SGHI FHIR Profile Implementation Guide
0.1.0 - ci-build

SGHI FHIR Profile Implementation Guide, published by Kathurima Kimathi. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/sil_fhir_profile_ig/ and changes regularly. See the Directory of published versions

## Resource Profile: SGHI MedicationRequest

Official URL: https://fhir.slade360.co.ke/fhir/StructureDefinition/medicationrequest | Version: 0.1.0
Draft as of 2026-05-21 | Computable Name: SGHIMedicationRequest

An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called 'MedicationRequest' rather than 'MedicationPrescription' or 'MedicationOrder' to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns.

Usages:

- Refer to this Profile: SGHI Appointment Profile, SGHI DiagnosticReport, SGHI DocumentReference Profile., SGHI Encounter... Show 4 more, SGHI Medication Dispense, SGHI MedicationRequest, SGHI Observation and SGHI ServiceRequest
- Examples for this Profile: MedicationRequest/ExampleSGHIMedicationRequest

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest | Ordering of medication for patient or group
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
contained |  | 0..* | Resource | Contained, inline Resources
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 1..* | Identifier | External ids for this request
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type | Σ | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Default Identifier Types (required)
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ C | 1..1 | string | The value that is unique Example General: 123456
assigner | Σ | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text)
basedOn | Σ | 0..* | SGHIReference(SGHI ServiceRequest | SGHI MedicationRequest) | A plan or request that is fulfilled in whole or in part by this medication request
priorPrescription |  | 0..1 | SGHIReference(SGHI MedicationRequest) | Reference to an order/prescription that is being replaced by this MedicationRequest
status | ?!Σ | 1..1 | code | active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown Binding: MedicationrequestStatus (required): A coded concept 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: MedicationRequestIntent (required): The kind of medication order.
category |  | 0..* | SGHICodeableConcept | Grouping or category of medication request Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication is to be consumed or administered.
priority | Σ | 1..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if patient is to stop taking or not to start taking the medication
medication | Σ | 1..1 | SGHICodeableReference(SGHI Medication) | Medication to be taken Binding: SGHI Medication Codes (required)
subject | Σ | 1..1 | SGHIReference(SGHI Patient) | Individual or group for whom the medication has been requested
informationSource |  | 0..* | SGHIReference(SGHI Patient | SGHI Organization) | The person or organization who provided the information about this request, if the source is someone other than the requestor
encounter |  | 1..1 | SGHIReference(SGHI Encounter) | Encounter created as part of encounter/admission/stay
authoredOn | Σ | 1..1 | dateTime | When request was initially authored
requester | Σ | 1..1 | SGHIReference(SGHI Patient | SGHI Organization) | Who/What requested the Request
performer |  | 0..* | SGHIReference(SGHI Patient | SGHI Organization) | Intended performer of administration
recorder |  | 0..1 | SGHIReference(SGHI Practitioner | SGHI PractitionerRole) | Person who entered the request
reason |  | 0..* | SGHICodeableReference(SGHI Condition | SGHI Observation) | Reason or indication for ordering or not ordering the medication Binding: ConditionProblemDiagnosisCodes (example): A coded concept indicating why the medication was ordered.
dosageInstruction |  | 1..* | SGHIDosage | Specific instructions for how the medication should be taken
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationRequest.identifier.​use | Base | required | IdentifierUse | 📦5.0.0 | FHIR Std.
MedicationRequest.identifier.​type | Base | required | SGHI Default Identifier Types | 📦0.1.0 | This IG
MedicationRequest.status | Base | required | medicationrequest Status | 📍5.0.0 | FHIR Std.
MedicationRequest.intent | Base | required | medicationRequest Intent | 📍5.0.0 | FHIR Std.
MedicationRequest.category | Base | example | medicationRequest Administration Location Codes | 📍5.0.0 | FHIR Std.
MedicationRequest.priority | Base | required | RequestPriority | 📍5.0.0 | FHIR Std.
MedicationRequest.medication | Base | required | SGHI Medication Codes | 📦0.1.0 | This IG
MedicationRequest.reason | Base | example | Condition/Problem/Diagnosis Codes | 📍5.0.0 | FHIR Std.

#### Constraints

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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest | Ordering of medication for patient or group
identifier |  | 1..* | Identifier | External ids for this request
use |  | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type |  | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Default Identifier Types (required)
system |  | 1..1 | uri | The namespace for the identifier value
value |  | 1..1 | string | The value that is unique
assigner |  | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text)
basedOn |  | 0..* | SGHIReference(SGHI ServiceRequest | SGHI MedicationRequest) | A plan or request that is fulfilled in whole or in part by this medication request
priorPrescription |  | 0..1 | SGHIReference(SGHI MedicationRequest) | Reference to an order/prescription that is being replaced by this MedicationRequest
category |  | 0..* | SGHICodeableConcept | Grouping or category of medication request
priority |  | 1..1 | code | routine | urgent | asap | stat
medication |  | 1..1 | SGHICodeableReference(SGHI Medication) | Medication to be taken Binding: SGHI Medication Codes (required)
subject |  | 1..1 | SGHIReference(SGHI Patient) | Individual or group for whom the medication has been requested
informationSource |  | 0..* | SGHIReference(SGHI Patient | SGHI Organization) | The person or organization who provided the information about this request, if the source is someone other than the requestor
encounter |  | 1..1 | SGHIReference(SGHI Encounter) | Encounter created as part of encounter/admission/stay
authoredOn |  | 1..1 | dateTime | When request was initially authored
requester |  | 1..1 | SGHIReference(SGHI Patient | SGHI Organization) | Who/What requested the Request
performer |  | 0..* | SGHIReference(SGHI Patient | SGHI Organization) | Intended performer of administration
recorder |  | 0..1 | SGHIReference(SGHI Practitioner | SGHI PractitionerRole) | Person who entered the request
reason |  | 0..* | SGHICodeableReference(SGHI Condition | SGHI Observation) | Reason or indication for ordering or not ordering the medication
dosageInstruction |  | 1..* | SGHIDosage | Specific instructions for how the medication should be taken
dispenseRequest |  |  |  |
dispenser |  | 0..1 | SGHIReference(SGHI Organization) | Intended performer of dispense
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
MedicationRequest.identifier.​use | Base | required | IdentifierUse | 📦5.0.0 | FHIR Std.
MedicationRequest.identifier.​type | Base | required | SGHI Default Identifier Types | 📦0.1.0 | This IG
MedicationRequest.medication | Base | required | SGHI Medication Codes | 📦0.1.0 | This IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest | Ordering of medication for patient or group
id | Σ | 0..1 | id | 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: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
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
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 1..* | Identifier | External ids for this request
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type | Σ | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Default Identifier Types (required)
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ C | 1..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text)
basedOn | Σ | 0..* | SGHIReference(SGHI ServiceRequest | SGHI MedicationRequest) | A plan or request that is fulfilled in whole or in part by this medication request
priorPrescription |  | 0..1 | SGHIReference(SGHI MedicationRequest) | Reference to an order/prescription that is being replaced by this MedicationRequest
groupIdentifier | Σ | 0..1 | Identifier | Composite request this is part of
status | ?!Σ | 1..1 | code | active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown Binding: MedicationrequestStatus (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: MedicationRequestStatusReasonCodes (example): Identifies the reasons for a given status.
statusChanged |  | 0..1 | dateTime | When the status was changed
intent | ?!Σ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: MedicationRequestIntent (required): The kind of medication order.
category |  | 0..* | SGHICodeableConcept | Grouping or category of medication request Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication is to be consumed or administered.
priority | Σ | 1..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if patient is to stop taking or not to start taking the medication
medication | Σ | 1..1 | SGHICodeableReference(SGHI Medication) | Medication to be taken Binding: SGHI Medication Codes (required)
subject | Σ | 1..1 | SGHIReference(SGHI Patient) | Individual or group for whom the medication has been requested
informationSource |  | 0..* | SGHIReference(SGHI Patient | SGHI Organization) | The person or organization who provided the information about this request, if the source is someone other than the requestor
encounter |  | 1..1 | SGHIReference(SGHI Encounter) | Encounter created as part of encounter/admission/stay
supportingInformation |  | 0..* | Reference(Resource) | Information to support fulfilling of the medication
authoredOn | Σ | 1..1 | dateTime | When request was initially authored
requester | Σ | 1..1 | SGHIReference(SGHI Patient | SGHI Organization) | Who/What requested the Request
reported | Σ | 0..1 | boolean | Reported rather than primary record
performerType | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: MedicationIntendedPerformerRole (extensible): Identifies the type of individual that is desired to administer the medication.
performer |  | 0..* | SGHIReference(SGHI Patient | SGHI Organization) | Intended performer of administration
device |  | 0..* | CodeableReference(DeviceDefinition) | Intended type of device for the administration
recorder |  | 0..1 | SGHIReference(SGHI Practitioner | SGHI PractitionerRole) | Person who entered the request
reason |  | 0..* | SGHICodeableReference(SGHI Condition | SGHI Observation) | Reason or indication for ordering or not ordering the medication Binding: ConditionProblemDiagnosisCodes (example): A coded concept indicating why the medication was ordered.
courseOfTherapyType |  | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: MedicationRequestCourseOfTherapyCodes (extensible): Identifies the overall pattern of medication administratio.
insurance |  | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage
note |  | 0..* | Annotation | Information about the prescription
renderedDosageInstruction |  | 0..1 | markdown | Full representation of the dosage instructions
effectiveDosePeriod |  | 0..1 | Period | Period over which the medication is to be taken
dosageInstruction |  | 1..* | SGHIDosage | Specific instructions for 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 | ?!Σ | 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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
quantity |  | 0..1 | SimpleQuantity(5.0.0) | First fill quantity
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 |  | 0..1 | SimpleQuantity(5.0.0) | Amount of medication to supply per dispense
expectedSupplyDuration |  | 0..1 | Duration | Number of days supply per dispense
dispenser |  | 0..1 | SGHIReference(SGHI Organization) | Intended performer of dispense
dispenserInstruction |  | 0..* | Annotation | Additional information for the dispenser
doseAdministrationAid |  | 0..1 | CodeableConcept | Type of adherence packaging to use for the dispense Binding: MedicationDoseAids (example)
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 (preferred): Identifies the type of substitution allowed.
allowedBoolean |  |  | boolean |
allowedCodeableConcept |  |  | CodeableConcept |
reason |  | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): SubstanceAdminSubstitutionReason
eventHistory |  | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationRequest.language | Base | required | All Languages | 📍5.0.0 | FHIR Std.
MedicationRequest.identifier.​use | Base | required | IdentifierUse | 📦5.0.0 | FHIR Std.
MedicationRequest.identifier.​type | Base | required | SGHI Default Identifier Types | 📦0.1.0 | This IG
MedicationRequest.status | Base | required | medicationrequest Status | 📍5.0.0 | FHIR Std.
MedicationRequest.statusReason | Base | example | medicationRequest Status Reason Codes | 📍5.0.0 | FHIR Std.
MedicationRequest.intent | Base | required | medicationRequest Intent | 📍5.0.0 | FHIR Std.
MedicationRequest.category | Base | example | medicationRequest Administration Location Codes | 📍5.0.0 | FHIR Std.
MedicationRequest.priority | Base | required | RequestPriority | 📍5.0.0 | FHIR Std.
MedicationRequest.medication | Base | required | SGHI Medication Codes | 📦0.1.0 | This IG
MedicationRequest.performerType | Base | extensible | Medication Intended Performer Role | 📍5.0.0 | FHIR Std.
MedicationRequest.reason | Base | example | Condition/Problem/Diagnosis Codes | 📍5.0.0 | FHIR Std.
MedicationRequest.courseOfTherapyType | Base | extensible | medicationRequest Course of Therapy Codes | 📍5.0.0 | FHIR Std.
MedicationRequest.dispenseRequest.​doseAdministrationAid | Base | example | Medication Dose Aids | 📍5.0.0 | FHIR Std.
MedicationRequest.substitution.​allowed[x] | Base | preferred | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.1
MedicationRequest.substitution.​reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v7.1

#### Constraints

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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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

Summary

Mandatory: 9 elements

Structures

This structure refers to these other structures:

- SGHI CodeableConcept (https://fhir.slade360.co.ke/fhir/StructureDefinition/codeableconcept)
- SGHI Reference (https://fhir.slade360.co.ke/fhir/StructureDefinition/reference)
- SGHI Organization (https://fhir.slade360.co.ke/fhir/StructureDefinition/organization)
- SGHI ServiceRequest (https://fhir.slade360.co.ke/fhir/StructureDefinition/servicerequest)
- SGHI MedicationRequest (https://fhir.slade360.co.ke/fhir/StructureDefinition/medicationrequest)
- SGHI CodeableReference (https://fhir.slade360.co.ke/fhir/StructureDefinition/codeable-reference)
- SGHI Medication (https://fhir.slade360.co.ke/fhir/StructureDefinition/medication)
- SGHI Patient (https://fhir.slade360.co.ke/fhir/StructureDefinition/patient)
- SGHI Encounter (https://fhir.slade360.co.ke/fhir/StructureDefinition/encounter)
- SGHI Practitioner (https://fhir.slade360.co.ke/fhir/StructureDefinition/practitioner)
- SGHI PractitionerRole (https://fhir.slade360.co.ke/fhir/StructureDefinition/practitionerrole)
- SGHI Condition (https://fhir.slade360.co.ke/fhir/StructureDefinition/condition)
- SGHI Observation (https://fhir.slade360.co.ke/fhir/StructureDefinition/observation)
- SGHI Dosage (https://fhir.slade360.co.ke/fhir/StructureDefinition/dosage)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest | Ordering of medication for patient or group
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
contained |  | 0..* | Resource | Contained, inline Resources
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 1..* | Identifier | External ids for this request
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type | Σ | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Default Identifier Types (required)
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ C | 1..1 | string | The value that is unique Example General: 123456
assigner | Σ | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text)
basedOn | Σ | 0..* | SGHIReference(SGHI ServiceRequest | SGHI MedicationRequest) | A plan or request that is fulfilled in whole or in part by this medication request
priorPrescription |  | 0..1 | SGHIReference(SGHI MedicationRequest) | Reference to an order/prescription that is being replaced by this MedicationRequest
status | ?!Σ | 1..1 | code | active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown Binding: MedicationrequestStatus (required): A coded concept 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: MedicationRequestIntent (required): The kind of medication order.
category |  | 0..* | SGHICodeableConcept | Grouping or category of medication request Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication is to be consumed or administered.
priority | Σ | 1..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if patient is to stop taking or not to start taking the medication
medication | Σ | 1..1 | SGHICodeableReference(SGHI Medication) | Medication to be taken Binding: SGHI Medication Codes (required)
subject | Σ | 1..1 | SGHIReference(SGHI Patient) | Individual or group for whom the medication has been requested
informationSource |  | 0..* | SGHIReference(SGHI Patient | SGHI Organization) | The person or organization who provided the information about this request, if the source is someone other than the requestor
encounter |  | 1..1 | SGHIReference(SGHI Encounter) | Encounter created as part of encounter/admission/stay
authoredOn | Σ | 1..1 | dateTime | When request was initially authored
requester | Σ | 1..1 | SGHIReference(SGHI Patient | SGHI Organization) | Who/What requested the Request
performer |  | 0..* | SGHIReference(SGHI Patient | SGHI Organization) | Intended performer of administration
recorder |  | 0..1 | SGHIReference(SGHI Practitioner | SGHI PractitionerRole) | Person who entered the request
reason |  | 0..* | SGHICodeableReference(SGHI Condition | SGHI Observation) | Reason or indication for ordering or not ordering the medication Binding: ConditionProblemDiagnosisCodes (example): A coded concept indicating why the medication was ordered.
dosageInstruction |  | 1..* | SGHIDosage | Specific instructions for how the medication should be taken
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationRequest.identifier.​use | Base | required | IdentifierUse | 📦5.0.0 | FHIR Std.
MedicationRequest.identifier.​type | Base | required | SGHI Default Identifier Types | 📦0.1.0 | This IG
MedicationRequest.status | Base | required | medicationrequest Status | 📍5.0.0 | FHIR Std.
MedicationRequest.intent | Base | required | medicationRequest Intent | 📍5.0.0 | FHIR Std.
MedicationRequest.category | Base | example | medicationRequest Administration Location Codes | 📍5.0.0 | FHIR Std.
MedicationRequest.priority | Base | required | RequestPriority | 📍5.0.0 | FHIR Std.
MedicationRequest.medication | Base | required | SGHI Medication Codes | 📦0.1.0 | This IG
MedicationRequest.reason | Base | example | Condition/Problem/Diagnosis Codes | 📍5.0.0 | FHIR Std.

#### Constraints

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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest | Ordering of medication for patient or group
identifier |  | 1..* | Identifier | External ids for this request
use |  | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type |  | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Default Identifier Types (required)
system |  | 1..1 | uri | The namespace for the identifier value
value |  | 1..1 | string | The value that is unique
assigner |  | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text)
basedOn |  | 0..* | SGHIReference(SGHI ServiceRequest | SGHI MedicationRequest) | A plan or request that is fulfilled in whole or in part by this medication request
priorPrescription |  | 0..1 | SGHIReference(SGHI MedicationRequest) | Reference to an order/prescription that is being replaced by this MedicationRequest
category |  | 0..* | SGHICodeableConcept | Grouping or category of medication request
priority |  | 1..1 | code | routine | urgent | asap | stat
medication |  | 1..1 | SGHICodeableReference(SGHI Medication) | Medication to be taken Binding: SGHI Medication Codes (required)
subject |  | 1..1 | SGHIReference(SGHI Patient) | Individual or group for whom the medication has been requested
informationSource |  | 0..* | SGHIReference(SGHI Patient | SGHI Organization) | The person or organization who provided the information about this request, if the source is someone other than the requestor
encounter |  | 1..1 | SGHIReference(SGHI Encounter) | Encounter created as part of encounter/admission/stay
authoredOn |  | 1..1 | dateTime | When request was initially authored
requester |  | 1..1 | SGHIReference(SGHI Patient | SGHI Organization) | Who/What requested the Request
performer |  | 0..* | SGHIReference(SGHI Patient | SGHI Organization) | Intended performer of administration
recorder |  | 0..1 | SGHIReference(SGHI Practitioner | SGHI PractitionerRole) | Person who entered the request
reason |  | 0..* | SGHICodeableReference(SGHI Condition | SGHI Observation) | Reason or indication for ordering or not ordering the medication
dosageInstruction |  | 1..* | SGHIDosage | Specific instructions for how the medication should be taken
dispenseRequest |  |  |  |
dispenser |  | 0..1 | SGHIReference(SGHI Organization) | Intended performer of dispense
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
MedicationRequest.identifier.​use | Base | required | IdentifierUse | 📦5.0.0 | FHIR Std.
MedicationRequest.identifier.​type | Base | required | SGHI Default Identifier Types | 📦0.1.0 | This IG
MedicationRequest.medication | Base | required | SGHI Medication Codes | 📦0.1.0 | This IG

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest | Ordering of medication for patient or group
id | Σ | 0..1 | id | 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: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
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
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 1..* | Identifier | External ids for this request
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type | Σ | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Default Identifier Types (required)
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ C | 1..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text)
basedOn | Σ | 0..* | SGHIReference(SGHI ServiceRequest | SGHI MedicationRequest) | A plan or request that is fulfilled in whole or in part by this medication request
priorPrescription |  | 0..1 | SGHIReference(SGHI MedicationRequest) | Reference to an order/prescription that is being replaced by this MedicationRequest
groupIdentifier | Σ | 0..1 | Identifier | Composite request this is part of
status | ?!Σ | 1..1 | code | active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown Binding: MedicationrequestStatus (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: MedicationRequestStatusReasonCodes (example): Identifies the reasons for a given status.
statusChanged |  | 0..1 | dateTime | When the status was changed
intent | ?!Σ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: MedicationRequestIntent (required): The kind of medication order.
category |  | 0..* | SGHICodeableConcept | Grouping or category of medication request Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication is to be consumed or administered.
priority | Σ | 1..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform | ?!Σ | 0..1 | boolean | True if patient is to stop taking or not to start taking the medication
medication | Σ | 1..1 | SGHICodeableReference(SGHI Medication) | Medication to be taken Binding: SGHI Medication Codes (required)
subject | Σ | 1..1 | SGHIReference(SGHI Patient) | Individual or group for whom the medication has been requested
informationSource |  | 0..* | SGHIReference(SGHI Patient | SGHI Organization) | The person or organization who provided the information about this request, if the source is someone other than the requestor
encounter |  | 1..1 | SGHIReference(SGHI Encounter) | Encounter created as part of encounter/admission/stay
supportingInformation |  | 0..* | Reference(Resource) | Information to support fulfilling of the medication
authoredOn | Σ | 1..1 | dateTime | When request was initially authored
requester | Σ | 1..1 | SGHIReference(SGHI Patient | SGHI Organization) | Who/What requested the Request
reported | Σ | 0..1 | boolean | Reported rather than primary record
performerType | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: MedicationIntendedPerformerRole (extensible): Identifies the type of individual that is desired to administer the medication.
performer |  | 0..* | SGHIReference(SGHI Patient | SGHI Organization) | Intended performer of administration
device |  | 0..* | CodeableReference(DeviceDefinition) | Intended type of device for the administration
recorder |  | 0..1 | SGHIReference(SGHI Practitioner | SGHI PractitionerRole) | Person who entered the request
reason |  | 0..* | SGHICodeableReference(SGHI Condition | SGHI Observation) | Reason or indication for ordering or not ordering the medication Binding: ConditionProblemDiagnosisCodes (example): A coded concept indicating why the medication was ordered.
courseOfTherapyType |  | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: MedicationRequestCourseOfTherapyCodes (extensible): Identifies the overall pattern of medication administratio.
insurance |  | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage
note |  | 0..* | Annotation | Information about the prescription
renderedDosageInstruction |  | 0..1 | markdown | Full representation of the dosage instructions
effectiveDosePeriod |  | 0..1 | Period | Period over which the medication is to be taken
dosageInstruction |  | 1..* | SGHIDosage | Specific instructions for 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 | ?!Σ | 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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
quantity |  | 0..1 | SimpleQuantity(5.0.0) | First fill quantity
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 |  | 0..1 | SimpleQuantity(5.0.0) | Amount of medication to supply per dispense
expectedSupplyDuration |  | 0..1 | Duration | Number of days supply per dispense
dispenser |  | 0..1 | SGHIReference(SGHI Organization) | Intended performer of dispense
dispenserInstruction |  | 0..* | Annotation | Additional information for the dispenser
doseAdministrationAid |  | 0..1 | CodeableConcept | Type of adherence packaging to use for the dispense Binding: MedicationDoseAids (example)
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 (preferred): Identifies the type of substitution allowed.
allowedBoolean |  |  | boolean |
allowedCodeableConcept |  |  | CodeableConcept |
reason |  | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): SubstanceAdminSubstitutionReason
eventHistory |  | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationRequest.language | Base | required | All Languages | 📍5.0.0 | FHIR Std.
MedicationRequest.identifier.​use | Base | required | IdentifierUse | 📦5.0.0 | FHIR Std.
MedicationRequest.identifier.​type | Base | required | SGHI Default Identifier Types | 📦0.1.0 | This IG
MedicationRequest.status | Base | required | medicationrequest Status | 📍5.0.0 | FHIR Std.
MedicationRequest.statusReason | Base | example | medicationRequest Status Reason Codes | 📍5.0.0 | FHIR Std.
MedicationRequest.intent | Base | required | medicationRequest Intent | 📍5.0.0 | FHIR Std.
MedicationRequest.category | Base | example | medicationRequest Administration Location Codes | 📍5.0.0 | FHIR Std.
MedicationRequest.priority | Base | required | RequestPriority | 📍5.0.0 | FHIR Std.
MedicationRequest.medication | Base | required | SGHI Medication Codes | 📦0.1.0 | This IG
MedicationRequest.performerType | Base | extensible | Medication Intended Performer Role | 📍5.0.0 | FHIR Std.
MedicationRequest.reason | Base | example | Condition/Problem/Diagnosis Codes | 📍5.0.0 | FHIR Std.
MedicationRequest.courseOfTherapyType | Base | extensible | medicationRequest Course of Therapy Codes | 📍5.0.0 | FHIR Std.
MedicationRequest.dispenseRequest.​doseAdministrationAid | Base | example | Medication Dose Aids | 📍5.0.0 | FHIR Std.
MedicationRequest.substitution.​allowed[x] | Base | preferred | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.1
MedicationRequest.substitution.​reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v7.1

#### Constraints

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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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

Summary

Mandatory: 9 elements

Structures

This structure refers to these other structures:

- SGHI CodeableConcept (https://fhir.slade360.co.ke/fhir/StructureDefinition/codeableconcept)
- SGHI Reference (https://fhir.slade360.co.ke/fhir/StructureDefinition/reference)
- SGHI Organization (https://fhir.slade360.co.ke/fhir/StructureDefinition/organization)
- SGHI ServiceRequest (https://fhir.slade360.co.ke/fhir/StructureDefinition/servicerequest)
- SGHI MedicationRequest (https://fhir.slade360.co.ke/fhir/StructureDefinition/medicationrequest)
- SGHI CodeableReference (https://fhir.slade360.co.ke/fhir/StructureDefinition/codeable-reference)
- SGHI Medication (https://fhir.slade360.co.ke/fhir/StructureDefinition/medication)
- SGHI Patient (https://fhir.slade360.co.ke/fhir/StructureDefinition/patient)
- SGHI Encounter (https://fhir.slade360.co.ke/fhir/StructureDefinition/encounter)
- SGHI Practitioner (https://fhir.slade360.co.ke/fhir/StructureDefinition/practitioner)
- SGHI PractitionerRole (https://fhir.slade360.co.ke/fhir/StructureDefinition/practitionerrole)
- SGHI Condition (https://fhir.slade360.co.ke/fhir/StructureDefinition/condition)
- SGHI Observation (https://fhir.slade360.co.ke/fhir/StructureDefinition/observation)
- SGHI Dosage (https://fhir.slade360.co.ke/fhir/StructureDefinition/dosage)

Other representations of profile: CSV, Excel, Schematron