openIMIS FHIR R4 Implementation Guide
1.0.0 - ci-build
openIMIS FHIR R4 Implementation Guide - Local Development build (v1.0.0). See the Directory of published versions
Active as of 2022-05-31 |
Definitions for the medication-frequency extension.
1. Extension | |
Definition | The frequency a Medication can be prescribed. |
Control | 0..* This element is affected by the following invariants: ele-1 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
2. Extension.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
3. Extension.extension | |
Definition | An Extension |
Control | 0..0 |
Type | Extension |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on Extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
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4. Extension.url | |
Definition | Source of the definition for the extension code - a logical name or a URL. |
Control | 1..1 |
Type | uri |
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
Fixed Value | https://openimis.github.io/openimis_fhir_r4_ig/StructureDefinition/medication-frequency |
5. Extension.value[x] | |
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
Control | 0..1 |
Type | Timing |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
Slicing | This element introduces a set of slices on Extension.value[x]. The slices are unordered and Closed, and can be differentiated using the following discriminators:
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6. Extension.value[x]:valueTiming | |
SliceName | valueTiming |
Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
Control | 0..1 |
Type | Timing |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
7. Extension.value[x]:valueTiming.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
8. Extension.value[x]:valueTiming.extension | |
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. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | 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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on Extension.value[x].extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
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9. Extension.value[x]:valueTiming.modifierExtension | |
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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Control | 0..* |
Type | Extension |
Is Modifier | true |
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. |
Alternate Names | extensions, user content, modifiers |
Comments | 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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
10. Extension.value[x]:valueTiming.event | |
Definition | Identifies specific times when the event occurs. |
Control | 0..* |
Type | dateTime |
Requirements | In a Medication Administration Record, for instance, you need to take a general specification, and turn it into a precise specification. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
11. Extension.value[x]:valueTiming.repeat | |
Definition | A set of rules that describe when the event is scheduled. |
Control | 0..1 |
Type | Element |
Requirements | Many timing schedules are determined by regular repetitions. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) tim-1: if there's a duration, there needs to be duration units (: duration.empty() or durationUnit.exists()) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa (: timeOfDay.empty() or when.empty()) tim-2: if there's a period, there needs to be period units (: period.empty() or periodUnit.exists()) tim-4: duration SHALL be a non-negative value (: duration.exists() implies duration >= 0) tim-5: period SHALL be a non-negative value (: period.exists() implies period >= 0) tim-6: If there's a periodMax, there must be a period (: periodMax.empty() or period.exists()) tim-7: If there's a durationMax, there must be a duration (: durationMax.empty() or duration.exists()) tim-8: If there's a countMax, there must be a count (: countMax.empty() or count.exists()) tim-9: 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()))) |
12. Extension.value[x]:valueTiming.repeat.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Control | 0..1 |
Type | string |
13. Extension.value[x]:valueTiming.repeat.extension | |
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. |
Control | 0..* |
Type | Extension |
Alternate Names | extensions, user content |
Comments | 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. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on Extension.value[x].repeat.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
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14. Extension.value[x]:valueTiming.repeat.bounds[x] | |
Definition | Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule. |
Control | 0..1 |
Type | Choice of: Duration, Range, Period |
[x] Note | See Choice of Data Types for further information about how to use [x] |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
15. Extension.value[x]:valueTiming.repeat.count | |
Definition | A total count of the desired number of repetitions across the duration of the entire timing specification. If countMax is present, this element indicates the lower bound of the allowed range of count values. |
Control | 0..1 |
Type | positiveInt |
Requirements | Repetitions may be limited by end time or total occurrences. |
Comments | If you have both bounds and count, then this should be understood as within the bounds period, until count times happens. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
16. Extension.value[x]:valueTiming.repeat.countMax | |
Definition | If present, indicates that the count is a range - so to perform the action between [count] and [countMax] times. |
Control | 0..1 |
Type | positiveInt |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
17. Extension.value[x]:valueTiming.repeat.duration | |
Definition | How long this thing happens for when it happens. If durationMax is present, this element indicates the lower bound of the allowed range of the duration. |
Control | 0..1 |
Type | decimal |
Requirements | Some activities are not instantaneous and need to be maintained for a period of time. |
Comments | For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise). |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
18. Extension.value[x]:valueTiming.repeat.durationMax | |
Definition | If present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length. |
Control | 0..1 |
Type | decimal |
Requirements | Some activities are not instantaneous and need to be maintained for a period of time. |
Comments | For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise). |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
19. Extension.value[x]:valueTiming.repeat.durationUnit | |
Definition | The units of time for the duration, in UCUM units. |
Control | 0..1 |
Binding | The codes SHALL be taken from UnitsOfTime A unit of time (units from UCUM). |
Type | code |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
20. Extension.value[x]:valueTiming.repeat.frequency | |
Definition | The number of times to repeat the action within the specified period. If frequencyMax is present, this element indicates the lower bound of the allowed range of the frequency. |
Control | 1..1 |
Type | positiveInt |
Meaning if Missing | If no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this |
Pattern Value | 1 |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
21. Extension.value[x]:valueTiming.repeat.frequencyMax | |
Definition | If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range. |
Control | 0..1 |
Type | positiveInt |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
22. Extension.value[x]:valueTiming.repeat.period | |
Definition | The minimum number of days the service can be administered again. |
Control | 1..1 |
Type | decimal |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
23. Extension.value[x]:valueTiming.repeat.periodMax | |
Definition | If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as "do this once every 3-5 days. |
Control | 0..1 |
Type | decimal |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
24. Extension.value[x]:valueTiming.repeat.periodUnit | |
Definition | The units of time for the period in UCUM units. |
Control | 1..1 |
Binding | The codes SHALL be taken from UnitsOfTime A unit of time (units from UCUM). |
Type | code |
Pattern Value | d |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
25. Extension.value[x]:valueTiming.repeat.dayOfWeek | |
Definition | If one or more days of week is provided, then the action happens only on the specified day(s). |
Control | 0..* |
Binding | The codes SHALL be taken from DaysOfWeek |
Type | code |
Comments | If no days are specified, the action is assumed to happen every day as otherwise specified. The elements frequency and period cannot be used as well as dayOfWeek. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
26. Extension.value[x]:valueTiming.repeat.timeOfDay | |
Definition | Specified time of day for action to take place. |
Control | 0..* |
Type | time |
Comments | When time of day is specified, it is inferred that the action happens every day (as filtered by dayofWeek) on the specified times. The elements when, frequency and period cannot be used as well as timeOfDay. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
27. Extension.value[x]:valueTiming.repeat.when | |
Definition | An approximate time period during the day, potentially linked to an event of daily living that indicates when the action should occur. |
Control | 0..* |
Binding | The codes SHALL be taken from EventTiming Real world event relating to the schedule. |
Type | code |
Requirements | Timings are frequently determined by occurrences such as waking, eating and sleep. |
Comments | When more than one event is listed, the event is tied to the union of the specified events. |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
28. Extension.value[x]:valueTiming.repeat.offset | |
Definition | The number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event. |
Control | 0..1 |
Type | unsignedInt |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
29. Extension.value[x]:valueTiming.code | |
Definition | A code for the timing schedule (or just text in code.text). Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing, with the exception that .repeat.bounds still applies over the code (and is not contained in the code). |
Control | 0..1 |
Binding | The codes SHOULD be taken from TimingAbbreviation Code for a known / defined timing pattern. |
Type | CodeableConcept |
Comments | BID etc. are defined as 'at institutionally specified times'. For example, an institution may choose that BID is "always at 7am and 6pm". If it is inappropriate for this choice to be made, the code BID should not be used. Instead, a distinct organization-specific code should be used in place of the HL7-defined BID code and/or a structured representation should be used (in this case, specifying the two event times). |
Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |