<?xml version="1.0" encoding="UTF-8"?><CodeSystem xmlns="http://hl7.org/fhir"><id value="medicationrequest-intent"/><meta><lastUpdated value="2026-03-31T18:55:04.283+00:00"/></meta><text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem medicationrequest-intent</b></p><a name="medicationrequest-intent"> </a><a name="hcmedicationrequest-intent"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/CodeSystem/medicationrequest-intent</code> defines the following codes in a Is-A hierarchy:</p><table class="codes"><tr><td><b>Lvl</b></td><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td>1</td><td style="white-space:nowrap">proposal<a name="medicationrequest-intent-proposal"> </a></td><td>Proposal</td><td>The request is a suggestion made by someone/something that doesn't have an intention to ensure it occurs and without providing an authorization to act</td></tr><tr><td>1</td><td style="white-space:nowrap">plan<a name="medicationrequest-intent-plan"> </a></td><td>Plan</td><td>The request represents an intention to ensure something occurs without providing an authorization for others to act.</td></tr><tr><td>1</td><td style="white-space:nowrap">order<a name="medicationrequest-intent-order"> </a></td><td>Order</td><td>The request represents a request/demand and authorization for action</td></tr><tr><td>2</td><td style="white-space:nowrap">  original-order<a name="medicationrequest-intent-original-order"> </a></td><td>Original Order</td><td>The request represents the original authorization for the medication request.</td></tr><tr><td>2</td><td style="white-space:nowrap">  reflex-order<a name="medicationrequest-intent-reflex-order"> </a></td><td>Reflex Order</td><td>The request represents an automatically generated supplemental authorization for action based on a parent authorization together with initial results of the action taken against that parent authorization..</td></tr><tr><td>2</td><td style="white-space:nowrap">  filler-order<a name="medicationrequest-intent-filler-order"> </a></td><td>Filler Order</td><td>The request represents the view of an authorization instantiated by a fulfilling system representing the details of the fulfiller's intention to act upon a submitted order.</td></tr><tr><td>3</td><td style="white-space:nowrap">    instance-order<a name="medicationrequest-intent-instance-order"> </a></td><td>Instance Order</td><td>The request represents an instance for the particular order and is used to generate a schedule of requests on a medication administration record (MAR).</td></tr><tr><td>1</td><td style="white-space:nowrap">option<a name="medicationrequest-intent-option"> </a></td><td>Option</td><td>The request represents a component or option for a RequestOrchestration that establishes timing, conditionality and/or  other constraints among a set of requests.</td></tr></table></div></text><extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"><valueCode value="phx"/></extension><extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"><valueCode value="normative"/></extension><extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"><valueInteger value="4"/></extension><url value="http://hl7.org/fhir/CodeSystem/medicationrequest-intent"/><identifier><system value="urn:ietf:rfc:3986"/><value value="urn:oid:2.16.840.1.113883.4.642.4.1378"/></identifier><version value="6.0.0-ballot4"/><name value="MedicationRequestIntentCodes"/><title value="MedicationRequest Intent Codes"/><status value="active"/><experimental value="false"/><publisher value="HL7 International"/><description value="MedicationRequest Intent Codes"/><jurisdiction><coding><system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/><code value="001"/><display value="World"/></coding></jurisdiction><caseSensitive value="true"/><valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-intent"/><hierarchyMeaning value="is-a"/><content value="complete"/><concept><code value="proposal"/><display value="Proposal"/><definition value="The request is a suggestion made by someone/something that doesn't have an intention to ensure it occurs and without providing an authorization to act"/></concept><concept><code value="plan"/><display value="Plan"/><definition value="The request represents an intention to ensure something occurs without providing an authorization for others to act."/></concept><concept><code value="order"/><display value="Order"/><definition value="The request represents a request/demand and authorization for action"/><concept><code value="original-order"/><display value="Original Order"/><definition value="The request represents the original authorization for the medication request."/></concept><concept><code value="reflex-order"/><display value="Reflex Order"/><definition value="The request represents an automatically generated supplemental authorization for action based on a parent authorization together with initial results of the action taken against that parent authorization.."/></concept><concept><code value="filler-order"/><display value="Filler Order"/><definition value="The request represents the view of an authorization instantiated by a fulfilling system representing the details of the fulfiller's intention to act upon a submitted order."/><concept><code value="instance-order"/><display value="Instance Order"/><definition value="The request represents an instance for the particular order and is used to generate a schedule of requests on a medication administration record (MAR)."/></concept></concept></concept><concept><code value="option"/><display value="Option"/><definition value="The request represents a component or option for a RequestOrchestration that establishes timing, conditionality and/or  other constraints among a set of requests."/></concept></CodeSystem>