## Union of http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationRequest-eu-mpd and http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationRequest-eu-mpd

This is the set of resources that conform to either of the profiles MedicationRequest: MPD (http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationRequest-eu-mpd) and MedicationRequest: MPD (http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationRequest-eu-mpd). E.g. what you have to deal with if you get resources conforming to one of them

### Structure

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* |  | Ordering of medication for patient or group
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: ?? (required): IETF language tag for a human language
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | Prescription/prescribed item ID
basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | A plan or request that is fulfilled in whole or in part by this medication request
priorPrescription |  | 0..1 | Reference(MedicationRequest) | Reference to an order/prescription that is being replaced by this MedicationRequest
groupIdentifier | Σ | 0..1 | Identifier | Prescription this is part of. Not needed if a presciption includes only one prescribed item.
status | ?!Σ | 1..1 | code | Current state of the order Binding: ?? (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: ?? (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: ?? (required): The kind of medication order.
category |  | 0..* | CodeableConcept | Grouping or category of medication request Binding: ?? (example): A coded concept identifying where the medication is to be consumed or administered.
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: ?? (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 | CodeableReference(Medication: MPD | #sd-Medication-eu-mpd-Medication-eu-mpd) | Medication to be taken Binding: ?? (example): A coded concept identifying substance or product that can be ordered.
subject | Σ | 1..1 | Reference(Patient (EU core)) | Individual or group for whom the medication has been requested
informationSource |  | 0..* | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | The person or organization who provided the information about this request, if the source is someone other than the requestor
encounter |  | 0..1 | Reference(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 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | 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: ?? (extensible): Identifies the type of individual that is desired to administer the medication.
performer |  | 0..* | Reference(Practitioner | PractitionerRole | Organization | Patient | DeviceDefinition | RelatedPerson | CareTeam | HealthcareService) | Intended performer of administration
device |  | 0..* | CodeableReference(DeviceDefinition) | Intended type of device for the administration
recorder |  | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request
reason |  | 0..* | CodeableReference(Condition | Observation) | Reason or indication for this prescription Binding: ?? (example): A coded concept indicating why the medication was ordered.
courseOfTherapyType |  | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: ?? (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 |  | 0..* | Dosage | How the medication should be taken.
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence | Σ | 0..1 | integer | The order of the dosage instructions
text | Σ | 0..1 | string | Free text dosage instructions
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (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 | Σ | 0..1 | Timing | Administration schedule
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
event | Σ | 0..* | dateTime | When the event occurs
repeat | Σ C | 0..1 | Element | When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
extension |  | 0..* | Extension | Additional content defined by implementations
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 | Duration of the treatment
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: ?? (required): A unit of time (units from UCUM).
frequency | Σ | 0..1 | positiveInt | Frequency times per period
frequencyMax | Σ | 0..1 | positiveInt | Event occurs up to frequencyMax times per period
period | Σ | 0..1 | decimal | Duration of time over which repetitions are to occur
periodMax | Σ | 0..1 | decimal | Upper limit of period (3-4 hours)
periodUnit | Σ | 0..1 | code | Unit of the period (e.g. day) Binding: ?? (required): A unit of time (units from UCUM).
dayOfWeek | Σ | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: ?? (required)
timeOfDay | Σ | 0..* | time | Time of day for action
when | Σ | 0..* | code | Code for time period of occurrence Binding: ?? (required): Real-world event relating to the schedule.
offset | Σ | 0..1 | unsignedInt | Minutes from event (before or after)
code | Σ | 0..1 | CodeableConcept | A code for the timing schedule. Binding: ?? (preferred): Code for a known / defined timing pattern.
asNeeded | Σ | 0..1 | boolean | Take "as needed"
asNeededFor | Σ | 0..* | CodeableConcept | Take "as needed" (for x) Binding: ?? (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.
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body.
route | Σ | 0..1 | CodeableConcept | Route of administration Binding: ?? (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: ?? (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate | Σ | 0..* | Element | Amount of medication administered, to be administered or typical amount to be administered
extension |  | 0..* | Extension | Additional content defined by implementations
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified.
dose[x] | 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..* | Ratio | Upper limit on medication per unit of time
maxDosePerAdministration | Σ | 0..1 | ?? | Upper limit on medication per administration
maxDosePerLifetime | Σ | 0..1 | ?? | Upper limit on medication per lifetime of the patient
dispenseRequest |  | 0..1 | BackboneElement | Medication supply authorization
extension |  | 0..* | Extension | Extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
initialFill |  | 0..1 | BackboneElement | First fill details
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
quantity |  | 0..1 | ?? | 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 | ?? | Amount of medication to supply per dispense
expectedSupplyDuration |  | 0..1 | Duration | Number of days supply per dispense
dispenser |  | 0..1 | Reference(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: ?? (example)
substitution |  | 0..1 | BackboneElement | Any restrictions on medication substitution
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: ?? (preferred): Identifies the type of substitution allowed.
allowedBoolean |  |  | boolean |
allowedCodeableConcept |  |  | CodeableConcept |
reason |  | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: ?? (example): SubstanceAdminSubstitutionReason
eventHistory |  | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle
Documentation for this format