Clinical Practice Guidelines
3.0.0-ballot - STU 3 Ballot
Clinical Practice Guidelines
3.0.0-ballot - STU 3 Ballot
Clinical Practice Guidelines, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 3.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cqf-recommendations/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-medicationrequest | Version: 3.0.0-ballot | ||||
| Active as of 2026-11-10 | Computable Name: CPGMedicationRequest | ||||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.48.42.83 | |||||
Recommendation for a specific medication as part of the delivery of a computable clinical practice guideline
This is an activity request profile
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  MedicationRequest |
0..* | MedicationRequest | Ordering of medication for patient or group | |
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
   extension:instantiatesCaseFeature |
0..1 | canonical(CPG Case Feature Definition) | CPG Instantiates Case Feature Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature | |
| extension:caseFeatureType |
0..1 | code | CPG Case Feature Type Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType Binding: CPG Case Feature Type Value Set (required): Whether the case feature is asserted or inferred | |
| extension:caseFeaturePertinence |
0..1 | code | CPG Case Feature Pertinence Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence Binding: CPG Case Feature Pertinence Value Set (required): Describes the pertinence of a case feature | |
| extension:pertinenceRating |
0..1 | integer | CPG Pertinence Rating Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinenceRating | |
| extension:pertinentTo |
0..1 | Reference() | CPG Pertinent To Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinentTo | |
| extension:messages |
0..1 | Reference(OperationOutcome) | Messages from logic evaluation URL: http://hl7.org/fhir/StructureDefinition/cqf-messages | |
| extension:rationale |
0..1 | markdown | CPG Rationale Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale | |
 extension:rating |
0..1 | Quantity, Range, Ratio | CPG Rating Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rating | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
 identifier |
0..* | Identifier | External ids for this request | |
| status |
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 |
1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. | |
| category |
0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (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 |
0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | |
| doNotPerform |
0..1 | boolean | True if request is prohibiting action | |
 medication[x] |
1..1 | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | ||
| medicationCodeableConcept |
CodeableConcept | |||
  medicationReference |
Reference(Medication) | |||
| subject |
1..1 | Reference(CPG Patient) | Who or group medication request is for | |
| encounter |
0..1 | Reference(CPG Encounter) | Encounter created as part of encounter/admission/stay | |
| supportingInformation |
0..* | Reference(Resource) | Pertinent information | |
| instantiatesCanonical |
0..* | canonical() | Source | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | FHIR Std. |
| MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | FHIR Std. |
| MedicationRequest.category | Base | example | Medication request category codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| MedicationRequest.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| 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()
|
This structure is derived from MedicationRequest
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
0..* | MedicationRequest | Ordering of medication for patient or group | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:instantiatesCaseFeature |
0..1 | canonical(CPG Case Feature Definition) | CPG Instantiates Case Feature Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature | |||||
| extension:caseFeatureType |
0..1 | code | CPG Case Feature Type Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType Binding: CPG Case Feature Type Value Set (required): Whether the case feature is asserted or inferred | |||||
| extension:caseFeaturePertinence |
0..1 | code | CPG Case Feature Pertinence Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence Binding: CPG Case Feature Pertinence Value Set (required): Describes the pertinence of a case feature | |||||
| extension:pertinenceRating |
0..1 | integer | CPG Pertinence Rating Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinenceRating | |||||
| extension:pertinentTo |
0..1 | Reference() | CPG Pertinent To Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinentTo | |||||
| extension:messages |
0..1 | Reference(OperationOutcome) | Messages from logic evaluation URL: http://hl7.org/fhir/StructureDefinition/cqf-messages | |||||
| extension:rationale |
0..1 | markdown | CPG Rationale Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale | |||||
| extension:rating |
0..1 | Quantity, Range, Ratio | CPG Rating Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rating | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | External ids for this request | |||||
| status |
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. | |||||
| statusReason |
0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||
| intent |
1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. | |||||
| category |
0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (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 |
0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | |||||
| doNotPerform |
0..1 | boolean | True if request is prohibiting action | |||||
| reported[x] |
0..1 | Reported rather than primary record | ||||||
| reportedBoolean |
boolean | |||||||
| reportedReference |
Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||||||
| medication[x] |
1..1 | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | ||||||
| medicationCodeableConcept |
CodeableConcept | |||||||
| medicationReference |
Reference(Medication) | |||||||
| subject |
1..1 | Reference(CPG Patient) | Who or group medication request is for | |||||
| encounter |
0..1 | Reference(CPG Encounter) | Encounter created as part of encounter/admission/stay | |||||
| supportingInformation |
0..* | Reference(Resource) | Pertinent information | |||||
| authoredOn |
0..1 | dateTime | When request was initially authored | |||||
| requester |
0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/What requested the Request | |||||
| performer |
0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||
| performerType |
0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication. | |||||
| recorder |
0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||
| reasonCode |
0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (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 | |||||
| instantiatesCanonical |
0..* | canonical() | Source | |||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||
| basedOn |
0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | |||||
| groupIdentifier |
0..1 | Identifier | Composite request this is part of | |||||
| courseOfTherapyType |
0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |||||
| insurance |
0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
| note |
0..* | Annotation | Information about the prescription | |||||
| dosageInstruction |
0..* | Dosage | How the medication should be taken | |||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| initialFill |
0..1 | BackboneElement | First fill details | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| quantity |
C | 0..1 | SimpleQuantity(4.0.1) | First fill quantity Constraints: sqty-1 | ||||
| duration |
0..1 | Duration | First fill duration | |||||
| dispenseInterval |
0..1 | Duration | Minimum period of time between dispenses | |||||
| validityPeriod |
0..1 | Period | Time period supply is authorized for | |||||
| numberOfRepeatsAllowed |
0..1 | unsignedInt | Number of refills authorized | |||||
| quantity |
C | 0..1 | SimpleQuantity(4.0.1) | Amount of medication to supply per dispense Constraints: sqty-1 | ||||
| expectedSupplyDuration |
0..1 | Duration | Number of days supply per dispense | |||||
| performer |
0..1 | Reference(Organization) | Intended dispenser | |||||
| substitution |
0..1 | BackboneElement | Any restrictions on medication substitution | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| allowed[x] |
1..1 | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||||||
| allowedBoolean |
boolean | |||||||
| allowedCodeableConcept |
CodeableConcept | |||||||
| reason |
0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (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 | |||||
| detectedIssue |
0..* | Reference(DetectedIssue) | Clinical Issue with action | |||||
| eventHistory |
0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | FHIR Std. |
| MedicationRequest.statusReason | Base | example | Medication request status reason codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | FHIR Std. |
| MedicationRequest.category | Base | example | Medication request category codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| MedicationRequest.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.performerType | Base | example | Procedure Performer Role Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.courseOfTherapyType | Base | example | Medication request course of therapy codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.substitution.allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.5 |
| MedicationRequest.substitution.reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v7.5 |
| Id | Grade | Path(s) | Description | Expression |
| 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()
|
| sqty-1 | error | MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
This structure is derived from MedicationRequest
Summary
Must-Support: 16 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationRequest |
0..* | MedicationRequest | Ordering of medication for patient or group | |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:instantiatesCaseFeature |
0..1 | canonical(CPG Case Feature Definition) | CPG Instantiates Case Feature Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature | |
| extension:caseFeatureType |
0..1 | code | CPG Case Feature Type Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType Binding: CPG Case Feature Type Value Set (required): Whether the case feature is asserted or inferred | |
| extension:caseFeaturePertinence |
0..1 | code | CPG Case Feature Pertinence Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence Binding: CPG Case Feature Pertinence Value Set (required): Describes the pertinence of a case feature | |
| extension:pertinenceRating |
0..1 | integer | CPG Pertinence Rating Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinenceRating | |
| extension:pertinentTo |
0..1 | Reference() | CPG Pertinent To Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinentTo | |
| extension:messages |
0..1 | Reference(OperationOutcome) | Messages from logic evaluation URL: http://hl7.org/fhir/StructureDefinition/cqf-messages | |
| extension:rationale |
0..1 | markdown | CPG Rationale Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale | |
| extension:rating |
0..1 | Quantity, Range, Ratio | CPG Rating Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rating | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| identifier |
0..* | Identifier | External ids for this request | |
| status |
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 |
1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. | |
| category |
0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (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 |
0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | |
| doNotPerform |
0..1 | boolean | True if request is prohibiting action | |
| medication[x] |
1..1 | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | ||
| medicationCodeableConcept |
CodeableConcept | |||
| medicationReference |
Reference(Medication) | |||
| subject |
1..1 | Reference(CPG Patient) | Who or group medication request is for | |
| encounter |
0..1 | Reference(CPG Encounter) | Encounter created as part of encounter/admission/stay | |
| supportingInformation |
0..* | Reference(Resource) | Pertinent information | |
| instantiatesCanonical |
0..* | canonical() | Source | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | FHIR Std. |
| MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | FHIR Std. |
| MedicationRequest.category | Base | example | Medication request category codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| MedicationRequest.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| 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()
|
Differential View
This structure is derived from MedicationRequest
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
0..* | MedicationRequest | Ordering of medication for patient or group | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:instantiatesCaseFeature |
0..1 | canonical(CPG Case Feature Definition) | CPG Instantiates Case Feature Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-instantiatesCaseFeature | |||||
| extension:caseFeatureType |
0..1 | code | CPG Case Feature Type Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeatureType Binding: CPG Case Feature Type Value Set (required): Whether the case feature is asserted or inferred | |||||
| extension:caseFeaturePertinence |
0..1 | code | CPG Case Feature Pertinence Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-caseFeaturePertinence Binding: CPG Case Feature Pertinence Value Set (required): Describes the pertinence of a case feature | |||||
| extension:pertinenceRating |
0..1 | integer | CPG Pertinence Rating Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinenceRating | |||||
| extension:pertinentTo |
0..1 | Reference() | CPG Pertinent To Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-pertinentTo | |||||
| extension:messages |
0..1 | Reference(OperationOutcome) | Messages from logic evaluation URL: http://hl7.org/fhir/StructureDefinition/cqf-messages | |||||
| extension:rationale |
0..1 | markdown | CPG Rationale Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale | |||||
| extension:rating |
0..1 | Quantity, Range, Ratio | CPG Rating Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rating | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | External ids for this request | |||||
| status |
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. | |||||
| statusReason |
0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||
| intent |
1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. | |||||
| category |
0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (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 |
0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | |||||
| doNotPerform |
0..1 | boolean | True if request is prohibiting action | |||||
| reported[x] |
0..1 | Reported rather than primary record | ||||||
| reportedBoolean |
boolean | |||||||
| reportedReference |
Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||||||
| medication[x] |
1..1 | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | ||||||
| medicationCodeableConcept |
CodeableConcept | |||||||
| medicationReference |
Reference(Medication) | |||||||
| subject |
1..1 | Reference(CPG Patient) | Who or group medication request is for | |||||
| encounter |
0..1 | Reference(CPG Encounter) | Encounter created as part of encounter/admission/stay | |||||
| supportingInformation |
0..* | Reference(Resource) | Pertinent information | |||||
| authoredOn |
0..1 | dateTime | When request was initially authored | |||||
| requester |
0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/What requested the Request | |||||
| performer |
0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||
| performerType |
0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication. | |||||
| recorder |
0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||
| reasonCode |
0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (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 | |||||
| instantiatesCanonical |
0..* | canonical() | Source | |||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||
| basedOn |
0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | |||||
| groupIdentifier |
0..1 | Identifier | Composite request this is part of | |||||
| courseOfTherapyType |
0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |||||
| insurance |
0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
| note |
0..* | Annotation | Information about the prescription | |||||
| dosageInstruction |
0..* | Dosage | How the medication should be taken | |||||
| 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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| initialFill |
0..1 | BackboneElement | First fill details | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| quantity |
C | 0..1 | SimpleQuantity(4.0.1) | First fill quantity Constraints: sqty-1 | ||||
| duration |
0..1 | Duration | First fill duration | |||||
| dispenseInterval |
0..1 | Duration | Minimum period of time between dispenses | |||||
| validityPeriod |
0..1 | Period | Time period supply is authorized for | |||||
| numberOfRepeatsAllowed |
0..1 | unsignedInt | Number of refills authorized | |||||
| quantity |
C | 0..1 | SimpleQuantity(4.0.1) | Amount of medication to supply per dispense Constraints: sqty-1 | ||||
| expectedSupplyDuration |
0..1 | Duration | Number of days supply per dispense | |||||
| performer |
0..1 | Reference(Organization) | Intended dispenser | |||||
| substitution |
0..1 | BackboneElement | Any restrictions on medication substitution | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| allowed[x] |
1..1 | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||||||
| allowedBoolean |
boolean | |||||||
| allowedCodeableConcept |
CodeableConcept | |||||||
| reason |
0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (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 | |||||
| detectedIssue |
0..* | Reference(DetectedIssue) | Clinical Issue with action | |||||
| eventHistory |
0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | FHIR Std. |
| MedicationRequest.statusReason | Base | example | Medication request status reason codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | FHIR Std. |
| MedicationRequest.category | Base | example | Medication request category codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| MedicationRequest.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.performerType | Base | example | Procedure Performer Role Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.courseOfTherapyType | Base | example | Medication request course of therapy codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.substitution.allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.5 |
| MedicationRequest.substitution.reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v7.5 |
| Id | Grade | Path(s) | Description | Expression |
| 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()
|
| sqty-1 | error | MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
This structure is derived from MedicationRequest
Summary
Must-Support: 16 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron
IG © 2023+ HL7 International / Clinical Decision Support.
Package hl7.fhir.uv.cpg#3.0.0-ballot based on FHIR 4.0.1.
Generated
2026-11-10
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