<?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>