rim", "map" : "./codeSystemVersion" }, { "identity" : "orim", "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" }] }, { "id" : "MedicationRequest.reasonCode.coding.code", "path" : "MedicationRequest.reasonCode.coding.code", "short" : "Symbol in syntax defined by the system", "definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).", "requirements" : "Need to refer to a particular code in the system.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" }] }, { "id" : "MedicationRequest.reasonCode.coding.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "MedicationRequest.reasonCode.coding.display", "short" : "Representation defined by the system", "definition" : "A representation of the meaning of the code in the system, following the rules of the system.", "requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.2 - but note this is not well followed" }, { "identity" : "rim", "map" : "CV.displayName" }, { "identity" : "orim", "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" }] }, { "id" : "MedicationRequest.reasonCode.coding.userSelected", "path" : "MedicationRequest.reasonCode.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.", "requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "Sometimes implied by being first" }, { "identity" : "rim", "map" : "CD.codingRationale" }, { "identity" : "orim", "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" }] }, { "id" : "MedicationRequest.reasonCode.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "MedicationRequest.reasonCode.text", "short" : "Plain text representation of the concept", "definition" : "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min" : 0, "max" : "1", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.9. But note many systems use C*E.2 for this" }, { "identity" : "rim", "map" : "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" }] }, { "id" : "MedicationRequest.reasonReference", "path" : "MedicationRequest.reasonReference", "short" : "Condition or observation that supports why the prescription is being written", "definition" : "Condition or observation that supports why the medication was ordered.", "comment" : "This is a reference to a condition or observation that is the reason for the medication order. If only a code exists, use reasonCode.", "min" : 0, "max" : "*", "base" : { "path" : "MedicationRequest.reasonReference", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.minsalud.gov.co/rda/StructureDefinition/ConditionRDA"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "workflow", "map" : "Request.reasonReference" }, { "identity" : "script10.6", "map" : "no mapping" }, { "identity" : "w5", "map" : "FiveWs.why[x]" }, { "identity" : "rim", "map" : "reason.observation[code=ASSERTION].value" }] }, { "id" : "MedicationRequest.instantiatesCanonical", "path" : "MedicationRequest.instantiatesCanonical", "short" : "Instantiates FHIR protocol or definition", "definition" : "The URL pointing to a protocol, guideline, orderset, or other definition that is adhered to in whole or in part by this MedicationRequest.", "min" : 0, "max" : "0", "base" : { "path" : "MedicationRequest.instantiatesCanonical", "min" : 0, "max" : "*" }, "type" : [{ "code" : "canonical" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Request.instantiates" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=DEFN].target" }] }, { "id" : "MedicationRequest.instantiatesUri", "path" : "MedicationRequest.instantiatesUri", "short" : "Instantiates external protocol or definition", "definition" : "The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this MedicationRequest.", "min" : 0, "max" : "0", "base" : { "path" : "MedicationRequest.instantiatesUri", "min" : 0, "max" : "*" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".outboundRelationship[typeCode=DEFN].target" }] }, { "id" : "MedicationRequest.basedOn", "path" : "MedicationRequest.basedOn", "short" : "What request fulfills", "definition" : "A plan or request that is fulfilled in whole or in part by this medication request.", "min" : 1, "max" : "1", "base" : { "path" : "MedicationRequest.basedOn", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.minsalud.gov.co/rda/StructureDefinition/MedicationRequestRDA"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Request.basedOn" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]" }] }, { "id" : "MedicationRequest.basedOn.id", "path" : "MedicationRequest.basedOn.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.basedOn.extension", "path" : "MedicationRequest.basedOn.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.basedOn.reference", "path" : "MedicationRequest.basedOn.reference", "short" : "Literal reference, Relative, internal or absolute URL", "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.reference", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "MedicationRequest.basedOn.type", "path" : "MedicationRequest.basedOn.type", "short" : "Type the reference refers to (e.g. \"Patient\")", "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).", "comment" : "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "FHIRResourceTypeExt" }], "strength" : "extensible", "description" : "Aa resource (or, for logical models, the URI of the logical model).", "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "MedicationRequest.basedOn.identifier", "path" : "MedicationRequest.basedOn.identifier", "short" : "Identificador de la prescripción", "definition" : "Número identificador de la orden médica (prescripción) asociada", "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).", "min" : 1, "max" : "1", "base" : { "path" : "Reference.identifier", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Identifier" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".identifier" }] }, { "id" : "MedicationRequest.basedOn.identifier.id", "path" : "MedicationRequest.basedOn.identifier.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.basedOn.identifier.extension", "path" : "MedicationRequest.basedOn.identifier.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.basedOn.identifier.use", "path" : "MedicationRequest.basedOn.identifier.use", "short" : "usual | official | temp | secondary | old (If known)", "definition" : "The purpose of this identifier.", "comment" : "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements" : "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.use", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : true, "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "IdentifierUse" }], "strength" : "required", "description" : "Identifies the purpose for this identifier, if known .", "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping" : [{ "identity" : "v2", "map" : "N/A" }, { "identity" : "rim", "map" : "Role.code or implied by context" }] }, { "id" : "MedicationRequest.basedOn.identifier.type", "path" : "MedicationRequest.basedOn.identifier.type", "short" : "Description of identifier", "definition" : "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.", "comment" : "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.", "requirements" : "Allows users to make use of identifiers when the identifier system is not known.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "IdentifierType" }], "strength" : "extensible", "description" : "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping" : [{ "identity" : "v2", "map" : "CX.5" }, { "identity" : "rim", "map" : "Role.code or implied by context" }] }, { "id" : "MedicationRequest.basedOn.identifier.system", "path" : "MedicationRequest.basedOn.identifier.system", "short" : "Sistema de identificación de la prescripción", "definition" : "Sistema de identificación de la orden médica (prescripción) asociada.", "comment" : "Identifier.system is always case sensitive.", "requirements" : "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min" : 1, "max" : "1", "base" : { "path" : "Identifier.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "example" : [{ "label" : "General", "valueUri" : "http://www.acme.com/identifiers/patient" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.4 / EI-2-4" }, { "identity" : "rim", "map" : "II.root or Role.id.root" }, { "identity" : "servd", "map" : "./IdentifierType" }] }, { "id" : "MedicationRequest.basedOn.identifier.value", "path" : "MedicationRequest.basedOn.identifier.value", "short" : "Número de la prescripción", "definition" : "Número de la orden médica (prescripción) asociada.", "comment" : "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min" : 1, "max" : "1", "base" : { "path" : "Identifier.value", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "example" : [{ "label" : "General", "valueString" : "123456" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.1 / EI.1" }, { "identity" : "rim", "map" : "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity" : "servd", "map" : "./Value" }] }, { "id" : "MedicationRequest.basedOn.identifier.period", "path" : "MedicationRequest.basedOn.identifier.period", "short" : "Time period when id is/was valid for use", "definition" : "Time period during which identifier is/was valid for use.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.period", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Period" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.7 + CX.8" }, { "identity" : "rim", "map" : "Role.effectiveTime or implied by context" }, { "identity" : "servd", "map" : "./StartDate and ./EndDate" }] }, { "id" : "MedicationRequest.basedOn.identifier.assigner", "path" : "MedicationRequest.basedOn.identifier.assigner", "short" : "Organization that issued id (may be just text)", "definition" : "Organization that issued/manages the identifier.", "comment" : "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.assigner", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity" : "rim", "map" : "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity" : "servd", "map" : "./IdentifierIssuingAuthority" }] }, { "id" : "MedicationRequest.basedOn.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "MedicationRequest.basedOn.display", "short" : "Text alternative for the resource", "definition" : "Plain text narrative that identifies the resource in addition to the resource reference.", "comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "MedicationRequest.groupIdentifier", "path" : "MedicationRequest.groupIdentifier", "short" : "Número externo de direccionamiento", "definition" : "Número identificador del direccionamiento", "requirements" : "Requests are linked either by a \"basedOn\" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.", "min" : 1, "max" : "1", "base" : { "path" : "MedicationRequest.groupIdentifier", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Identifier" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Request.groupIdentifier" }, { "identity" : "rim", "map" : ".outboundRelationship(typeCode=COMP].target[classCode=SBADM, moodCode=INT].id" }] }, { "id" : "MedicationRequest.groupIdentifier.id", "path" : "MedicationRequest.groupIdentifier.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.groupIdentifier.extension", "path" : "MedicationRequest.groupIdentifier.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.groupIdentifier.use", "path" : "MedicationRequest.groupIdentifier.use", "short" : "usual | official | temp | secondary | old (If known)", "definition" : "The purpose of this identifier.", "comment" : "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements" : "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.use", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : true, "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "IdentifierUse" }], "strength" : "required", "description" : "Identifies the purpose for this identifier, if known .", "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping" : [{ "identity" : "v2", "map" : "N/A" }, { "identity" : "rim", "map" : "Role.code or implied by context" }] }, { "id" : "MedicationRequest.groupIdentifier.type", "path" : "MedicationRequest.groupIdentifier.type", "short" : "Description of identifier", "definition" : "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.", "comment" : "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.", "requirements" : "Allows users to make use of identifiers when the identifier system is not known.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "IdentifierType" }], "strength" : "extensible", "description" : "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping" : [{ "identity" : "v2", "map" : "CX.5" }, { "identity" : "rim", "map" : "Role.code or implied by context" }] }, { "id" : "MedicationRequest.groupIdentifier.system", "path" : "MedicationRequest.groupIdentifier.system", "short" : "Sistema de identificación del direccionamiento", "definition" : "Sistema de identificación del direccionamiento, el cual debe ser un URI que identifique de manera única el sistema utilizado para registrar el direccionamiento. Se recomienda utilizar la siguiente sintaxis de URI: 'https://example.org/NamingSystem/NumeroAgrupadorDireccionamiento', donde 'example.org' debe ser reemplazado por el dominio correspondiente de la EAPB.", "comment" : "Identifier.system is always case sensitive.", "requirements" : "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min" : 1, "max" : "1", "base" : { "path" : "Identifier.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "example" : [{ "label" : "General", "valueUri" : "http://www.acme.com/identifiers/patient" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.4 / EI-2-4" }, { "identity" : "rim", "map" : "II.root or Role.id.root" }, { "identity" : "servd", "map" : "./IdentifierType" }] }, { "id" : "MedicationRequest.groupIdentifier.value", "path" : "MedicationRequest.groupIdentifier.value", "short" : "Número del direccionamiento", "definition" : "The portion of the identifier typically relevant to the user and which is unique within the context of the system.", "comment" : "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min" : 1, "max" : "1", "base" : { "path" : "Identifier.value", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "example" : [{ "label" : "General", "valueString" : "123456" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.1 / EI.1" }, { "identity" : "rim", "map" : "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity" : "servd", "map" : "./Value" }] }, { "id" : "MedicationRequest.groupIdentifier.period", "path" : "MedicationRequest.groupIdentifier.period", "short" : "Time period when id is/was valid for use", "definition" : "Time period during which identifier is/was valid for use.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.period", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Period" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.7 + CX.8" }, { "identity" : "rim", "map" : "Role.effectiveTime or implied by context" }, { "identity" : "servd", "map" : "./StartDate and ./EndDate" }] }, { "id" : "MedicationRequest.groupIdentifier.assigner", "path" : "MedicationRequest.groupIdentifier.assigner", "short" : "Organization that issued id (may be just text)", "definition" : "Organization that issued/manages the identifier.", "comment" : "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.assigner", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity" : "rim", "map" : "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity" : "servd", "map" : "./IdentifierIssuingAuthority" }] }, { "id" : "MedicationRequest.courseOfTherapyType", "path" : "MedicationRequest.courseOfTherapyType", "short" : "Overall pattern of medication administration", "definition" : "The description of the overall patte3rn of the administration of the medication to the patient.", "comment" : "This attribute should not be confused with the protocol of the medication.", "min" : 0, "max" : "0", "base" : { "path" : "MedicationRequest.courseOfTherapyType", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "MedicationRequestCourseOfTherapy" }], "strength" : "example", "description" : "Identifies the overall pattern of medication administratio.", "valueSet" : "http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy" }, "mapping" : [{ "identity" : "rim", "map" : "Act.code where classCode = LIST and moodCode = EVN" }] }, { "id" : "MedicationRequest.insurance", "path" : "MedicationRequest.insurance", "short" : "Associated insurance coverage", "definition" : "Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service.", "min" : 0, "max" : "0", "base" : { "path" : "MedicationRequest.insurance", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Coverage", "http://hl7.org/fhir/StructureDefinition/ClaimResponse"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "workflow", "map" : "Request.insurance" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COVBY].target" }] }, { "id" : "MedicationRequest.note", "path" : "MedicationRequest.note", "short" : "Information about the prescription", "definition" : "Extra information about the prescription that could not be conveyed by the other attributes.", "min" : 0, "max" : "*", "base" : { "path" : "MedicationRequest.note", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Annotation" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "workflow", "map" : "Request.note" }, { "identity" : "script10.6", "map" : "Message/Body/NewRx/MedicationPrescribed/Note" }, { "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=\"annotation\"].value" }] }, { "id" : "MedicationRequest.dosageInstruction", "path" : "MedicationRequest.dosageInstruction", "short" : "How the medication should be taken", "definition" : "Indicates how the medication is to be used by the patient.", "comment" : "There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, \"Ondansetron 8mg orally or IV twice a day as needed for nausea\" or \"Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting\". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed.", "min" : 0, "max" : "*", "base" : { "path" : "MedicationRequest.dosageInstruction", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Dosage" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "workflow", "map" : "Request.occurrence[x]" }, { "identity" : "rim", "map" : "see dosageInstruction mapping" }] }, { "id" : "MedicationRequest.dispenseRequest", "path" : "MedicationRequest.dispenseRequest", "short" : "Medication supply authorization", "definition" : "Indicates the specific details for the dispense or medication supply part of a medication request (also known as a Medication Prescription or Medication Order). Note that this information is not always sent with the order. There may be in some settings (e.g. hospitals) institutional or system support for completing the dispense details in the pharmacy department.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.dispenseRequest", "min" : 0, "max" : "1" }, "type" : [{ "code" : "BackboneElement" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "script10.6", "map" : "Message/Body/NewRx/MedicationPrescribed/ExpirationDate" }, { "identity" : "rim", "map" : "component.supplyEvent" }] }, { "id" : "MedicationRequest.dispenseRequest.id", "path" : "MedicationRequest.dispenseRequest.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.dispenseRequest.extension", "path" : "MedicationRequest.dispenseRequest.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "ordered" : false, "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 2, "max" : "3", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false }, { "id" : "MedicationRequest.dispenseRequest.extension:ExtensionDeliveryMunicipality", "path" : "MedicationRequest.dispenseRequest.extension", "sliceName" : "ExtensionDeliveryMunicipality", "short" : "Código y nombre del municipio donde se direcciona la entrega (dispensación) del medicamento", "definition" : "Información del código y nombre del municipio donde se direcciona la entrega (dispensación) del medicamento, utilizando el catálogo de municipios establecido por el Departamento Administrativo Nacional de Estadística (DANE).", "min" : 1, "max" : "1", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension", "profile" : ["https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionAddress"] }], "condition" : ["ele-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false }, { "id" : "MedicationRequest.dispenseRequest.extension:ExtensionMedicationDispenseQuantity", "path" : "MedicationRequest.dispenseRequest.extension", "sliceName" : "ExtensionMedicationDispenseQuantity", "short" : "Cantidad total direccionada", "definition" : "Cantidad total del medicamento que se direcciona para dispensación al paciente según este direccionamiento de la prescripción. Esta cantidad corresponde a la cantidad total del medicamento que se autoriza para dispensación al paciente según este direccionamiento, teniendo en cuenta el número de entregas (dispensaciones) autorizadas y la cantidad de medicamento a suministrar por cada entrega (dispensación). Esta extensión incluye el código y nombre de la unidad de entrega del medicamento", "min" : 1, "max" : "1", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension", "profile" : ["https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionMedicationDispenseQuantity"] }], "condition" : ["ele-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false }, { "id" : "MedicationRequest.dispenseRequest.extension:ExtensionDeliveryNumber", "path" : "MedicationRequest.dispenseRequest.extension", "sliceName" : "ExtensionDeliveryNumber", "short" : "Número de entrega", "definition" : "Número secuencial de esta entrega dentro del plan de dispensaciones direccionadas.", "min" : 0, "max" : "1", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension", "profile" : ["https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionDeliveryNumber"] }], "condition" : ["ele-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false }, { "id" : "MedicationRequest.dispenseRequest.modifierExtension", "path" : "MedicationRequest.dispenseRequest.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).", "alias" : ["extensions", "user content", "modifiers"], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "MedicationRequest.dispenseRequest.initialFill", "path" : "MedicationRequest.dispenseRequest.initialFill", "short" : "First fill details", "definition" : "Indicates the quantity or duration for the first dispense of the medication.", "comment" : "If populating this element, either the quantity or the duration must be included.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.dispenseRequest.initialFill", "min" : 0, "max" : "1" }, "type" : [{ "code" : "BackboneElement" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "SubstanceAdministration -> ActRelationship[sequenceNumber = '1'] -> Supply" }] }, { "id" : "MedicationRequest.dispenseRequest.initialFill.id", "path" : "MedicationRequest.dispenseRequest.initialFill.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.dispenseRequest.initialFill.extension", "path" : "MedicationRequest.dispenseRequest.initialFill.extension", "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.dispenseRequest.initialFill.modifierExtension", "path" : "MedicationRequest.dispenseRequest.initialFill.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).", "alias" : ["extensions", "user content", "modifiers"], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "MedicationRequest.dispenseRequest.initialFill.quantity", "path" : "MedicationRequest.dispenseRequest.initialFill.quantity", "short" : "First fill quantity", "definition" : "The amount or quantity to provide as part of the first dispense.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.dispenseRequest.initialFill.quantity", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Quantity", "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "Supply.quantity[moodCode=RQO]" }] }, { "id" : "MedicationRequest.dispenseRequest.initialFill.duration", "path" : "MedicationRequest.dispenseRequest.initialFill.duration", "short" : "First fill duration", "definition" : "The length of time that the first dispense is expected to last.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.dispenseRequest.initialFill.duration", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Duration" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "Supply.effectivetime[moodCode=RQO]" }] }, { "id" : "MedicationRequest.dispenseRequest.dispenseInterval", "path" : "MedicationRequest.dispenseRequest.dispenseInterval", "short" : "Minimum period of time between dispenses", "definition" : "The minimum period of time that must occur between dispenses of the medication.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.dispenseRequest.dispenseInterval", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Duration" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "Supply.effectivetime[moodCode=RQO]" }] }, { "id" : "MedicationRequest.dispenseRequest.validityPeriod", "path" : "MedicationRequest.dispenseRequest.validityPeriod", "short" : "Vigencia de la prescripción", "definition" : "Periodo de tiempo durante el cual es válido el direccionamiento de la prescripción, es decir, el periodo durante el cual se autoriza la dispensación del medicamento al paciente según este direccionamiento.", "comment" : "It reflects the prescribers' perspective for the validity of the prescription. Dispenses must not be made against the prescription outside of this period. The lower-bound of the Dispensing Window signifies the earliest date that the prescription can be filled for the first time. If an upper-bound is not specified then the Prescription is open-ended or will default to a stale-date based on regulations.", "requirements" : "Indicates when the Prescription becomes valid, and when it ceases to be a dispensable Prescription.", "min" : 1, "max" : "1", "base" : { "path" : "MedicationRequest.dispenseRequest.validityPeriod", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Period" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "script10.6", "map" : "Message/Body/NewRx/MedicationPrescribed/Refills" }, { "identity" : "rim", "map" : "effectiveTime" }] }, { "id" : "MedicationRequest.dispenseRequest.validityPeriod.id", "path" : "MedicationRequest.dispenseRequest.validityPeriod.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.dispenseRequest.validityPeriod.extension", "path" : "MedicationRequest.dispenseRequest.validityPeriod.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.dispenseRequest.validityPeriod.start", "path" : "MedicationRequest.dispenseRequest.validityPeriod.start", "short" : "Starting time with inclusive boundary", "definition" : "The start of the period. The boundary is inclusive.", "comment" : "If the low element is missing, the meaning is that the low boundary is not known.", "min" : 0, "max" : "0", "base" : { "path" : "Period.start", "min" : 0, "max" : "1" }, "type" : [{ "code" : "dateTime" }], "condition" : ["per-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "DR.1" }, { "identity" : "rim", "map" : "./low" }] }, { "id" : "MedicationRequest.dispenseRequest.validityPeriod.end", "path" : "MedicationRequest.dispenseRequest.validityPeriod.end", "short" : "Fecha máxima de entrega del medicamento", "definition" : "Fecha máxima hasta la cual se autoriza la entrega (dispensación) del medicamento al paciente según este direccionamiento de la prescripción. Sintaxis AAAA-MM-DD", "comment" : "The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.", "min" : 1, "max" : "1", "base" : { "path" : "Period.end", "min" : 0, "max" : "1" }, "type" : [{ "code" : "dateTime" }], "meaningWhenMissing" : "If the end of the period is missing, it means that the period is ongoing", "condition" : ["per-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "DR.2" }, { "identity" : "rim", "map" : "./high" }] }, { "id" : "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed", "path" : "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed", "short" : "Número de entregas direccionadas", "definition" : "Número de entregas (dispensaciones) del medicamento que se autoriza al paciente según este direccionamiento de la prescripción. Corresponde al número de veces que se puede dispensar el medicamento al paciente según este direccionamiento, sin necesidad de realizar un nuevo direccionamiento. Si el valor es 1, significa que se autoriza una sola entrega del medicamento al paciente según este direccionamiento.", "comment" : "If displaying \"number of authorized fills\", add 1 to this number.", "min" : 1, "max" : "1", "base" : { "path" : "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed", "min" : 0, "max" : "1" }, "type" : [{ "code" : "unsignedInt" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "script10.6", "map" : "Message/Body/NewRx/MedicationPrescribed/Quantity" }, { "identity" : "v2", "map" : "RXE-12-Number of Refills" }, { "identity" : "rim", "map" : "repeatNumber" }] }, { "id" : "MedicationRequest.dispenseRequest.quantity", "path" : "MedicationRequest.dispenseRequest.quantity", "short" : "Cantidad de medicamento a suministrar por cada entrega (dispensación)", "definition" : "La cantidad de medicamento que se debe suministrar para cada entrega (dispensación) autorizada al paciente según este direccionamiento de la prescripción. Debe incluir el código y nombre de la unidad de dispensación del medicamento.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.dispenseRequest.quantity", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Quantity", "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "binding" : { "strength" : "required", "valueSet" : "https://fhir.minsalud.gov.co/rda/ValueSet/MipresDispenseUnitCodes" }, "mapping" : [{ "identity" : "script10.6", "map" : "Message/Body/NewRx/MedicationPrescribed/DaysSupply" }, { "identity" : "v2", "map" : "RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system" }, { "identity" : "rim", "map" : "quantity" }] }, { "id" : "MedicationRequest.dispenseRequest.quantity.id", "path" : "MedicationRequest.dispenseRequest.quantity.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.dispenseRequest.quantity.extension", "path" : "MedicationRequest.dispenseRequest.quantity.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.dispenseRequest.quantity.value", "path" : "MedicationRequest.dispenseRequest.quantity.value", "short" : "Numerical value (with implicit precision)", "definition" : "The value of the measured amount. The value includes an implicit precision in the presentation of the value.", "comment" : "The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).", "requirements" : "Precision is handled implicitly in almost all cases of measurement.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.value", "min" : 0, "max" : "1" }, "type" : [{ "code" : "decimal" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "SN.2 / CQ - N/A" }, { "identity" : "rim", "map" : "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value" }] }, { "id" : "MedicationRequest.dispenseRequest.quantity.comparator", "path" : "MedicationRequest.dispenseRequest.quantity.comparator", "short" : "< | <= | >= | > - how to understand the value", "definition" : "Not allowed to be used in this context", "requirements" : "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.", "min" : 0, "max" : "0", "base" : { "path" : "Quantity.comparator", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "meaningWhenMissing" : "If there is no comparator, then there is no modification of the value", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : true, "isModifierReason" : "This is labeled as \"Is Modifier\" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value", "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "QuantityComparator" }], "strength" : "required", "description" : "How the Quantity should be understood and represented.", "valueSet" : "http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1" }, "mapping" : [{ "identity" : "v2", "map" : "SN.1 / CQ.1" }, { "identity" : "rim", "map" : "IVL properties" }] }, { "id" : "MedicationRequest.dispenseRequest.quantity.unit", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "MedicationRequest.dispenseRequest.quantity.unit", "short" : "Unit representation", "definition" : "A human-readable form of the unit.", "requirements" : "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.", "min" : 0, "max" : "1", "base" : { "path" : "Quantity.unit", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.unit" }] }, { "id" : "MedicationRequest.dispenseRequest.quantity.system", "path" : "MedicationRequest.dispenseRequest.quantity.system", "short" : "System that defines coded unit form", "definition" : "The identification of the system that provides the coded form of the unit.", "requirements" : "Need to know the system that defines the coded form of the unit.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "fixedUri" : "https://fhir.minsalud.gov.co/rda/CodeSystem/MipresDispenseUnit", "condition" : ["qty-3"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "CO.codeSystem, PQ.translation.codeSystem" }] }, { "id" : "MedicationRequest.dispenseRequest.quantity.code", "path" : "MedicationRequest.dispenseRequest.quantity.code", "short" : "Coded form of the unit", "definition" : "A computer processable form of the unit in some unit representation system.", "comment" : "The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.", "requirements" : "Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.", "min" : 1, "max" : "1", "base" : { "path" : "Quantity.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "(see OBX.6 etc.) / CQ.2" }, { "identity" : "rim", "map" : "PQ.code, MO.currency, PQ.translation.code" }] }, { "id" : "MedicationRequest.dispenseRequest.expectedSupplyDuration", "path" : "MedicationRequest.dispenseRequest.expectedSupplyDuration", "short" : "Number of days supply per dispense", "definition" : "Identifies the period time over which the supplied product is expected to be used, or the length of time the dispense is expected to last.", "comment" : "In some situations, this attribute may be used instead of quantity to identify the amount supplied by how long it is expected to last, rather than the physical quantity issued, e.g. 90 days supply of medication (based on an ordered dosage). When possible, it is always better to specify quantity, as this tends to be more precise. expectedSupplyDuration will always be an estimate that can be influenced by external factors.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.dispenseRequest.expectedSupplyDuration", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Duration" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "script10.6", "map" : "Message/Body/NewRx/MedicationPrescribed/Substitutions" }, { "identity" : "rim", "map" : "expectedUseTime" }] }, { "id" : "MedicationRequest.dispenseRequest.performer", "path" : "MedicationRequest.dispenseRequest.performer", "short" : "Referencia a la entidad responsable de gestionar la dispensación al paciente", "definition" : "Referencia a la entidad direccionada como responsable de gestionar la dispensación al paciente", "min" : 1, "max" : "1", "base" : { "path" : "MedicationRequest.dispenseRequest.performer", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.minsalud.gov.co/rda/StructureDefinition/HealthTechProviderOrganization"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.who" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=COMP].target[classCode=SPLY, moodCode=RQO] .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]" }] }, { "id" : "MedicationRequest.dispenseRequest.performer.id", "path" : "MedicationRequest.dispenseRequest.performer.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.dispenseRequest.performer.extension", "path" : "MedicationRequest.dispenseRequest.performer.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.dispenseRequest.performer.reference", "path" : "MedicationRequest.dispenseRequest.performer.reference", "short" : "Literal reference, Relative, internal or absolute URL", "definition" : "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.", "comment" : "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.", "min" : 1, "max" : "1", "base" : { "path" : "Reference.reference", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "condition" : ["ref-1"], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "MedicationRequest.dispenseRequest.performer.type", "path" : "MedicationRequest.dispenseRequest.performer.type", "short" : "Type the reference refers to (e.g. \"Patient\")", "definition" : "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).", "comment" : "This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "FHIRResourceTypeExt" }], "strength" : "extensible", "description" : "Aa resource (or, for logical models, the URI of the logical model).", "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types" }, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "MedicationRequest.dispenseRequest.performer.identifier", "path" : "MedicationRequest.dispenseRequest.performer.identifier", "short" : "Código del gestor farmacéutico", "definition" : "Código asignado al gestor farmacéutico responsable de gestionar la dispensación al paciente (Según catálogo que establezca Ministerio de Salud y Protección Social).", "comment" : "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).", "min" : 0, "max" : "1", "base" : { "path" : "Reference.identifier", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Identifier" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".identifier" }] }, { "id" : "MedicationRequest.dispenseRequest.performer.identifier.id", "path" : "MedicationRequest.dispenseRequest.performer.identifier.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.dispenseRequest.performer.identifier.extension", "path" : "MedicationRequest.dispenseRequest.performer.identifier.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.dispenseRequest.performer.identifier.use", "path" : "MedicationRequest.dispenseRequest.performer.identifier.use", "short" : "usual | official | temp | secondary | old (If known)", "definition" : "The purpose of this identifier.", "comment" : "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements" : "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min" : 1, "max" : "1", "base" : { "path" : "Identifier.use", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "fixedCode" : "official", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : true, "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "IdentifierUse" }], "strength" : "required", "description" : "Identifies the purpose for this identifier, if known .", "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping" : [{ "identity" : "v2", "map" : "N/A" }, { "identity" : "rim", "map" : "Role.code or implied by context" }] }, { "id" : "MedicationRequest.dispenseRequest.performer.identifier.type", "path" : "MedicationRequest.dispenseRequest.performer.identifier.type", "short" : "Description of identifier", "definition" : "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.", "comment" : "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.", "requirements" : "Allows users to make use of identifiers when the identifier system is not known.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "IdentifierType" }], "strength" : "extensible", "description" : "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping" : [{ "identity" : "v2", "map" : "CX.5" }, { "identity" : "rim", "map" : "Role.code or implied by context" }] }, { "id" : "MedicationRequest.dispenseRequest.performer.identifier.system", "path" : "MedicationRequest.dispenseRequest.performer.identifier.system", "short" : "The namespace for the identifier value", "definition" : "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.", "comment" : "Identifier.system is always case sensitive.", "requirements" : "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min" : 1, "max" : "1", "base" : { "path" : "Identifier.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "fixedUri" : "https://fhir.minsalud.gov.co/rda/NamingSystem/DIAN", "example" : [{ "label" : "General", "valueUri" : "http://www.acme.com/identifiers/patient" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.4 / EI-2-4" }, { "identity" : "rim", "map" : "II.root or Role.id.root" }, { "identity" : "servd", "map" : "./IdentifierType" }] }, { "id" : "MedicationRequest.dispenseRequest.performer.identifier.value", "path" : "MedicationRequest.dispenseRequest.performer.identifier.value", "short" : "The value that is unique", "definition" : "The portion of the identifier typically relevant to the user and which is unique within the context of the system.", "comment" : "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min" : 1, "max" : "1", "base" : { "path" : "Identifier.value", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "example" : [{ "label" : "General", "valueString" : "123456" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.1 / EI.1" }, { "identity" : "rim", "map" : "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity" : "servd", "map" : "./Value" }] }, { "id" : "MedicationRequest.dispenseRequest.performer.identifier.period", "path" : "MedicationRequest.dispenseRequest.performer.identifier.period", "short" : "Time period when id is/was valid for use", "definition" : "Time period during which identifier is/was valid for use.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.period", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Period" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.7 + CX.8" }, { "identity" : "rim", "map" : "Role.effectiveTime or implied by context" }, { "identity" : "servd", "map" : "./StartDate and ./EndDate" }] }, { "id" : "MedicationRequest.dispenseRequest.performer.identifier.assigner", "path" : "MedicationRequest.dispenseRequest.performer.identifier.assigner", "short" : "Organization that issued id (may be just text)", "definition" : "Organization that issued/manages the identifier.", "comment" : "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.assigner", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity" : "rim", "map" : "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity" : "servd", "map" : "./IdentifierIssuingAuthority" }] }, { "id" : "MedicationRequest.dispenseRequest.performer.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "MedicationRequest.dispenseRequest.performer.display", "short" : "Nombre de la entidad responsable de gestionar la dispensación al paciente", "definition" : "Nombre de la entidad direccionada como responsable de gestionar la dispensación al paciente", "comment" : "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.", "min" : 0, "max" : "1", "base" : { "path" : "Reference.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "MedicationRequest.substitution", "path" : "MedicationRequest.substitution", "short" : "Any restrictions on medication substitution", "definition" : "Indicates whether or not substitution can or should be part of the dispense. In some cases, substitution must happen, in other cases substitution must not happen. This block explains the prescriber's intent. If nothing is specified substitution may be done.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.substitution", "min" : 0, "max" : "1" }, "type" : [{ "code" : "BackboneElement" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "script10.6", "map" : "specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions" }, { "identity" : "rim", "map" : "subjectOf.substitutionPersmission" }] }, { "id" : "MedicationRequest.substitution.id", "path" : "MedicationRequest.substitution.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.substitution.extension", "path" : "MedicationRequest.substitution.extension", "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "MedicationRequest.substitution.modifierExtension", "path" : "MedicationRequest.substitution.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).", "alias" : ["extensions", "user content", "modifiers"], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "MedicationRequest.substitution.allowed[x]", "path" : "MedicationRequest.substitution.allowed[x]", "short" : "Whether substitution is allowed or not", "definition" : "True if the prescriber allows a different drug to be dispensed from what was prescribed.", "comment" : "This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored.", "min" : 1, "max" : "1", "base" : { "path" : "MedicationRequest.substitution.allowed[x]", "min" : 1, "max" : "1" }, "type" : [{ "code" : "boolean" }, { "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "MedicationRequestSubstitution" }], "strength" : "example", "description" : "Identifies the type of substitution allowed.", "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode" }, "mapping" : [{ "identity" : "script10.6", "map" : "specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions" }, { "identity" : "v2", "map" : "RXO-9-Allow Substitutions / RXE-9-Substitution Status" }, { "identity" : "rim", "map" : "code" }] }, { "id" : "MedicationRequest.substitution.reason", "path" : "MedicationRequest.substitution.reason", "short" : "Why should (not) substitution be made", "definition" : "Indicates the reason for the substitution, or why substitution must or must not be performed.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.substitution.reason", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "MedicationIntendedSubstitutionReason" }], "strength" : "example", "description" : "A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.", "valueSet" : "http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason" }, "mapping" : [{ "identity" : "script10.6", "map" : "not mapped" }, { "identity" : "v2", "map" : "RXE-9 Substition status" }, { "identity" : "rim", "map" : "reasonCode" }] }, { "id" : "MedicationRequest.priorPrescription", "path" : "MedicationRequest.priorPrescription", "short" : "An order/prescription that is being replaced", "definition" : "A link to a resource representing an earlier order related order or prescription.", "min" : 0, "max" : "1", "base" : { "path" : "MedicationRequest.priorPrescription", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationRequest"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "workflow", "map" : "Request.replaces" }, { "identity" : "script10.6", "map" : "not mapped" }, { "identity" : "rim", "map" : ".outboundRelationship[typeCode=?RPLC or ?SUCC]/target[classCode=SBADM,moodCode=RQO]" }] }, { "id" : "MedicationRequest.detectedIssue", "path" : "MedicationRequest.detectedIssue", "short" : "Clinical Issue with action", "definition" : "Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, duplicate therapy, dosage alert etc.", "comment" : "This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue.", "alias" : ["Contraindication", "Drug Utilization Review (DUR)", "Alert"], "min" : 0, "max" : "*", "base" : { "path" : "MedicationRequest.detectedIssue", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DetectedIssue"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value" }] }, { "id" : "MedicationRequest.eventHistory", "path" : "MedicationRequest.eventHistory", "short" : "A list of events of interest in the lifecycle", "definition" : "Links to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource.", "comment" : "This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.).", "min" : 0, "max" : "*", "base" : { "path" : "MedicationRequest.eventHistory", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Provenance"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "workflow", "map" : "Request.relevantHistory" }, { "identity" : "rim", "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]" }] }] }, "differential" : { "element" : [{ "id" : "MedicationRequest", "path" : "MedicationRequest", "short" : "Direccionamiento de una prescripción", "definition" : "Direccionamiento de una prescripción de medicamentos", "alias" : ["Addressing", "Order"] }, { "id" : "MedicationRequest.meta.profile", "path" : "MedicationRequest.meta.profile", "min" : 1, "fixedCanonical" : "https://fhir.minsalud.gov.co/rda/StructureDefinition/MedicationRequestAddressing" }, { "id" : "MedicationRequest.contained", "path" : "MedicationRequest.contained", "max" : "0" }, { "id" : "MedicationRequest.identifier", "path" : "MedicationRequest.identifier", "short" : "Identificador del direccionamiento", "definition" : "Número interno del direccionamiento asignado en la EAPB", "min" : 1, "max" : "1" }, { "id" : "MedicationRequest.identifier.use", "path" : "MedicationRequest.identifier.use", "max" : "0" }, { "id" : "MedicationRequest.identifier.type", "path" : "MedicationRequest.identifier.type", "max" : "0" }, { "id" : "MedicationRequest.identifier.system", "path" : "MedicationRequest.identifier.system", "short" : "Sistema de identificación del direccionamiento", "definition" : "Sistema de identificación del direccionamiento, el cual debe ser un URI que identifique de manera única el sistema utilizado para registrar el número del direccionamiento. Se recomienda utilizar la siguiente sintaxis de URI: 'https://example.org/NamingSystem/NumeroDireccionamiento', donde 'example.org' debe ser reemplazado por el dominio correspondiente de la EAPB.", "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.identifier.value", "path" : "MedicationRequest.identifier.value", "short" : "Número identificador del direccionamiento", "definition" : "Número interno del direccionamiento asignado en la EAPB", "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.identifier.period", "path" : "MedicationRequest.identifier.period", "max" : "0" }, { "id" : "MedicationRequest.identifier.assigner", "path" : "MedicationRequest.identifier.assigner", "max" : "0" }, { "id" : "MedicationRequest.status", "path" : "MedicationRequest.status", "short" : "Estado del direccionamiento", "definition" : "Código que indica el estado actual del direccionamiento." }, { "id" : "MedicationRequest.statusReason", "path" : "MedicationRequest.statusReason", "short" : "Causal de no direccionamiento", "definition" : "Código que indica la causa por la cual no se realizó el direccionamiento del medicamento. Obligatorio cuando status no es #active.", "binding" : { "strength" : "required", "valueSet" : "https://fhir.minsalud.gov.co/rda/ValueSet/MipresCausasNoDireccionamientoCodes" } }, { "id" : "MedicationRequest.statusReason.coding.system", "path" : "MedicationRequest.statusReason.coding.system", "fixedUri" : "https://fhir.minsalud.gov.co/rda/CodeSystem/MipresCausasNoDireccionamiento" }, { "id" : "MedicationRequest.intent", "path" : "MedicationRequest.intent", "short" : "Valor por defecto: order", "definition" : "Código que indica la intención de la orden o solicitud. Para este perfil, el valor debe ser 'order', ya que se refiere a una solicitud formal de direccionamiento de un medicamento.", "fixedCode" : "order" }, { "id" : "MedicationRequest.category", "path" : "MedicationRequest.category", "short" : "Tipo de tecnología en salud (medicamento)", "definition" : "Indica el tipo de tecnología en salud, específicamente el tipo de medicamento direccionado, según la clasificación oficial establecida por el Ministerio de Salud y Protección Social de Colombia.", "min" : 1, "max" : "1" }, { "id" : "MedicationRequest.category.coding", "path" : "MedicationRequest.category.coding", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "system" }], "description" : "Differences of category or medication type, applicable according to Res. 3374 of 2000 or Res. 2275 of 2023.", "ordered" : false, "rules" : "closed" } }, { "id" : "MedicationRequest.category.coding:R866", "path" : "MedicationRequest.category.coding", "sliceName" : "R866", "min" : 0, "max" : "1", "binding" : { "strength" : "required", "valueSet" : "https://fhir.minsalud.gov.co/rda/ValueSet/ColombianHealthTechnologyMedicationCodes" } }, { "id" : "MedicationRequest.category.coding:R866.system", "path" : "MedicationRequest.category.coding.system", "min" : 1, "fixedUri" : "https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianHealthTechnologyCategory" }, { "id" : "MedicationRequest.category.coding:R866.code", "path" : "MedicationRequest.category.coding.code", "label" : "Elemento: 24.1 (código)", "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.category.coding:R866.display", "path" : "MedicationRequest.category.coding.display", "label" : "Elemento: 24.1 (descripción)", "min" : 1 }, { "id" : "MedicationRequest.priority", "path" : "MedicationRequest.priority", "max" : "0" }, { "id" : "MedicationRequest.doNotPerform", "path" : "MedicationRequest.doNotPerform", "short" : "Indicador de no direccionamiento", "definition" : "Valor booleano (true | false) que indica que no se realizó el direccionamiento de la prescripción de medicamentos.", "mustSupport" : true }, { "id" : "MedicationRequest.reported[x]", "path" : "MedicationRequest.reported[x]", "short" : "Indicador de registro reportado", "definition" : "Indica que la información del direccionamiento fue reportada por la entidad responsable.", "min" : 1, "type" : [{ "code" : "boolean" }] }, { "id" : "MedicationRequest.medication[x]", "path" : "MedicationRequest.medication[x]", "short" : "Código del medicamento (código de la tecnología en salud)", "definition" : "Identifica el medicamento direccionado, utilizando los códigos estandarizados (IUM, CUM o DCI)", "type" : [{ "code" : "CodeableConcept" }] }, { "id" : "MedicationRequest.medication[x].coding", "path" : "MedicationRequest.medication[x].coding", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "system" }], "description" : "Código del medicamento, utilizando los sistemas de codificación estandarizados (IUM, CUM o DCI).", "ordered" : false, "rules" : "closed" }, "min" : 1 }, { "id" : "MedicationRequest.medication[x].coding:DCI", "path" : "MedicationRequest.medication[x].coding", "sliceName" : "DCI", "min" : 0, "max" : "*", "binding" : { "strength" : "required", "valueSet" : "https://fhir.minsalud.gov.co/rda/ValueSet/MipresDCI" } }, { "id" : "MedicationRequest.medication[x].coding:DCI.system", "path" : "MedicationRequest.medication[x].coding.system", "min" : 1, "fixedUri" : "https://fhir.minsalud.gov.co/rda/CodeSystem/MipresINN" }, { "id" : "MedicationRequest.medication[x].coding:DCI.code", "path" : "MedicationRequest.medication[x].coding.code", "label" : "Código del medicamento (DCI)", "short" : "Código del medicamento (DCI)", "definition" : "Código que representa la Denominación Común Internacional (DCI) del medicamento. Para el caso de las preparaciones magistrales con DCI, predomina el principio activo dominante.", "min" : 1 }, { "id" : "MedicationRequest.medication[x].coding:DCI.display", "path" : "MedicationRequest.medication[x].coding.display", "label" : "Elemento: 26" }, { "id" : "MedicationRequest.medication[x].coding:IUMPrimerNivel", "path" : "MedicationRequest.medication[x].coding", "sliceName" : "IUMPrimerNivel", "min" : 0, "max" : "1", "binding" : { "strength" : "required", "valueSet" : "https://fhir.minsalud.gov.co/rda/ValueSet/IUMPrimerNivelCodes" } }, { "id" : "MedicationRequest.medication[x].coding:IUMPrimerNivel.system", "path" : "MedicationRequest.medication[x].coding.system", "min" : 1, "fixedUri" : "https://fhir.minsalud.gov.co/rda/CodeSystem/IUMPrimerNivel" }, { "id" : "MedicationRequest.medication[x].coding:IUMPrimerNivel.code", "path" : "MedicationRequest.medication[x].coding.code", "label" : "Código del medicamento (IUM primer nivel)", "short" : "Código del medicamento (IUM primer nivel)", "min" : 1 }, { "id" : "MedicationRequest.medication[x].coding:IUMPrimerNivel.display", "path" : "MedicationRequest.medication[x].coding.display", "label" : "Nombre genérico del medicamento" }, { "id" : "MedicationRequest.medication[x].coding:IUM", "path" : "MedicationRequest.medication[x].coding", "sliceName" : "IUM", "min" : 0, "max" : "1", "binding" : { "strength" : "required", "valueSet" : "https://fhir.minsalud.gov.co/rda/ValueSet/IUMPrimerNivelCodes" } }, { "id" : "MedicationRequest.medication[x].coding:IUM.system", "path" : "MedicationRequest.medication[x].coding.system", "min" : 1, "fixedUri" : "https://fhir.minsalud.gov.co/rda/CodeSystem/IUM" }, { "id" : "MedicationRequest.medication[x].coding:IUM.code", "path" : "MedicationRequest.medication[x].coding.code", "short" : "Código del medicamento (IUM)", "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.medication[x].coding:IUM.display", "path" : "MedicationRequest.medication[x].coding.display", "short" : "Nombre del medicamento", "mustSupport" : true }, { "id" : "MedicationRequest.medication[x].coding:CUMS", "path" : "MedicationRequest.medication[x].coding", "sliceName" : "CUMS", "min" : 0, "max" : "1", "binding" : { "strength" : "required", "valueSet" : "https://fhir.minsalud.gov.co/rda/ValueSet/CUMSVS" } }, { "id" : "MedicationRequest.medication[x].coding:CUMS.system", "path" : "MedicationRequest.medication[x].coding.system", "min" : 1, "fixedUri" : "https://fhir.minsalud.gov.co/rda/CodeSystem/CUMS" }, { "id" : "MedicationRequest.medication[x].coding:CUMS.code", "path" : "MedicationRequest.medication[x].coding.code", "min" : 1 }, { "id" : "MedicationRequest.medication[x].text", "path" : "MedicationRequest.medication[x].text", "short" : "Texto que describe un medicamento o medicamento compuesto", "mustSupport" : true }, { "id" : "MedicationRequest.subject", "path" : "MedicationRequest.subject", "short" : "Referencia al paciente a quien se prescribe u ordena el direccionamiento", "definition" : "Referencia al paciente a quien se prescribe u ordena el direccionamiento de la prescripción de medicamentos, utilizando el recurso Patient del RDA.", "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.minsalud.gov.co/rda/StructureDefinition/PatientRDA"] }] }, { "id" : "MedicationRequest.subject.reference", "path" : "MedicationRequest.subject.reference", "short" : "Referencia al paciente a quien se prescribe u ordena el direccionamiento", "definition" : "Referencia al paciente a quien se prescribe u ordena el direccionamiento de la prescripción de medicamentos, utilizando el recurso Patient del RDA.", "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.subject.type", "path" : "MedicationRequest.subject.type", "min" : 1, "fixedUri" : "Patient" }, { "id" : "MedicationRequest.subject.identifier", "path" : "MedicationRequest.subject.identifier", "label" : "Identificación nacional del paciente", "short" : "Identificación del paciente", "definition" : "Identificación de la persona que desempeña el rol de paciente" }, { "id" : "MedicationRequest.subject.identifier.id", "path" : "MedicationRequest.subject.identifier.id", "min" : 1, "patternString" : "NationalPersonIdentifier-0" }, { "id" : "MedicationRequest.subject.identifier.use", "path" : "MedicationRequest.subject.identifier.use", "min" : 1, "fixedCode" : "official" }, { "id" : "MedicationRequest.subject.identifier.type", "path" : "MedicationRequest.subject.identifier.type", "min" : 1 }, { "id" : "MedicationRequest.subject.identifier.type.coding", "path" : "MedicationRequest.subject.identifier.type.coding", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "system" }], "description" : "Codificación internacional de la identificación de personas y su equivalente en el sistema de identificaciones colombiano", "rules" : "open" }, "min" : 2, "max" : "2" }, { "id" : "MedicationRequest.subject.identifier.type.coding:InternationalCode", "path" : "MedicationRequest.subject.identifier.type.coding", "sliceName" : "InternationalCode", "min" : 1, "max" : "1", "binding" : { "strength" : "extensible", "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-type" } }, { "id" : "MedicationRequest.subject.identifier.type.coding:InternationalCode.system", "path" : "MedicationRequest.subject.identifier.type.coding.system", "short" : "Sistema de codificación internacional", "definition" : "Codificación internacional de identificaciones para personas", "min" : 1, "fixedUri" : "http://terminology.hl7.org/CodeSystem/v2-0203" }, { "id" : "MedicationRequest.subject.identifier.type.coding:InternationalCode.code", "path" : "MedicationRequest.subject.identifier.type.coding.code", "min" : 1, "fixedCode" : "PN" }, { "id" : "MedicationRequest.subject.identifier.type.coding:InternationalCode.display", "path" : "MedicationRequest.subject.identifier.type.coding.display", "min" : 1, "fixedString" : "Person number" }, { "id" : "MedicationRequest.subject.identifier.type.coding:ColombianCode", "path" : "MedicationRequest.subject.identifier.type.coding", "sliceName" : "ColombianCode", "min" : 1, "max" : "1", "binding" : { "strength" : "required", "valueSet" : "https://fhir.minsalud.gov.co/rda/ValueSet/ColombianPersonIdentifierCodes" } }, { "id" : "MedicationRequest.subject.identifier.type.coding:ColombianCode.system", "path" : "MedicationRequest.subject.identifier.type.coding.system", "label" : "Tipo identificación", "short" : "Sistema de codificación colombiano", "definition" : "Codificación colombiana de identificaciones para personas", "min" : 1, "fixedUri" : "https://fhir.minsalud.gov.co/rda/CodeSystem/ColombianPersonIdentifier" }, { "id" : "MedicationRequest.subject.identifier.type.coding:ColombianCode.code", "path" : "MedicationRequest.subject.identifier.type.coding.code", "label" : "Elemento: 2.1", "short" : "CN | RC | TI | CC | PA | CD | CE | SC | PE | PT | PPT | AS | MS | SI", "definition" : "Tipo de documento de identificación de la persona que desempeña el rol de paciente o usuario del sistema de salud", "alias" : ["Tipo de documento de identificación"], "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.subject.identifier.type.coding:ColombianCode.display", "path" : "MedicationRequest.subject.identifier.type.coding.display", "label" : "Elemento: 2.1", "short" : "Cédula de ciudadanía | Tarjeta de identidad | Registro civil +", "definition" : "Representación del código definido por el sistema de identificaciones colombianas de personas", "min" : 1 }, { "id" : "MedicationRequest.subject.identifier.system", "path" : "MedicationRequest.subject.identifier.system", "patternUri" : "https://fhir.minsalud.gov.co/rda/NamingSystem/RNEC" }, { "id" : "MedicationRequest.subject.identifier.value", "path" : "MedicationRequest.subject.identifier.value", "label" : "Elemento: 2.2", "short" : "Número de documento de identificación", "definition" : "Número de documento de identificación de la persona que desempeña el rol de paciente o usuario del sistema de salud", "alias" : ["Identificación del paciente"], "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.subject.display", "path" : "MedicationRequest.subject.display", "label" : "Elementos: 3.1, 3.2, 3.3 y 3.4", "short" : "Nombre del paciente", "definition" : "Nombre del paciente a quien se prescribe u ordena el direccionamiento de la prescripción de medicamentos, utilizando el recurso Patient del RDA.", "mustSupport" : true }, { "id" : "MedicationRequest.encounter", "path" : "MedicationRequest.encounter", "short" : "Referencia al encuentro durante el cual se realizó la prescripción del medicamento", "definition" : "El encuentro de atención en salud durante el cual se realizó la prescripción del medicamento.", "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterAmbulatoryRDA", "https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterEmergencyRDA", "https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterHospitalizationRDA"] }], "mustSupport" : true }, { "id" : "MedicationRequest.supportingInformation", "path" : "MedicationRequest.supportingInformation", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "id" }], "description" : "Tipos de información de soporte del direccionamiento de la prescripción, que pueden incluir el Composition del RDA (consulta externa, urgencias u hospitalización) en el que se realizó la prescripción que originó este direccionamiento, o referencias a condiciones clínicas asociadas a la prescripción.", "ordered" : false, "rules" : "closed" }, "short" : "Referencias a información de soporte del direccionamiento de la prescripción", "definition" : "Referencias a información de soporte del direccionamiento de la prescripción, que puede incluir el Composition del RDA (consulta externa, urgencias u hospitalización) en el que se realizó la prescripción que originó este direccionamiento, o referencias a condiciones clínicas asociadas a la prescripción.", "min" : 3 }, { "id" : "MedicationRequest.supportingInformation:ReferenceRDA", "path" : "MedicationRequest.supportingInformation", "sliceName" : "ReferenceRDA", "short" : "Referencia al código VIDA del documento RDA que originó la prescripción de medicamentos", "definition" : "Referencia al Composition del RDA (consulta externa, urgencias u hospitalización) en el que se realizó la prescripción que originó este direccionamiento. Cadena alfanumérica, que certifica la recepción y validación del RDA en el mecanismo de IHCE del Ministerio de Salud y Protección social.", "min" : 1, "max" : "1", "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.minsalud.gov.co/rda/StructureDefinition/CompositionAmbulatoryRDA", "https://fhir.minsalud.gov.co/rda/StructureDefinition/CompositionEmergencyRDA", "https://fhir.minsalud.gov.co/rda/StructureDefinition/CompositionHospitalizationRDA"] }] }, { "id" : "MedicationRequest.supportingInformation:ReferenceRDA.id", "path" : "MedicationRequest.supportingInformation.id", "min" : 1, "patternString" : "ReferenceRDA" }, { "id" : "MedicationRequest.supportingInformation:ReferenceRDA.reference", "path" : "MedicationRequest.supportingInformation.reference", "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.supportingInformation:ReferenceRDA.type", "path" : "MedicationRequest.supportingInformation.type", "min" : 1, "fixedUri" : "Composition" }, { "id" : "MedicationRequest.supportingInformation:PrescriberPractitioner", "path" : "MedicationRequest.supportingInformation", "sliceName" : "PrescriberPractitioner", "short" : "Referencia al profesional de la salud que realizó la prescripción del medicamento", "definition" : "Referencia al profesional de la salud que realizó la prescripción del medicamento que originó este direccionamiento, utilizando el recurso Practitioner del RDA.", "min" : 1, "max" : "1", "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.minsalud.gov.co/rda/StructureDefinition/PractitionerRDA"] }] }, { "id" : "MedicationRequest.supportingInformation:PrescriberPractitioner.id", "path" : "MedicationRequest.supportingInformation.id", "min" : 1, "patternString" : "PrescriberPractitioner" }, { "id" : "MedicationRequest.supportingInformation:PrescriberPractitioner.reference", "path" : "MedicationRequest.supportingInformation.reference", "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.supportingInformation:PrescriberPractitioner.type", "path" : "MedicationRequest.supportingInformation.type", "min" : 1, "fixedUri" : "Practitioner" }, { "id" : "MedicationRequest.supportingInformation:PrescriberPractitioner.identifier", "path" : "MedicationRequest.supportingInformation.identifier", "label" : "Identificación prescriptor", "short" : "Identificación del profesional de la salud", "definition" : "Identificación del profesional de la salud que realizó la prescripción del medicamento" }, { "id" : "MedicationRequest.supportingInformation:PrescriberPractitioner.identifier.id", "path" : "MedicationRequest.supportingInformation.identifier.id", "min" : 1, "fixedString" : "PrescriberIdentifier" }, { "id" : "MedicationRequest.supportingInformation:PrescriberPractitioner.identifier.use", "path" : "MedicationRequest.supportingInformation.identifier.use", "min" : 1, "fixedCode" : "official" }, { "id" : "MedicationRequest.supportingInformation:PrescriberPractitioner.identifier.system", "path" : "MedicationRequest.supportingInformation.identifier.system", "min" : 1, "fixedUri" : "https://fhir.minsalud.gov.co/rda/NamingSystem/RETHUS" }, { "id" : "MedicationRequest.supportingInformation:PrescriberPractitioner.identifier.value", "path" : "MedicationRequest.supportingInformation.identifier.value", "short" : "Valor de la identificación", "definition" : "Valor de la identificación del profesional de la salud que realizó la prescripción del medicamento", "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryOrganization", "path" : "MedicationRequest.supportingInformation", "sliceName" : "CareDeliveryOrganization", "short" : "Referencia a la organización de atención en salud donde se realizó la prescripción del medicamento", "definition" : "Referencia a la organización de atención en salud donde se realizó la prescripción del medicamento que originó este direccionamiento, utilizando el recurso Organization del RDA.", "min" : 1, "max" : "1", "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.minsalud.gov.co/rda/StructureDefinition/CareDeliveryOrganizationRDA"] }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryOrganization.id", "path" : "MedicationRequest.supportingInformation.id", "min" : 1, "patternString" : "CareDeliveryOrganization" }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryOrganization.reference", "path" : "MedicationRequest.supportingInformation.reference", "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryOrganization.type", "path" : "MedicationRequest.supportingInformation.type", "min" : 1, "fixedUri" : "Organization" }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryOrganization.identifier", "path" : "MedicationRequest.supportingInformation.identifier", "label" : "Identificación IPS", "short" : "Identificación de la organización de atención en salud", "definition" : "Identificación de la organización de atención en salud donde se realizó la prescripción del medicamento que originó este direccionamiento" }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryOrganization.identifier.id", "path" : "MedicationRequest.supportingInformation.identifier.id", "min" : 1, "fixedString" : "OrganizationIdentifier" }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryOrganization.identifier.use", "path" : "MedicationRequest.supportingInformation.identifier.use", "min" : 1, "fixedCode" : "official" }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryOrganization.identifier.system", "path" : "MedicationRequest.supportingInformation.identifier.system", "min" : 1, "fixedUri" : "https://fhir.minsalud.gov.co/rda/NamingSystem/REPS" }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryOrganization.identifier.value", "path" : "MedicationRequest.supportingInformation.identifier.value", "short" : "Valor del identificador", "definition" : "Valor del identificador de la organización de atención en salud", "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryLocation", "path" : "MedicationRequest.supportingInformation", "sliceName" : "CareDeliveryLocation", "short" : "Referencia al punto de atención en salud (sede) donde se realizó la prescripción del medicamento", "definition" : "Referencia al punto de atención en salud (sede) donde se realizó la prescripción del medicamento que originó este direccionamiento, utilizando el recurso Location del RDA.", "min" : 0, "max" : "1", "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.minsalud.gov.co/rda/StructureDefinition/CareDeliveryLocationRDA"] }] }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryLocation.id", "path" : "MedicationRequest.supportingInformation.id", "min" : 1, "patternString" : "CareDeliveryLocation" }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryLocation.reference", "path" : "MedicationRequest.supportingInformation.reference", "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryLocation.type", "path" : "MedicationRequest.supportingInformation.type", "min" : 1, "fixedUri" : "Location" }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryLocation.identifier", "path" : "MedicationRequest.supportingInformation.identifier", "label" : "Identificación sede", "short" : "Identificador del punto de atención en salud (sede)", "definition" : "Identificador del punto de atención en salud (sede)" }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryLocation.identifier.id", "path" : "MedicationRequest.supportingInformation.identifier.id", "fixedString" : "LocationIdentifier" }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryLocation.identifier.use", "path" : "MedicationRequest.supportingInformation.identifier.use", "min" : 1, "fixedCode" : "official" }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryLocation.identifier.system", "path" : "MedicationRequest.supportingInformation.identifier.system", "min" : 1, "fixedUri" : "https://fhir.minsalud.gov.co/rda/NamingSystem/REPS" }, { "id" : "MedicationRequest.supportingInformation:CareDeliveryLocation.identifier.value", "path" : "MedicationRequest.supportingInformation.identifier.value", "short" : "Valor del identificador", "definition" : "Valor del identificador del punto de atención en salud (sede)", "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.authoredOn", "path" : "MedicationRequest.authoredOn", "label" : "Fecha y hora del direccionamiento", "short" : "Fecha de direccionamiento de la prescripción (Tecnología en salud)", "definition" : "La fecha y hora en que se realizó el direccionamiento de la prescripción.", "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.requester", "path" : "MedicationRequest.requester", "min" : 1, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.minsalud.gov.co/rda/StructureDefinition/HealthBenefitPlanAdminOrganizationRDA"] }] }, { "id" : "MedicationRequest.requester.reference", "path" : "MedicationRequest.requester.reference", "short" : "Referencia a la entidad responsable del direccionamiento de la prescripción", "definition" : "Referencia a la entidad responsable del direccionamiento de la prescripción, que puede ser una Entidad Administradora de Planes de Beneficios en Salud (EAPBS) u otra entidad de salud autorizada para realizar esta función.", "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.requester.type", "path" : "MedicationRequest.requester.type", "min" : 1, "fixedUri" : "Organization" }, { "id" : "MedicationRequest.requester.identifier", "path" : "MedicationRequest.requester.identifier", "label" : "Código EAPBS", "short" : "Identificación de la Entidad Administradora de Planes de Beneficios en Salud (EAPB)", "definition" : "Código asignado al administrador del plan de beneficios en el SGSSS", "min" : 1 }, { "id" : "MedicationRequest.requester.identifier.use", "path" : "MedicationRequest.requester.identifier.use", "min" : 1, "fixedCode" : "official" }, { "id" : "MedicationRequest.requester.identifier.system", "path" : "MedicationRequest.requester.identifier.system", "min" : 1, "fixedUri" : "https://fhir.minsalud.gov.co/rda/NamingSystem/EAPBS" }, { "id" : "MedicationRequest.requester.identifier.value", "path" : "MedicationRequest.requester.identifier.value", "label" : "Elemento: 15.1", "short" : "Código EAPBS", "definition" : "Código asignado al administrador del plan de beneficios en el SGSSS", "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.requester.display", "path" : "MedicationRequest.requester.display", "label" : "Elemento: 15.2", "short" : "Nombre de la Entidad Administradora de Planes de Beneficios en Salud (EAPB)", "definition" : "Nombre asignado al administrador del plan de beneficios en el SGSSS", "mustSupport" : true }, { "id" : "MedicationRequest.recorder", "path" : "MedicationRequest.recorder", "max" : "0" }, { "id" : "MedicationRequest.reasonCode", "path" : "MedicationRequest.reasonCode", "label" : "Elemento: 25", "short" : "Finalidad de la tecnología en Salud", "definition" : "Código que permite identificar la finalidad del procedimiento realizado, de acuerdo con la taxonomía definida por el Ministerio de Salud y Protección Social para la clasificación de procedimientos, dispositivos y medicamentos.", "min" : 1, "max" : "1", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "https://fhir.minsalud.gov.co/rda/ValueSet/RIPSFinalidadConsultaVersion2Codigos" } }, { "id" : "MedicationRequest.reasonCode.coding.system", "path" : "MedicationRequest.reasonCode.coding.system", "min" : 1, "fixedUri" : "https://fhir.minsalud.gov.co/rda/CodeSystem/RIPSFinalidadConsultaVersion2" }, { "id" : "MedicationRequest.reasonCode.coding.code", "path" : "MedicationRequest.reasonCode.coding.code", "min" : 1 }, { "id" : "MedicationRequest.reasonCode.coding.display", "path" : "MedicationRequest.reasonCode.coding.display", "min" : 1 }, { "id" : "MedicationRequest.reasonReference", "path" : "MedicationRequest.reasonReference", "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.minsalud.gov.co/rda/StructureDefinition/ConditionRDA"] }] }, { "id" : "MedicationRequest.instantiatesCanonical", "path" : "MedicationRequest.instantiatesCanonical", "max" : "0" }, { "id" : "MedicationRequest.instantiatesUri", "path" : "MedicationRequest.instantiatesUri", "max" : "0" }, { "id" : "MedicationRequest.basedOn", "path" : "MedicationRequest.basedOn", "min" : 1, "max" : "1", "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.minsalud.gov.co/rda/StructureDefinition/MedicationRequestRDA"] }] }, { "id" : "MedicationRequest.basedOn.identifier", "path" : "MedicationRequest.basedOn.identifier", "short" : "Identificador de la prescripción", "definition" : "Número identificador de la orden médica (prescripción) asociada", "min" : 1 }, { "id" : "MedicationRequest.basedOn.identifier.system", "path" : "MedicationRequest.basedOn.identifier.system", "short" : "Sistema de identificación de la prescripción", "definition" : "Sistema de identificación de la orden médica (prescripción) asociada.", "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.basedOn.identifier.value", "path" : "MedicationRequest.basedOn.identifier.value", "short" : "Número de la prescripción", "definition" : "Número de la orden médica (prescripción) asociada.", "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.groupIdentifier", "path" : "MedicationRequest.groupIdentifier", "short" : "Número externo de direccionamiento", "definition" : "Número identificador del direccionamiento", "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.groupIdentifier.system", "path" : "MedicationRequest.groupIdentifier.system", "short" : "Sistema de identificación del direccionamiento", "definition" : "Sistema de identificación del direccionamiento, el cual debe ser un URI que identifique de manera única el sistema utilizado para registrar el direccionamiento. Se recomienda utilizar la siguiente sintaxis de URI: 'https://example.org/NamingSystem/NumeroAgrupadorDireccionamiento', donde 'example.org' debe ser reemplazado por el dominio correspondiente de la EAPB.", "min" : 1 }, { "id" : "MedicationRequest.groupIdentifier.value", "path" : "MedicationRequest.groupIdentifier.value", "short" : "Número del direccionamiento", "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.courseOfTherapyType", "path" : "MedicationRequest.courseOfTherapyType", "max" : "0" }, { "id" : "MedicationRequest.insurance", "path" : "MedicationRequest.insurance", "max" : "0" }, { "id" : "MedicationRequest.dispenseRequest.extension", "path" : "MedicationRequest.dispenseRequest.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "ordered" : false, "rules" : "open" }, "min" : 2, "max" : "3", "mustSupport" : true }, { "id" : "MedicationRequest.dispenseRequest.extension:ExtensionDeliveryMunicipality", "path" : "MedicationRequest.dispenseRequest.extension", "sliceName" : "ExtensionDeliveryMunicipality", "short" : "Código y nombre del municipio donde se direcciona la entrega (dispensación) del medicamento", "definition" : "Información del código y nombre del municipio donde se direcciona la entrega (dispensación) del medicamento, utilizando el catálogo de municipios establecido por el Departamento Administrativo Nacional de Estadística (DANE).", "min" : 1, "max" : "1", "type" : [{ "code" : "Extension", "profile" : ["https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionAddress"] }], "mustSupport" : true }, { "id" : "MedicationRequest.dispenseRequest.extension:ExtensionMedicationDispenseQuantity", "path" : "MedicationRequest.dispenseRequest.extension", "sliceName" : "ExtensionMedicationDispenseQuantity", "short" : "Cantidad total direccionada", "definition" : "Cantidad total del medicamento que se direcciona para dispensación al paciente según este direccionamiento de la prescripción. Esta cantidad corresponde a la cantidad total del medicamento que se autoriza para dispensación al paciente según este direccionamiento, teniendo en cuenta el número de entregas (dispensaciones) autorizadas y la cantidad de medicamento a suministrar por cada entrega (dispensación). Esta extensión incluye el código y nombre de la unidad de entrega del medicamento", "min" : 1, "max" : "1", "type" : [{ "code" : "Extension", "profile" : ["https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionMedicationDispenseQuantity"] }], "mustSupport" : true }, { "id" : "MedicationRequest.dispenseRequest.extension:ExtensionDeliveryNumber", "path" : "MedicationRequest.dispenseRequest.extension", "sliceName" : "ExtensionDeliveryNumber", "short" : "Número de entrega", "definition" : "Número secuencial de esta entrega dentro del plan de dispensaciones direccionadas.", "min" : 0, "max" : "1", "type" : [{ "code" : "Extension", "profile" : ["https://fhir.minsalud.gov.co/rda/StructureDefinition/ExtensionDeliveryNumber"] }], "mustSupport" : true }, { "id" : "MedicationRequest.dispenseRequest.validityPeriod", "path" : "MedicationRequest.dispenseRequest.validityPeriod", "short" : "Vigencia de la prescripción", "definition" : "Periodo de tiempo durante el cual es válido el direccionamiento de la prescripción, es decir, el periodo durante el cual se autoriza la dispensación del medicamento al paciente según este direccionamiento.", "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.dispenseRequest.validityPeriod.start", "path" : "MedicationRequest.dispenseRequest.validityPeriod.start", "max" : "0" }, { "id" : "MedicationRequest.dispenseRequest.validityPeriod.end", "path" : "MedicationRequest.dispenseRequest.validityPeriod.end", "short" : "Fecha máxima de entrega del medicamento", "definition" : "Fecha máxima hasta la cual se autoriza la entrega (dispensación) del medicamento al paciente según este direccionamiento de la prescripción. Sintaxis AAAA-MM-DD", "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed", "path" : "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed", "short" : "Número de entregas direccionadas", "definition" : "Número de entregas (dispensaciones) del medicamento que se autoriza al paciente según este direccionamiento de la prescripción. Corresponde al número de veces que se puede dispensar el medicamento al paciente según este direccionamiento, sin necesidad de realizar un nuevo direccionamiento. Si el valor es 1, significa que se autoriza una sola entrega del medicamento al paciente según este direccionamiento.", "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.dispenseRequest.quantity", "path" : "MedicationRequest.dispenseRequest.quantity", "short" : "Cantidad de medicamento a suministrar por cada entrega (dispensación)", "definition" : "La cantidad de medicamento que se debe suministrar para cada entrega (dispensación) autorizada al paciente según este direccionamiento de la prescripción. Debe incluir el código y nombre de la unidad de dispensación del medicamento.", "binding" : { "strength" : "required", "valueSet" : "https://fhir.minsalud.gov.co/rda/ValueSet/MipresDispenseUnitCodes" } }, { "id" : "MedicationRequest.dispenseRequest.quantity.value", "path" : "MedicationRequest.dispenseRequest.quantity.value", "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.dispenseRequest.quantity.unit", "path" : "MedicationRequest.dispenseRequest.quantity.unit", "mustSupport" : true }, { "id" : "MedicationRequest.dispenseRequest.quantity.system", "path" : "MedicationRequest.dispenseRequest.quantity.system", "min" : 1, "fixedUri" : "https://fhir.minsalud.gov.co/rda/CodeSystem/MipresDispenseUnit" }, { "id" : "MedicationRequest.dispenseRequest.quantity.code", "path" : "MedicationRequest.dispenseRequest.quantity.code", "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.dispenseRequest.performer", "path" : "MedicationRequest.dispenseRequest.performer", "short" : "Referencia a la entidad responsable de gestionar la dispensación al paciente", "definition" : "Referencia a la entidad direccionada como responsable de gestionar la dispensación al paciente", "min" : 1, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.minsalud.gov.co/rda/StructureDefinition/HealthTechProviderOrganization"] }] }, { "id" : "MedicationRequest.dispenseRequest.performer.reference", "path" : "MedicationRequest.dispenseRequest.performer.reference", "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.dispenseRequest.performer.identifier", "path" : "MedicationRequest.dispenseRequest.performer.identifier", "short" : "Código del gestor farmacéutico", "definition" : "Código asignado al gestor farmacéutico responsable de gestionar la dispensación al paciente (Según catálogo que establezca Ministerio de Salud y Protección Social)." }, { "id" : "MedicationRequest.dispenseRequest.performer.identifier.use", "path" : "MedicationRequest.dispenseRequest.performer.identifier.use", "min" : 1, "fixedCode" : "official" }, { "id" : "MedicationRequest.dispenseRequest.performer.identifier.system", "path" : "MedicationRequest.dispenseRequest.performer.identifier.system", "min" : 1, "fixedUri" : "https://fhir.minsalud.gov.co/rda/NamingSystem/DIAN" }, { "id" : "MedicationRequest.dispenseRequest.performer.identifier.value", "path" : "MedicationRequest.dispenseRequest.performer.identifier.value", "min" : 1, "mustSupport" : true }, { "id" : "MedicationRequest.dispenseRequest.performer.display", "path" : "MedicationRequest.dispenseRequest.performer.display", "short" : "Nombre de la entidad responsable de gestionar la dispensación al paciente", "definition" : "Nombre de la entidad direccionada como responsable de gestionar la dispensación al paciente", "mustSupport" : true }] } }