QI-Core Implementation Guide
4.1.0 - release

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## Resource Profile: QICoreMedicationRequest

Defining URL: | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest
Version: | 4.1.0
Name: | QICoreMedicationRequest
Status: | Draft as of 8/22/18
Definition: | Profile of MedicationRequest for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
Publisher: | http://www.hl7.org/Special/committees/cqi/index.cfm
Source Resource: | XML / JSON / Turtle

The official URL for this profile is:

    http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest

Usage

To create an expression specifically requesting information that a MedicationRequest intentionally did not occur for a medical, patient or system reason, use the profile QICore-Medicationnotrequested.

The MedicationRequest and MedicationNotRequested profiles represent the positive and negative statements for a medication order. To ensure instances retrieved meet positive intent, applications should check the status and doNotPerform elements as illustrated in this example:

    define MedicationRequest:
      [MedicationRequest] R
        where R.status in { 'active', 'on-hold', 'completed', 'draft' }
          and R.doNotPerform is not true

The following example illustrates the use of the MedicationRequest profile:

    define "Antithrombotic Therapy at Discharge":
      [MedicationRequest: medication in "Antithrombotic Therapy"] Antithrombotic
        where (Antithrombotic.isCommunity() or Antithrombotic.isDischarge())
          and Antithrombotic.status in { 'active', 'completed' }
          and Antithrombotic.intent = 'order'
          and Antithrombotic.doNotPerform is not true

See the patterns page for implementation and usage patterns.

### Examples

Penicillin MedicationRequest Example
Cumulative Medication Duration Example

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Text Summary
- Differential Table
- Snapshot Table
- Snapshot Table (Must Support)
- All

This structure is derived from USCoreMedicationRequestProfile

Summary

Mandatory: 1 element
Must-Support: 25 elements
Fixed Value: 1 element
Prohibited: 1 element

Structures

This structure refers to these other structures:

- QICorePatient (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient)
- QICoreEncounter (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter)
- QICorePractitioner (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner)
- QICoreOrganization (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization)
- QICorePractitionerRole (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitionerrole)

This structure is derived from USCoreMedicationRequestProfile

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group
category | S | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (preferred): Type of medication usage
doNotPerform | S | 0..1 | boolean | True if request is prohibiting action Fixed Value: false
subject | S | 1..1 | Reference(QICorePatient) | Who or group medication request is for
encounter | S | 0..1 | Reference(QICoreEncounter) | Encounter created as part of encounter/admission/stay
authoredOn | S | 1..1 | dateTime | When request was initially authored
requester | S | 1..1 | Reference(QICorePractitioner | QICorePatient | QICoreOrganization) | Who/What requested the Request
recorder |  | 0..1 | Reference(QICorePractitioner | QICorePractitionerRole) | Person who entered the request
dosageInstruction | S | 0..* | Dosage | How the medication should be taken
timing | S | 0..1 | Timing | When medication should be administered
repeat | S | 0..1 | Element | When the event is to occur
frequency | S | 0..1 | positiveInt | Event occurs frequency times per period
frequencyMax | S | 0..1 | positiveInt | Event occurs up to frequencyMax times per period
period | S | 0..1 | decimal | Event occurs frequency times per period
periodMax | S | 0..1 | decimal | Upper limit of period (3-4 hours)
periodUnit | S | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM)
asNeeded[x] | S | 0..1 | boolean, CodeableConcept | Take "as needed" (for x)
site | S | 0..1 | CodeableConcept | Body site to administer to
route |  | 0..1 | CodeableConcept | How drug should enter body
method |  | 0..1 | CodeableConcept | Technique for administering medication
doseAndRate | S | 0..* | Element | Amount of medication administered
dose[x] | S | 0..1 | Range, SimpleQuantity | Amount of medication per dose
dispenseRequest | S | 0..1 | BackboneElement | Medication supply authorization
initialFill | S | 0..0 |  |
dispenseInterval | S | 0..1 | Duration | Minimum period of time between dispenses
validityPeriod | S | 0..1 | Period | Time period supply is authorized for
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | Number of refills authorized
quantity | S | 0..1 | SimpleQuantity | Amount of medication to supply per dispense
expectedSupplyDuration | S | 0..1 | Duration | Number of days supply per dispense
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group
id | Σ | 0..1 | string | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 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) Max Binding: AllLanguages: A human language.
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | External ids for this request
status | ?!S Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A code 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 | ?!S Σ | 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 | S | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (preferred): Type of medication usage
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!S Σ | 0..1 | boolean | True if request is prohibiting action Fixed Value: false
reported[x] | S Σ | 0..1 |  | Reported rather than primary record
reportedBoolean |  |  | boolean |
reportedReference |  |  | Reference(US Core Patient Profile | US Core Practitioner Profile | US Core Organization Profile) |
medication[x] | S Σ | 1..1 |  | Medication to be taken Binding: US Core Medication Codes (RxNorm) (extensible): Prescribable medications
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(US Core Medication Profile) |
subject | S Σ | 1..1 | Reference(QICorePatient) | Who or group medication request is for
encounter | S | 0..1 | Reference(QICoreEncounter) | Encounter created as part of encounter/admission/stay
supportingInformation |  | 0..* | Reference(Resource) | Information to support ordering of the medication
authoredOn | S Σ | 1..1 | dateTime | When request was initially authored
requester | S Σ | 1..1 | Reference(QICorePractitioner | QICorePatient | QICoreOrganization) | Who/What requested the Request
performer |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration
performerType | Σ | 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(QICorePractitioner | QICorePractitionerRole) | 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 | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills
groupIdentifier | Σ | 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 | S | 0..* | Dosage | How the medication should be taken
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence | Σ | 0..1 | integer | The order of the dosage instructions
text | S Σ | 0..1 | string | Free text dosage instructions e.g. SIG
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions
timing | S Σ | 0..1 | Timing | When medication should be administered
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
event | Σ | 0..* | dateTime | When the event occurs
repeat | S Σ I | 0..1 | Element | When the event is to occur
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x] | Σ | 0..1 |  | Length/Range of lengths, or (Start and/or end) limits
boundsDuration |  |  | Duration |
boundsRange |  |  | Range |
boundsPeriod |  |  | Period |
count | Σ | 0..1 | positiveInt | Number of times to repeat
countMax | Σ | 0..1 | positiveInt | Maximum number of times to repeat
duration | Σ | 0..1 | decimal | How long when it happens
durationMax | Σ | 0..1 | decimal | How long when it happens (Max)
durationUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency | S Σ | 0..1 | positiveInt | Event occurs frequency times per period
frequencyMax | S Σ | 0..1 | positiveInt | Event occurs up to frequencyMax times per period
period | S Σ | 0..1 | decimal | Event occurs frequency times per period
periodMax | S Σ | 0..1 | decimal | Upper limit of period (3-4 hours)
periodUnit | S Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek | Σ | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay | Σ | 0..* | time | Time of day for action
when | Σ | 0..* | code | Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset | Σ | 0..1 | unsignedInt | Minutes from event (before or after)
code | Σ | 0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
asNeeded[x] | S Σ | 0..1 |  | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (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.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
site | S Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate | S Σ | 0..* | Element | Amount of medication administered
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x] | S Σ | 0..1 |  | Amount of medication per dose
doseRange |  |  | Range |
doseQuantity |  |  | Quantity(SimpleQuantity) |
rate[x] | Σ | 0..1 |  | Amount of medication per unit of time
rateRatio |  |  | Ratio |
rateRange |  |  | Range |
rateQuantity |  |  | Quantity(SimpleQuantity) |
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient
dispenseRequest | S | 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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
dispenseInterval | S | 0..1 | Duration | Minimum period of time between dispenses
validityPeriod | S | 0..1 | Period | Time period supply is authorized for
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | Number of refills authorized
quantity | S | 0..1 | SimpleQuantity | Amount of medication to supply per dispense
expectedSupplyDuration | S | 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 | ?!Σ | 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

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group
status | ?!Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription.
intent | ?!Σ | 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 (preferred): Type of medication usage
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action Fixed Value: false
reported[x] | Σ | 0..1 |  | Reported rather than primary record
reportedBoolean |  |  | boolean |
reportedReference |  |  | Reference(US Core Patient Profile | US Core Practitioner Profile | US Core Organization Profile) |
medication[x] | Σ | 1..1 |  | Medication to be taken Binding: US Core Medication Codes (RxNorm) (extensible): Prescribable medications
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(US Core Medication Profile) |
subject | Σ | 1..1 | Reference(QICorePatient) | Who or group medication request is for
encounter |  | 0..1 | Reference(QICoreEncounter) | Encounter created as part of encounter/admission/stay
authoredOn | Σ | 1..1 | dateTime | When request was initially authored
requester | Σ | 1..1 | Reference(QICorePractitioner | QICorePatient | QICoreOrganization) | Who/What requested the Request
dosageInstruction |  | 0..* | Dosage | How the medication should be taken
text | Σ | 0..1 | string | Free text dosage instructions e.g. SIG
timing | Σ | 0..1 | Timing | When medication should be administered
repeat | Σ I | 0..1 | Element | When the event is to occur
frequency | Σ | 0..1 | positiveInt | Event occurs frequency times per period
frequencyMax | Σ | 0..1 | positiveInt | Event occurs up to frequencyMax times per period
period | Σ | 0..1 | decimal | Event occurs frequency times per period
periodMax | Σ | 0..1 | decimal | Upper limit of period (3-4 hours)
periodUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
asNeeded[x] | Σ | 0..1 |  | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (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.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
doseAndRate | Σ | 0..* | Element | Amount of medication administered
dose[x] | Σ | 0..1 |  | Amount of medication per dose
doseRange |  |  | Range |
doseQuantity |  |  | Quantity(SimpleQuantity) |
dispenseRequest |  | 0..1 | BackboneElement | Medication supply authorization
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 |  | 0..1 | SimpleQuantity | Amount of medication to supply per dispense
expectedSupplyDuration |  | 0..1 | Duration | Number of days supply per dispense
Documentation for this format

This structure is derived from USCoreMedicationRequestProfile

Summary

Mandatory: 1 element
Must-Support: 25 elements
Fixed Value: 1 element
Prohibited: 1 element

Structures

This structure refers to these other structures:

- QICorePatient (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient)
- QICoreEncounter (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter)
- QICorePractitioner (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner)
- QICoreOrganization (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization)
- QICorePractitionerRole (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitionerrole)

Differential View

This structure is derived from USCoreMedicationRequestProfile

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group
category | S | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (preferred): Type of medication usage
doNotPerform | S | 0..1 | boolean | True if request is prohibiting action Fixed Value: false
subject | S | 1..1 | Reference(QICorePatient) | Who or group medication request is for
encounter | S | 0..1 | Reference(QICoreEncounter) | Encounter created as part of encounter/admission/stay
authoredOn | S | 1..1 | dateTime | When request was initially authored
requester | S | 1..1 | Reference(QICorePractitioner | QICorePatient | QICoreOrganization) | Who/What requested the Request
recorder |  | 0..1 | Reference(QICorePractitioner | QICorePractitionerRole) | Person who entered the request
dosageInstruction | S | 0..* | Dosage | How the medication should be taken
timing | S | 0..1 | Timing | When medication should be administered
repeat | S | 0..1 | Element | When the event is to occur
frequency | S | 0..1 | positiveInt | Event occurs frequency times per period
frequencyMax | S | 0..1 | positiveInt | Event occurs up to frequencyMax times per period
period | S | 0..1 | decimal | Event occurs frequency times per period
periodMax | S | 0..1 | decimal | Upper limit of period (3-4 hours)
periodUnit | S | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM)
asNeeded[x] | S | 0..1 | boolean, CodeableConcept | Take "as needed" (for x)
site | S | 0..1 | CodeableConcept | Body site to administer to
route |  | 0..1 | CodeableConcept | How drug should enter body
method |  | 0..1 | CodeableConcept | Technique for administering medication
doseAndRate | S | 0..* | Element | Amount of medication administered
dose[x] | S | 0..1 | Range, SimpleQuantity | Amount of medication per dose
dispenseRequest | S | 0..1 | BackboneElement | Medication supply authorization
initialFill | S | 0..0 |  |
dispenseInterval | S | 0..1 | Duration | Minimum period of time between dispenses
validityPeriod | S | 0..1 | Period | Time period supply is authorized for
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | Number of refills authorized
quantity | S | 0..1 | SimpleQuantity | Amount of medication to supply per dispense
expectedSupplyDuration | S | 0..1 | Duration | Number of days supply per dispense
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group
id | Σ | 0..1 | string | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 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) Max Binding: AllLanguages: A human language.
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | External ids for this request
status | ?!S Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A code 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 | ?!S Σ | 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 | S | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (preferred): Type of medication usage
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!S Σ | 0..1 | boolean | True if request is prohibiting action Fixed Value: false
reported[x] | S Σ | 0..1 |  | Reported rather than primary record
reportedBoolean |  |  | boolean |
reportedReference |  |  | Reference(US Core Patient Profile | US Core Practitioner Profile | US Core Organization Profile) |
medication[x] | S Σ | 1..1 |  | Medication to be taken Binding: US Core Medication Codes (RxNorm) (extensible): Prescribable medications
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(US Core Medication Profile) |
subject | S Σ | 1..1 | Reference(QICorePatient) | Who or group medication request is for
encounter | S | 0..1 | Reference(QICoreEncounter) | Encounter created as part of encounter/admission/stay
supportingInformation |  | 0..* | Reference(Resource) | Information to support ordering of the medication
authoredOn | S Σ | 1..1 | dateTime | When request was initially authored
requester | S Σ | 1..1 | Reference(QICorePractitioner | QICorePatient | QICoreOrganization) | Who/What requested the Request
performer |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration
performerType | Σ | 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(QICorePractitioner | QICorePractitionerRole) | 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 | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills
groupIdentifier | Σ | 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 | S | 0..* | Dosage | How the medication should be taken
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence | Σ | 0..1 | integer | The order of the dosage instructions
text | S Σ | 0..1 | string | Free text dosage instructions e.g. SIG
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions
timing | S Σ | 0..1 | Timing | When medication should be administered
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
event | Σ | 0..* | dateTime | When the event occurs
repeat | S Σ I | 0..1 | Element | When the event is to occur
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x] | Σ | 0..1 |  | Length/Range of lengths, or (Start and/or end) limits
boundsDuration |  |  | Duration |
boundsRange |  |  | Range |
boundsPeriod |  |  | Period |
count | Σ | 0..1 | positiveInt | Number of times to repeat
countMax | Σ | 0..1 | positiveInt | Maximum number of times to repeat
duration | Σ | 0..1 | decimal | How long when it happens
durationMax | Σ | 0..1 | decimal | How long when it happens (Max)
durationUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency | S Σ | 0..1 | positiveInt | Event occurs frequency times per period
frequencyMax | S Σ | 0..1 | positiveInt | Event occurs up to frequencyMax times per period
period | S Σ | 0..1 | decimal | Event occurs frequency times per period
periodMax | S Σ | 0..1 | decimal | Upper limit of period (3-4 hours)
periodUnit | S Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek | Σ | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay | Σ | 0..* | time | Time of day for action
when | Σ | 0..* | code | Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset | Σ | 0..1 | unsignedInt | Minutes from event (before or after)
code | Σ | 0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
asNeeded[x] | S Σ | 0..1 |  | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (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.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
site | S Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate | S Σ | 0..* | Element | Amount of medication administered
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x] | S Σ | 0..1 |  | Amount of medication per dose
doseRange |  |  | Range |
doseQuantity |  |  | Quantity(SimpleQuantity) |
rate[x] | Σ | 0..1 |  | Amount of medication per unit of time
rateRatio |  |  | Ratio |
rateRange |  |  | Range |
rateQuantity |  |  | Quantity(SimpleQuantity) |
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient
dispenseRequest | S | 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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
dispenseInterval | S | 0..1 | Duration | Minimum period of time between dispenses
validityPeriod | S | 0..1 | Period | Time period supply is authorized for
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | Number of refills authorized
quantity | S | 0..1 | SimpleQuantity | Amount of medication to supply per dispense
expectedSupplyDuration | S | 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 | ?!Σ | 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

Other representations of profile: CSV, Excel, Schematron

#### Terminology Bindings

Path | Conformance | ValueSet
MedicationRequest.language | preferred | CommonLanguages Max Binding: AllLanguages
MedicationRequest.status | required | medicationrequest Status
MedicationRequest.statusReason | example | medicationRequest Status Reason Codes
MedicationRequest.intent | required | medicationRequest Intent
MedicationRequest.category | preferred | medicationRequest Category Codes
MedicationRequest.priority | required | RequestPriority
MedicationRequest.medication[x] | extensible | USCoreMedicationCodes
MedicationRequest.performerType | example | ProcedurePerformerRoleCodes
MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodes
MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codes
MedicationRequest.dosageInstruction.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructions
MedicationRequest.dosageInstruction.timing.repeat.durationUnit | required | UnitsOfTime
MedicationRequest.dosageInstruction.timing.repeat.periodUnit | required | UnitsOfTime
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek | required | DaysOfWeek
MedicationRequest.dosageInstruction.timing.repeat.when | required | EventTiming
MedicationRequest.dosageInstruction.timing.code | preferred | TimingAbbreviation
MedicationRequest.dosageInstruction.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodes
MedicationRequest.dosageInstruction.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodes
MedicationRequest.dosageInstruction.route | example | SNOMEDCTRouteCodes
MedicationRequest.dosageInstruction.method | example | SNOMEDCTAdministrationMethodCodes
MedicationRequest.dosageInstruction.doseAndRate.type | example | DoseAndRateType
MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReason

#### Constraints

Id | Grade | Path | Details | Requirements
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 | MedicationRequest.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationRequest.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationRequest.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationRequest.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationRequest.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.status | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.statusReason | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.intent | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.category | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.priority | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.doNotPerform | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.reported[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.medication[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.subject | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.encounter | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.supportingInformation | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.authoredOn | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.requester | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.performer | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.performerType | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.recorder | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.reasonCode | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.reasonReference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.instantiatesCanonical | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.instantiatesUri | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.basedOn | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.groupIdentifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.courseOfTherapyType | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.insurance | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.note | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationRequest.dosageInstruction.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationRequest.dosageInstruction.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationRequest.dosageInstruction.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationRequest.dosageInstruction.sequence | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.additionalInstruction | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.patientInstruction | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.timing | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.timing.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationRequest.dosageInstruction.timing.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationRequest.dosageInstruction.timing.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationRequest.dosageInstruction.timing.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationRequest.dosageInstruction.timing.event | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
tim-1 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists() |
tim-2 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a period, there needs to be period units : period.empty() or periodUnit.exists() |
tim-4 | error | MedicationRequest.dosageInstruction.timing.repeat | duration SHALL be a non-negative value : duration.exists() implies duration >= 0 |
tim-5 | error | MedicationRequest.dosageInstruction.timing.repeat | period SHALL be a non-negative value : period.exists() implies period >= 0 |
tim-6 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a periodMax, there must be a period : periodMax.empty() or period.exists() |
tim-7 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists() |
tim-8 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a countMax, there must be a count : countMax.empty() or count.exists() |
tim-9 | error | MedicationRequest.dosageInstruction.timing.repeat | 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())) |
tim-10 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty() |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationRequest.dosageInstruction.timing.repeat.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.bounds[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.count | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.countMax | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.duration | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.durationMax | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.durationUnit | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.frequency | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.frequencyMax | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.period | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.periodMax | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.periodUnit | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.timeOfDay | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.when | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.offset | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.timing.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.asNeeded[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.site | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.route | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.method | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.doseAndRate | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.doseAndRate.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationRequest.dosageInstruction.doseAndRate.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationRequest.dosageInstruction.doseAndRate.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.doseAndRate.dose[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.doseAndRate.rate[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.maxDosePerPeriod | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.maxDosePerAdministration | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dosageInstruction.maxDosePerLifetime | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dispenseRequest | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dispenseRequest.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationRequest.dispenseRequest.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationRequest.dispenseRequest.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationRequest.dispenseRequest.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationRequest.dispenseRequest.initialFill.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationRequest.dispenseRequest.initialFill.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationRequest.dispenseRequest.initialFill.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationRequest.dispenseRequest.initialFill.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationRequest.dispenseRequest.initialFill.quantity | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dispenseRequest.initialFill.duration | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dispenseRequest.dispenseInterval | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dispenseRequest.validityPeriod | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dispenseRequest.numberOfRepeatsAllowed | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dispenseRequest.quantity | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dispenseRequest.expectedSupplyDuration | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.dispenseRequest.performer | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.substitution | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.substitution.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationRequest.substitution.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationRequest.substitution.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | MedicationRequest.substitution.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | error | MedicationRequest.substitution.allowed[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.substitution.reason | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.priorPrescription | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.detectedIssue | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | error | MedicationRequest.eventHistory | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |