Guia de Implementação da SES GO - CORE - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Prescrição de Medicamento

Descreve a prescrição de um medicamento.

Usage:

• Refer to this Resource Profile: Dispensação do Medicamento prescrito.

Formal Views of Profile Content

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

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

This structure is derived from MedicationRequest

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest			MedicationRequest
implicitRules		0..0
language		0..0
contained		0..0
identifier		0..0
statusReason		0..0
category		0..0
priority		0..0
doNotPerform		0..0
reported[x]		0..0
medication[x]		1..1		Medicamento Binding: SNOMEDCTMedicationCodes (example): Justificativa da ausência de dados estruturados sobre o medicamento.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medicamento)
subject		1..1	Reference(Indivíduo)	Sujeito da Composição
reference		0..0
type		0..0
identifier		1..1	Identifier	Logical reference, when literal reference is not known
use		0..0
type		0..0
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
period		0..0
assigner		0..0
display		0..0
encounter		0..0
supportingInformation		0..0
authoredOn		1..1	dateTime	Data e hora da prescrição
requester		0..1	Reference(Estabelecimento de Saúde)	Estabelecimento de Saúde prescritor
reference		0..0
type		0..0
identifier		1..1	Identifier	Logical reference, when literal reference is not known
use		0..0
type		0..0
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
period		0..0
assigner		0..0
display		0..0
performer		0..0
performerType		0..0
recorder		1..1	Reference(Profissional)	Profissional prescritor
reference		0..0
type		0..0
identifier		1..1	Identifier	Logical reference, when literal reference is not known
use		0..0
type		0..0
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
period		0..0
assigner		0..0
display		0..0
reasonCode		0..0
reasonReference		1..*	Reference(Condição baseada no CID-10)	Condition or observation that supports why the prescription is being written
instantiatesCanonical		0..0
instantiatesUri		0..0
basedOn		0..0
groupIdentifier		0..0
courseOfTherapyType		0..0
insurance		0..0
note		0..1	Annotation	Notas não estruturadas
dosageInstruction		0..1	Dosage	How the medication should be taken
sequence		0..0
text		0..1	string	Prescrição e/ou Posologia Não Estruturada
additionalInstruction		0..0
patientInstruction		0..1	string	Orientações sobre o uso do medicamento
timing		0..1	Timing	Frequência de uso do medicamento
event		0..0
repeat		1..1	Element	When the event is to occur
Slices for extension				Content/Rules for all slices
period		0..1	(Complex)	Extensão - Intervalo entre doses URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIntervaloDoses
when		0..1	(Complex)	Extensão - Turno do dia URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRTurno
value[x]
id		0..0
bounds[x]		0..0
count		1..1	positiveInt	Repetições de dose
countMax		1..1	positiveInt	Quantidade total de doses
duration		0..0
durationMax		0..0
durationUnit		0..0
frequency		0..1	positiveInt	Intervalo de dose
frequencyMax		0..0
period		0..0
periodMax		0..0
periodUnit		0..0
dayOfWeek		0..0
timeOfDay		0..0
when		0..0
offset		0..0
code		0..0
asNeeded[x]		0..1	boolean	Uso se necessário
site		0..0
route		1..1	CodeableConcept	Via de Administração Binding: Via de Administração do Imunobiológico (required): Via de Administração
method		0..0
doseAndRate		0..1	Element	Amount of medication administered
type		1..1	CodeableConcept	Unidade de consumo da dose Binding: Unidade de Consumo (required): Unidade de consumo da dose
coding		0..*	Coding	Code defined by a terminology system Binding: Unidade de Consumo (required): Determina a unidade de consumo
version		0..0
display		0..0
userSelected		0..0
text		0..0
dose[x]		1..1	SimpleQuantity	Quantidade da Dose
unit		0..0
system		0..0
code		0..0
rate[x]		0..0
maxDosePerPeriod		0..0
maxDosePerAdministration		1..1	SimpleQuantity	Quantidade a ser dispensada por atendimento
unit		0..0
system		0..0
code		0..0
maxDosePerLifetime		0..0
dispenseRequest
initialFill		0..0
dispenseInterval		0..0
validityPeriod		1..1	Period	Duração de uso do medicamento
numberOfRepeatsAllowed		0..0
quantity		0..1	SimpleQuantity	Total do tratamento
value		1..1	decimal	Numerical value (with implicit precision)
unit		0..0
system		0..0
code		0..0
expectedSupplyDuration		0..0
performer		0..0
substitution		0..0
priorPrescription		0..0
detectedIssue		0..0
eventHistory		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.dosageInstruction.route	required	Via de Administração do Imunobiológico http://www.saude.gov.br/fhir/r4/ValueSet/BRViaAdministracao-1.0
MedicationRequest.dosageInstruction.doseAndRate.type	required	Unidade de Consumo http://www.saude.gov.br/fhir/r4/ValueSet/BRUnidadeConsumo
MedicationRequest.dosageInstruction.doseAndRate.type.coding	required	Unidade de Consumo http://www.saude.gov.br/fhir/r4/ValueSet/BRUnidadeConsumo

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
intent	?!Σ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order.
medication[x]	Σ	1..1		Medicamento Binding: SNOMEDCTMedicationCodes (example): Justificativa da ausência de dados estruturados sobre o medicamento.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medicamento)
subject	Σ	1..1	Reference(Indivíduo)	Sujeito da Composição
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
authoredOn	Σ	1..1	dateTime	Data e hora da prescrição
requester	Σ	0..1	Reference(Estabelecimento de Saúde)	Estabelecimento de Saúde prescritor
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
recorder		1..1	Reference(Profissional)	Profissional prescritor
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
reasonReference		1..*	Reference(Condição baseada no CID-10)	Condition or observation that supports why the prescription is being written
note		0..1	Annotation	Notas não estruturadas
dosageInstruction		0..1	Dosage	How the medication should be taken
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	Σ	0..1	string	Prescrição e/ou Posologia Não Estruturada
patientInstruction	Σ	0..1	string	Orientações sobre o uso do medicamento
timing	Σ	0..1	Timing	Frequência de uso do medicamento
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
repeat	ΣC	1..1	Element	When the event is to occur tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
Slices for extension				Content/Rules for all slices
period		0..1	(Complex)	Extensão - Intervalo entre doses URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIntervaloDoses
when		0..1	(Complex)	Extensão - Turno do dia URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRTurno
url		1..1	uri	"http://www.saude.gov.br/fhir/r4/StructureDefinition/BRTurno"
count	Σ	1..1	positiveInt	Repetições de dose
countMax	Σ	1..1	positiveInt	Quantidade total de doses
frequency	Σ	0..1	positiveInt	Intervalo de dose
asNeeded[x]	Σ	0..1	boolean	Uso se necessário
route	Σ	1..1	CodeableConcept	Via de Administração Binding: Via de Administração do Imunobiológico (required): Via de Administração
doseAndRate	Σ	0..1	Element	Amount of medication administered
type	Σ	1..1	CodeableConcept	Unidade de consumo da dose Binding: Unidade de Consumo (required): Unidade de consumo da dose
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: Unidade de Consumo (required): Determina a unidade de consumo
dose[x]	C	1..1	SimpleQuantity	Quantidade da Dose qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
maxDosePerAdministration	Σ	1..1	SimpleQuantity	Quantidade a ser dispensada por atendimento
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.intent	required	medicationRequest Intent http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.dosageInstruction.route	required	Via de Administração do Imunobiológico http://www.saude.gov.br/fhir/r4/ValueSet/BRViaAdministracao-1.0
MedicationRequest.dosageInstruction.doseAndRate.type	required	Unidade de Consumo http://www.saude.gov.br/fhir/r4/ValueSet/BRUnidadeConsumo
MedicationRequest.dosageInstruction.doseAndRate.type.coding	required	Unidade de Consumo http://www.saude.gov.br/fhir/r4/ValueSet/BRUnidadeConsumo
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
text		0..1	Narrative	Text summary of the resource, for human interpretation
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
intent	?!Σ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order.
medication[x]	Σ	1..1		Medicamento Binding: SNOMEDCTMedicationCodes (example): Justificativa da ausência de dados estruturados sobre o medicamento.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medicamento)
subject	Σ	1..1	Reference(Indivíduo)	Sujeito da Composição
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
authoredOn	Σ	1..1	dateTime	Data e hora da prescrição
requester	Σ	0..1	Reference(Estabelecimento de Saúde)	Estabelecimento de Saúde prescritor
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
recorder		1..1	Reference(Profissional)	Profissional prescritor
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
reasonReference		1..*	Reference(Condição baseada no CID-10)	Condition or observation that supports why the prescription is being written
note		0..1	Annotation	Notas não estruturadas
dosageInstruction		0..1	Dosage	How the medication should be taken
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	Σ	0..1	string	Prescrição e/ou Posologia Não Estruturada
patientInstruction	Σ	0..1	string	Orientações sobre o uso do medicamento
timing	Σ	0..1	Timing	Frequência de uso do medicamento
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
repeat	ΣC	1..1	Element	When the event is to occur tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
period		0..1	(Complex)	Extensão - Intervalo entre doses URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIntervaloDoses
when		0..1	(Complex)	Extensão - Turno do dia URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRTurno
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://www.saude.gov.br/fhir/r4/StructureDefinition/BRTurno"
value[x]		0..1	code	Turno do dia Binding: Turno do dia (required): Define o turno do dia
extension		0..*	Extension	Additional content defined by implementations
value		0..1	string	Primitive value for code
count	Σ	1..1	positiveInt	Repetições de dose
countMax	Σ	1..1	positiveInt	Quantidade total de doses
frequency	Σ	0..1	positiveInt	Intervalo de dose
asNeeded[x]	Σ	0..1	boolean	Uso se necessário
route	Σ	1..1	CodeableConcept	Via de Administração Binding: Via de Administração do Imunobiológico (required): Via de Administração
doseAndRate	Σ	0..1	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	1..1	CodeableConcept	Unidade de consumo da dose Binding: Unidade de Consumo (required): Unidade de consumo da dose
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: Unidade de Consumo (required): Determina a unidade de consumo
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
dose[x]	C	1..1	SimpleQuantity	Quantidade da Dose qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
maxDosePerAdministration	Σ	1..1	SimpleQuantity	Quantidade a ser dispensada por atendimento
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
dispenseRequest		0..1	BackboneElement	Medication supply authorization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
validityPeriod		1..1	Period	Duração de uso do medicamento
quantity		0..1	SimpleQuantity	Total do tratamento
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	1..1	decimal	Numerical value (with implicit precision)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.intent	required	medicationRequest Intent http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.extension:when.value[x]	required	Turno do dia http://www.saude.gov.br/fhir/r4/ValueSet/BRTurno
MedicationRequest.dosageInstruction.route	required	Via de Administração do Imunobiológico http://www.saude.gov.br/fhir/r4/ValueSet/BRViaAdministracao-1.0
MedicationRequest.dosageInstruction.doseAndRate.type	required	Unidade de Consumo http://www.saude.gov.br/fhir/r4/ValueSet/BRUnidadeConsumo
MedicationRequest.dosageInstruction.doseAndRate.type.coding	required	Unidade de Consumo http://www.saude.gov.br/fhir/r4/ValueSet/BRUnidadeConsumo
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

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

This structure is derived from MedicationRequest

Summary

Mandatory: 9 elements(12 nested mandatory elements)
Prohibited: 85 elements

Structures

This structure refers to these other structures:

• Medicamento (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/Medicamento)
• Indivíduo (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/individuo)
• Estabelecimento de Saúde (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/estabelecimento-saude)
• Profissional (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/profissional)
• Condição baseada no CID-10 (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/condicao-cid10)
• SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Extensions

This structure refers to these extensions:

• http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIntervaloDoses
• http://www.saude.gov.br/fhir/r4/StructureDefinition/BRTurno

Differential View

This structure is derived from MedicationRequest

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest			MedicationRequest
implicitRules		0..0
language		0..0
contained		0..0
identifier		0..0
statusReason		0..0
category		0..0
priority		0..0
doNotPerform		0..0
reported[x]		0..0
medication[x]		1..1		Medicamento Binding: SNOMEDCTMedicationCodes (example): Justificativa da ausência de dados estruturados sobre o medicamento.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medicamento)
subject		1..1	Reference(Indivíduo)	Sujeito da Composição
reference		0..0
type		0..0
identifier		1..1	Identifier	Logical reference, when literal reference is not known
use		0..0
type		0..0
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
period		0..0
assigner		0..0
display		0..0
encounter		0..0
supportingInformation		0..0
authoredOn		1..1	dateTime	Data e hora da prescrição
requester		0..1	Reference(Estabelecimento de Saúde)	Estabelecimento de Saúde prescritor
reference		0..0
type		0..0
identifier		1..1	Identifier	Logical reference, when literal reference is not known
use		0..0
type		0..0
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
period		0..0
assigner		0..0
display		0..0
performer		0..0
performerType		0..0
recorder		1..1	Reference(Profissional)	Profissional prescritor
reference		0..0
type		0..0
identifier		1..1	Identifier	Logical reference, when literal reference is not known
use		0..0
type		0..0
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
period		0..0
assigner		0..0
display		0..0
reasonCode		0..0
reasonReference		1..*	Reference(Condição baseada no CID-10)	Condition or observation that supports why the prescription is being written
instantiatesCanonical		0..0
instantiatesUri		0..0
basedOn		0..0
groupIdentifier		0..0
courseOfTherapyType		0..0
insurance		0..0
note		0..1	Annotation	Notas não estruturadas
dosageInstruction		0..1	Dosage	How the medication should be taken
sequence		0..0
text		0..1	string	Prescrição e/ou Posologia Não Estruturada
additionalInstruction		0..0
patientInstruction		0..1	string	Orientações sobre o uso do medicamento
timing		0..1	Timing	Frequência de uso do medicamento
event		0..0
repeat		1..1	Element	When the event is to occur
Slices for extension				Content/Rules for all slices
period		0..1	(Complex)	Extensão - Intervalo entre doses URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIntervaloDoses
when		0..1	(Complex)	Extensão - Turno do dia URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRTurno
value[x]
id		0..0
bounds[x]		0..0
count		1..1	positiveInt	Repetições de dose
countMax		1..1	positiveInt	Quantidade total de doses
duration		0..0
durationMax		0..0
durationUnit		0..0
frequency		0..1	positiveInt	Intervalo de dose
frequencyMax		0..0
period		0..0
periodMax		0..0
periodUnit		0..0
dayOfWeek		0..0
timeOfDay		0..0
when		0..0
offset		0..0
code		0..0
asNeeded[x]		0..1	boolean	Uso se necessário
site		0..0
route		1..1	CodeableConcept	Via de Administração Binding: Via de Administração do Imunobiológico (required): Via de Administração
method		0..0
doseAndRate		0..1	Element	Amount of medication administered
type		1..1	CodeableConcept	Unidade de consumo da dose Binding: Unidade de Consumo (required): Unidade de consumo da dose
coding		0..*	Coding	Code defined by a terminology system Binding: Unidade de Consumo (required): Determina a unidade de consumo
version		0..0
display		0..0
userSelected		0..0
text		0..0
dose[x]		1..1	SimpleQuantity	Quantidade da Dose
unit		0..0
system		0..0
code		0..0
rate[x]		0..0
maxDosePerPeriod		0..0
maxDosePerAdministration		1..1	SimpleQuantity	Quantidade a ser dispensada por atendimento
unit		0..0
system		0..0
code		0..0
maxDosePerLifetime		0..0
dispenseRequest
initialFill		0..0
dispenseInterval		0..0
validityPeriod		1..1	Period	Duração de uso do medicamento
numberOfRepeatsAllowed		0..0
quantity		0..1	SimpleQuantity	Total do tratamento
value		1..1	decimal	Numerical value (with implicit precision)
unit		0..0
system		0..0
code		0..0
expectedSupplyDuration		0..0
performer		0..0
substitution		0..0
priorPrescription		0..0
detectedIssue		0..0
eventHistory		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.dosageInstruction.route	required	Via de Administração do Imunobiológico http://www.saude.gov.br/fhir/r4/ValueSet/BRViaAdministracao-1.0
MedicationRequest.dosageInstruction.doseAndRate.type	required	Unidade de Consumo http://www.saude.gov.br/fhir/r4/ValueSet/BRUnidadeConsumo
MedicationRequest.dosageInstruction.doseAndRate.type.coding	required	Unidade de Consumo http://www.saude.gov.br/fhir/r4/ValueSet/BRUnidadeConsumo

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
intent	?!Σ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order.
medication[x]	Σ	1..1		Medicamento Binding: SNOMEDCTMedicationCodes (example): Justificativa da ausência de dados estruturados sobre o medicamento.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medicamento)
subject	Σ	1..1	Reference(Indivíduo)	Sujeito da Composição
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
authoredOn	Σ	1..1	dateTime	Data e hora da prescrição
requester	Σ	0..1	Reference(Estabelecimento de Saúde)	Estabelecimento de Saúde prescritor
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
recorder		1..1	Reference(Profissional)	Profissional prescritor
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
reasonReference		1..*	Reference(Condição baseada no CID-10)	Condition or observation that supports why the prescription is being written
note		0..1	Annotation	Notas não estruturadas
dosageInstruction		0..1	Dosage	How the medication should be taken
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	Σ	0..1	string	Prescrição e/ou Posologia Não Estruturada
patientInstruction	Σ	0..1	string	Orientações sobre o uso do medicamento
timing	Σ	0..1	Timing	Frequência de uso do medicamento
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
repeat	ΣC	1..1	Element	When the event is to occur tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
Slices for extension				Content/Rules for all slices
period		0..1	(Complex)	Extensão - Intervalo entre doses URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIntervaloDoses
when		0..1	(Complex)	Extensão - Turno do dia URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRTurno
url		1..1	uri	"http://www.saude.gov.br/fhir/r4/StructureDefinition/BRTurno"
count	Σ	1..1	positiveInt	Repetições de dose
countMax	Σ	1..1	positiveInt	Quantidade total de doses
frequency	Σ	0..1	positiveInt	Intervalo de dose
asNeeded[x]	Σ	0..1	boolean	Uso se necessário
route	Σ	1..1	CodeableConcept	Via de Administração Binding: Via de Administração do Imunobiológico (required): Via de Administração
doseAndRate	Σ	0..1	Element	Amount of medication administered
type	Σ	1..1	CodeableConcept	Unidade de consumo da dose Binding: Unidade de Consumo (required): Unidade de consumo da dose
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: Unidade de Consumo (required): Determina a unidade de consumo
dose[x]	C	1..1	SimpleQuantity	Quantidade da Dose qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
maxDosePerAdministration	Σ	1..1	SimpleQuantity	Quantidade a ser dispensada por atendimento
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.intent	required	medicationRequest Intent http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.dosageInstruction.route	required	Via de Administração do Imunobiológico http://www.saude.gov.br/fhir/r4/ValueSet/BRViaAdministracao-1.0
MedicationRequest.dosageInstruction.doseAndRate.type	required	Unidade de Consumo http://www.saude.gov.br/fhir/r4/ValueSet/BRUnidadeConsumo
MedicationRequest.dosageInstruction.doseAndRate.type.coding	required	Unidade de Consumo http://www.saude.gov.br/fhir/r4/ValueSet/BRUnidadeConsumo
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode

Constraints

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

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
text		0..1	Narrative	Text summary of the resource, for human interpretation
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
intent	?!Σ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order.
medication[x]	Σ	1..1		Medicamento Binding: SNOMEDCTMedicationCodes (example): Justificativa da ausência de dados estruturados sobre o medicamento.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medicamento)
subject	Σ	1..1	Reference(Indivíduo)	Sujeito da Composição
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
authoredOn	Σ	1..1	dateTime	Data e hora da prescrição
requester	Σ	0..1	Reference(Estabelecimento de Saúde)	Estabelecimento de Saúde prescritor
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
recorder		1..1	Reference(Profissional)	Profissional prescritor
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
reasonReference		1..*	Reference(Condição baseada no CID-10)	Condition or observation that supports why the prescription is being written
note		0..1	Annotation	Notas não estruturadas
dosageInstruction		0..1	Dosage	How the medication should be taken
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	Σ	0..1	string	Prescrição e/ou Posologia Não Estruturada
patientInstruction	Σ	0..1	string	Orientações sobre o uso do medicamento
timing	Σ	0..1	Timing	Frequência de uso do medicamento
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
repeat	ΣC	1..1	Element	When the event is to occur tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
period		0..1	(Complex)	Extensão - Intervalo entre doses URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIntervaloDoses
when		0..1	(Complex)	Extensão - Turno do dia URL: http://www.saude.gov.br/fhir/r4/StructureDefinition/BRTurno
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://www.saude.gov.br/fhir/r4/StructureDefinition/BRTurno"
value[x]		0..1	code	Turno do dia Binding: Turno do dia (required): Define o turno do dia
extension		0..*	Extension	Additional content defined by implementations
value		0..1	string	Primitive value for code
count	Σ	1..1	positiveInt	Repetições de dose
countMax	Σ	1..1	positiveInt	Quantidade total de doses
frequency	Σ	0..1	positiveInt	Intervalo de dose
asNeeded[x]	Σ	0..1	boolean	Uso se necessário
route	Σ	1..1	CodeableConcept	Via de Administração Binding: Via de Administração do Imunobiológico (required): Via de Administração
doseAndRate	Σ	0..1	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	1..1	CodeableConcept	Unidade de consumo da dose Binding: Unidade de Consumo (required): Unidade de consumo da dose
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: Unidade de Consumo (required): Determina a unidade de consumo
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
code	Σ	0..1	code	Symbol in syntax defined by the system
dose[x]	C	1..1	SimpleQuantity	Quantidade da Dose qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
maxDosePerAdministration	Σ	1..1	SimpleQuantity	Quantidade a ser dispensada por atendimento
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	0..1	decimal	Numerical value (with implicit precision)
dispenseRequest		0..1	BackboneElement	Medication supply authorization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
validityPeriod		1..1	Period	Duração de uso do medicamento
quantity		0..1	SimpleQuantity	Total do tratamento
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	1..1	decimal	Numerical value (with implicit precision)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.intent	required	medicationRequest Intent http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.extension:when.value[x]	required	Turno do dia http://www.saude.gov.br/fhir/r4/ValueSet/BRTurno
MedicationRequest.dosageInstruction.route	required	Via de Administração do Imunobiológico http://www.saude.gov.br/fhir/r4/ValueSet/BRViaAdministracao-1.0
MedicationRequest.dosageInstruction.doseAndRate.type	required	Unidade de Consumo http://www.saude.gov.br/fhir/r4/ValueSet/BRUnidadeConsumo
MedicationRequest.dosageInstruction.doseAndRate.type.coding	required	Unidade de Consumo http://www.saude.gov.br/fhir/r4/ValueSet/BRUnidadeConsumo
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

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

This structure is derived from MedicationRequest

Summary

Mandatory: 9 elements(12 nested mandatory elements)
Prohibited: 85 elements

Structures

This structure refers to these other structures:

• Medicamento (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/Medicamento)
• Indivíduo (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/individuo)
• Estabelecimento de Saúde (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/estabelecimento-saude)
• Profissional (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/profissional)
• Condição baseada no CID-10 (https://fhir.saude.go.gov.br/r4/core/StructureDefinition/condicao-cid10)
• SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Extensions

This structure refers to these extensions:

• http://www.saude.gov.br/fhir/r4/StructureDefinition/BRIntervaloDoses
• http://www.saude.gov.br/fhir/r4/StructureDefinition/BRTurno