Profile Comparison between http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-medicationrequest vs https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-medication-request

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/MedicationRequest
copyright	Used by permission of HL7 International all rights reserved Creative Commons License		Removed the item 'Used by permission of HL7 International all rights reserved Creative Commons License'
date	2022-08-02	2025-03-27T12:39:56+00:00	Values Differ
description	Minimum expectations for a MedicationRequest resource when accessed via a International Patient Access API. The MedicationRequest resource represents an order or request for both supply of the medication and the instructions for administration of the medication to a patient.	This is the Finnish base profile for the MedicationRequest resource, for other than patient access use cases.	Values Differ
experimental	false		Removed the item 'false'
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	http://unstats.un.org/unsd/methods/m49/m49.htm#001		Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
jurisdiction[1]		urn:iso:std:iso:3166#FI	Added the item 'urn:iso:std:iso:3166#FI'
kind	resource
name	IPAMedicationRequest	FiBaseMedicationRequest	Values Differ
publisher	HL7 International / Patient Care	HL7 Finland	Values Differ
purpose
status	active	draft	Values Differ
title	IPA-MedicationRequest	FI Base MedicationRequest	Values Differ
type	MedicationRequest
url	http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-medicationrequest	https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-medication-request	Values Differ
version	1.1.0	2.0.0-ci	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group		0..*	MedicationRequest	Ordering of medication for patient or group
id	Σ	0..1	id	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External ids for this request		0..*	Identifier	External ids for this request
status	?!SOΣ	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: ?? (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ipa/ActorDefinition/server SHALL:handle http://hl7.org/fhir/uv/ipa/ActorDefinition/client	?!Σ	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: ?? (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.	Elements differ in definition for mustSupport: 'true' vs 'false'
statusReason		0..1	CodeableConcept	Reason for current status Binding: ?? (example): Identifies the reasons for a given status.		0..1	CodeableConcept	Reason for current status Binding: ?? (example): Identifies the reasons for a given status.
intent	?!SOΣ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order. Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ipa/ActorDefinition/server	?!Σ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order.	Elements differ in definition for mustSupport: 'true' vs 'false'
category		0..*	CodeableConcept	Type of medication usage Binding: ?? (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.		0..*	CodeableConcept	Type of medication usage Binding: ?? (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request.	Σ	0..1	code	routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!OΣ	0..1	boolean	True if request is prohibiting action Obligations Actor SHOULD:populate http://hl7.org/fhir/uv/ipa/ActorDefinition/server SHALL:handle http://hl7.org/fhir/uv/ipa/ActorDefinition/client	?!Σ	0..1	boolean	True if request is prohibiting action
reported[x]	SOΣ	0..1	boolean, Reference(IPA-Patient | IPA-Practitioner | IPA-PractitionerRole)	Reported rather than primary record Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ipa/ActorDefinition/server SHOULD:handle http://hl7.org/fhir/uv/ipa/ActorDefinition/client	Σ	0..1	boolean, Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	Reported rather than primary record Slice: Unordered, Open by type:$this	Elements differ in definition for mustSupport: 'true' vs 'false'
medication[x]	SOΣ	1..1	CodeableConcept, Reference(IPA-Medication)	Medication to be taken Binding: ?? (example): A coded concept identifying substance or product that can be ordered. Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ipa/ActorDefinition/server SHALL:handle http://hl7.org/fhir/uv/ipa/ActorDefinition/client	Σ	1..1	CodeableConcept, Reference(Medication)	Medication to be taken Slice: Unordered, Open by type:$this Binding: ?? (example): A coded concept identifying substance or product that can be ordered.	Elements differ in definition for mustSupport: 'true' vs 'false'
subject	SOΣ	1..1	Reference(IPA-Patient)	Who or group medication request is for Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ipa/ActorDefinition/server SHALL:handle http://hl7.org/fhir/uv/ipa/ActorDefinition/client	Σ	1..1	Reference(FI Base Patient)	Who or group medication request is for	Elements differ in definition for mustSupport: 'true' vs 'false'
encounter	SO	0..1	Reference(Encounter)	Encounter created as part of encounter/admission/stay Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ipa/ActorDefinition/server		0..1	Reference(FI Base Encounter)	Encounter created as part of encounter/admission/stay	Elements differ in definition for mustSupport: 'true' vs 'false'
supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication		0..*	Reference(Resource)	Information to support ordering of the medication
authoredOn	SOΣ	0..1	dateTime	When request was initially authored Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ipa/ActorDefinition/server	Σ	0..1	dateTime	When request was initially authored	Elements differ in definition for mustSupport: 'true' vs 'false'
requester	SOΣ	0..1	Reference(IPA-Practitioner | IPA-PractitionerRole | Organization | IPA-Patient | RelatedPerson | Device)	Who/What requested the Request Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ipa/ActorDefinition/server SHALL:handle http://hl7.org/fhir/uv/ipa/ActorDefinition/client	Σ	0..1	Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient)	Who/What requested the Request	Elements differ in definition for mustSupport: 'true' vs 'false'
performer		0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration		0..1	Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient | FI Base Organization | Device | RelatedPerson | CareTeam)	Intended performer of administration
performerType	Σ	0..1	CodeableConcept	Desired kind of performer of the medication administration Binding: ?? (example): Identifies the type of individual that is desired to administer the medication.	Σ	0..1	CodeableConcept	Desired kind of performer of the medication administration Binding: ?? (example): Identifies the type of individual that is desired to administer the medication.
recorder		0..1	Reference(Practitioner | PractitionerRole)	Person who entered the request		0..1	Reference(FI Base Practitioner | FI Base PractitionerRole)	Person who entered the request
reasonCode		0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: ?? (example): A coded concept indicating why the medication was ordered.		0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: ?? (example): A coded concept indicating why the medication was ordered.
reasonReference		0..*	Reference(Condition | Observation)	Condition or observation that supports why the prescription is being written		0..*	Reference(FI Base Condition | FI Base Observation)	Condition or observation that supports why the prescription is being written
instantiatesCanonical	Σ	0..*	canonical()	Instantiates FHIR protocol or definition	Σ	0..*	canonical()	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	What request fulfills	Σ	0..*	Reference(CarePlan | FI Base MedicationRequest | ServiceRequest | ImmunizationRecommendation)	What request fulfills
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of	Σ	0..1	Identifier	Composite request this is part of
courseOfTherapyType		0..1	CodeableConcept	Overall pattern of medication administration Binding: ?? (example): Identifies the overall pattern of medication administratio.		0..1	CodeableConcept	Overall pattern of medication administration Binding: ?? (example): Identifies the overall pattern of medication administratio.
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
note		0..*	Annotation	Information about the prescription		0..*	Annotation	Information about the prescription
dosageInstruction	SO	0..*	Dosage	How the medication should be taken Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ipa/ActorDefinition/server SHALL:handle http://hl7.org/fhir/uv/ipa/ActorDefinition/client		0..*	Dosage	How the medication should be taken	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized					Removed this element
sequence	Σ	0..1	integer	The order of the dosage instructions					Removed this element
text	SOΣ	0..1	string	Free text dosage instructions e.g. SIG Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ipa/ActorDefinition/server SHALL:handle http://hl7.org/fhir/uv/ipa/ActorDefinition/client					Removed this element
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".					Removed this element
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions					Removed this element
timing	Σ	0..1	Timing	When medication should be administered					Removed this element
asNeeded[x]	Σ	0..1	boolean, CodeableConcept	Take "as needed" (for x) Binding: ?? (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.					Removed this element
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body.					Removed this element
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: ?? (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.					Removed this element
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.					Removed this element
doseAndRate	Σ	0..*	Element	Amount of medication administered					Removed this element
maxDosePerPeriod	Σ	0..1	Ratio	Upper limit on medication per unit of time					Removed this element
maxDosePerAdministration	Σ	0..1	??	Upper limit on medication per administration					Removed this element
maxDosePerLifetime	Σ	0..1	??	Upper limit on medication per lifetime of the patient					Removed this element
dispenseRequest		0..1	BackboneElement	Medication supply authorization		0..1	BackboneElement	Medication supply authorization
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
initialFill		0..1	BackboneElement	First fill details		0..1	BackboneElement	First fill details
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity		0..1	??	First fill quantity		0..1	??	First fill quantity
duration		0..1	Duration	First fill duration		0..1	Duration	First fill duration
dispenseInterval		0..1	Duration	Minimum period of time between dispenses		0..1	Duration	Minimum period of time between dispenses
validityPeriod		0..1	Period	Time period supply is authorized for		0..1	Period	Time period supply is authorized for
numberOfRepeatsAllowed		0..1	unsignedInt	Number of refills authorized		0..1	unsignedInt	Number of refills authorized
quantity		0..1	??	Amount of medication to supply per dispense		0..1	??	Amount of medication to supply per dispense
expectedSupplyDuration		0..1	Duration	Number of days supply per dispense		0..1	Duration	Number of days supply per dispense
performer		0..1	Reference(Organization)	Intended dispenser		0..1	Reference(FI Base Organization)	Intended dispenser
substitution		0..1	BackboneElement	Any restrictions on medication substitution		0..1	BackboneElement	Any restrictions on medication substitution
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
allowed[x]		1..1	boolean, CodeableConcept	Whether substitution is allowed or not Binding: ?? (example): Identifies the type of substitution allowed.		1..1	boolean, CodeableConcept	Whether substitution is allowed or not Binding: ?? (example): Identifies the type of substitution allowed.
reason		0..1	CodeableConcept	Why should (not) substitution be made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.		0..1	CodeableConcept	Why should (not) substitution be made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
priorPrescription		0..1	Reference(MedicationRequest)	An order/prescription that is being replaced		0..1	Reference(FI Base MedicationRequest)	An order/prescription that is being replaced
detectedIssue		0..*	Reference(DetectedIssue)	Clinical Issue with action		0..*	Reference(DetectedIssue)	Clinical Issue with action
eventHistory		0..*	Reference(Provenance)	A list of events of interest in the lifecycle		0..*	Reference(FI Base Provenance)	A list of events of interest in the lifecycle
Documentation for this format