US Quality Core Implementation Guide
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US Quality Core Implementation Guide, published by ASTP. 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/FHIR/us-quality-core/ and changes regularly. See the Directory of published versions

Resource Profile: US Quality Core MedicationRequest

Official URL: http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-medicationrequest Version: 0.1.0
Active as of 2026-03-31 Computable Name: USQualityCoreMedicationRequest

Profile of MedicationRequest for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

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 USQualityCore-Medicationnotrequested.

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'

See the patterns page for implementation and usage patterns.

Examples

Penicillin MedicationRequest Example
Cumulative Medication Duration Example
Patient Reported MedicationRequest Example
Patient Requested MedicationRequest Example
Practitioner Ordered MedicationRequest Example

USCDI+ Quality Elements:

  • status: (USCDI+ Quality) (USCDI) active \| on-hold \| cancelled \| completed \| entered-in-error \| stopped \| draft \| unknown
  • intent: (USCDI+ Quality) (USCDI) proposal \| plan \| order \| original-order \| reflex-order \| filler-order \| instance-order \| option
  • medication[x]: (USCDI+ Quality) (USCDI) Medication to be taken
  • authoredOn: (USCDI+ Quality) (USCDI) When request was initially authored
  • reasonCode: (USCDI+ Quality) (USCDI) Reason or indication for ordering or not ordering the medication
  • reasonReference: (USCDI+ Quality) (USCDI) US Quality Core Condition or Observation that supports the prescription
  • dosageInstruction: (USCDI+ Quality) (USCDI) How medication should be taken
  • dosageInstruction.text: (USCDI+ Quality) (USCDI) Free text dosage instructions e.g. SIG
  • dosageInstruction.timing: (USCDI+ Quality) (USCDI) When medication should be administered
  • dosageInstruction.timing.repeat: (USCDI+ Quality) When the event is to occur
  • dosageInstruction.timing.repeat.bounds[x]: (USCDI+ Quality) Length/Range of lengths, or (Start and/or end) limits
  • dosageInstruction.timing.repeat.frequency: (USCDI+ Quality) Event occurs frequency times per period
  • dosageInstruction.timing.repeat.frequencyMax: (USCDI+ Quality) Event occurs frequencyMax times per period
  • dosageInstruction.timing.repeat.period: (USCDI+ Quality) Event occurs frequency times per period
  • dosageInstruction.timing.repeat.periodMax: (USCDI+ Quality) Upper limit of period (3-4 hours)
  • dosageInstruction.timing.repeat.periodUnit: (USCDI+ Quality) s \| min \| h \| d \| wk \| mo \| a - unit of time (UCUM)
  • dosageInstruction.asNeeded[x]: (USCDI+ Quality) Take "as needed" (for x)
  • dosageInstruction.route: (USCDI+ Quality) How drug should enter body
  • dosageInstruction.doseAndRate: (USCDI+ Quality) (USCDI) Amount of medication administered
  • dosageInstruction.doseAndRate.dose[x]: (USCDI+ Quality) (USCDI) Amount of medication per dose
  • dispenseRequest: (USCDI+ Quality) (USCDI) Medication supply authorization
  • dispenseRequest.validityPeriod: (USCDI+ Quality) Time period supply is authorized for
  • dispenseRequest.numberOfRepeatsAllowed: (USCDI+ Quality) (USCDI) Number of refills authorized
  • dispenseRequest.quantity: (USCDI+ Quality) (USCDI) Amount of medication to supply per dispense
  • dispenseRequest.expectedSupplyDuration: (USCDI+ Quality) Number of days supply per dispense

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest C 0..* USCoreMedicationRequestProfile Ordering of medication for patient or group
Constraints: us-core-21, dom-7
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code (USCDI+ Quality) (USCDI) 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.
... Slices for category S 0..* CodeableConcept (USCDI) Type of medication usage
Slice: Unordered, Open by pattern:$this
Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
.... category:us-core S 0..* CodeableConcept (USCDI) Type of medication usage
Binding: medicationRequest Category Codes (required): The type of medication order. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... doNotPerform ?!Σ 0..1 boolean True if medication was not requested
Fixed Value: false
... reported[x] SΣ 0..1 Reference S(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Patient | US Quality Core RelatedPerson) (USCDI) Reported rather than primary record
... medication[x] SΣ 1..1 (USCDI+ Quality) (USCDI) Medication to be taken
Binding: Medication Clinical Drug . (extensible)
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(US Core Medication Profile)
... subject SΣ 1..1 Reference(US Quality Core Patient) (USCDI) Who or group medication request is for
... encounter S 0..1 Reference(US Quality Core Encounter) (USCDI) Encounter created as part of encounter/admission/stay
... authoredOn SΣ 0..1 dateTime (USCDI+ Quality) (USCDI) When request was initially authored
... requester SΣC 0..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Patient) (USCDI) Who/What requested the Request
... reasonCode 0..* CodeableConcept (USCDI+ Quality) (USCDI) Reason or indication for ordering or not ordering the medication
Binding: US Core Condition Codes (extensible)
... reasonReference 0..* Reference(US Quality Core Condition Encounter Diagnosis | US Quality Core Condition Problems Health Concerns | US Quality Core Simple Observation) (USCDI+ Quality) (USCDI) US Quality Core Condition or Observation that supports the prescription
... dosageInstruction S 0..* Dosage (USCDI+ Quality) (USCDI) How medication should be taken
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text SΣ 0..1 string (USCDI+ Quality) (USCDI) Free text dosage instructions e.g. SIG
.... timing SΣ 0..1 Timing (USCDI+ Quality) (USCDI) When medication should be administered
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... repeat ΣC 0..1 Element (USCDI+ Quality) 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
...... bounds[x] Σ 0..1 (USCDI+ Quality) Length/Range of lengths, or (Start and/or end) limits
....... boundsDuration Duration
....... boundsRange Range
....... boundsPeriod Period
...... frequency Σ 0..1 positiveInt (USCDI+ Quality) Event occurs frequency times per period
...... frequencyMax Σ 0..1 positiveInt (USCDI+ Quality) Event occurs frequencyMax times per period
...... period Σ 0..1 decimal (USCDI+ Quality) Event occurs frequency times per period
...... periodMax Σ 0..1 decimal (USCDI+ Quality) Upper limit of period (3-4 hours)
...... periodUnit Σ 0..1 code (USCDI+ Quality) 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 (USCDI+ Quality) 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
.... route Σ 0..1 CodeableConcept (USCDI+ Quality) 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.
.... doseAndRate SΣ 0..* Element (USCDI+ Quality) (USCDI) Amount of medication administered
..... dose[x] SΣ 0..1 (USCDI+ Quality) (USCDI) Amount of medication per dose
Binding: Common UCUM units (preferred)
Additional BindingsPurpose
UCUMCodes Max Binding
...... doseQuantity Quantity S
...... doseRange Range
... dispenseRequest S 0..1 BackboneElement (USCDI+ Quality) (USCDI) Medication supply authorization
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... validityPeriod 0..1 Period (USCDI+ Quality) Time period supply is authorized for
.... numberOfRepeatsAllowed S 0..1 unsignedInt (USCDI+ Quality) (USCDI) Number of refills authorized
.... quantity S 0..1 SimpleQuantity (USCDI+ Quality) (USCDI) Amount of medication to supply per dispense
.... expectedSupplyDuration 0..1 Duration (USCDI+ Quality) Number of days supply per dispense

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.status Base required Medicationrequest status 📦4.0.1 FHIR Std.
MedicationRequest.intent Base required Medication request intent 📦4.0.1 FHIR Std.
MedicationRequest.category Base example Medication request category codes 📦4.0.1 FHIR Std.
MedicationRequest.category:us-core Base required Medication request category codes 📦4.0.1 FHIR Std.
MedicationRequest.medication[x] Base extensible Medication Clinical Drug . 📦20170601 VSAC v0.11
MedicationRequest.reasonCode Base extensible US Core Condition Codes 📦6.1.0 US Core v6.1
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📦4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​route Base example SNOMED CT Route Codes 📦4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x] Base preferred Common UCUM units 📦4.0.1 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().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()
dom-7 error MedicationRequest if doNotPerform is present, it SHALL be false doNotPerform.empty() or doNotPerform=false
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()
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()
us-core-21 error MedicationRequest requester SHALL be present if intent is "order" (intent='order' or intent='original-order' or intent='reflex-order'or intent='filler-order' or intent='instance-order') implies requester.exists()

This structure is derived from USCoreMedicationRequestProfile

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* USCoreMedicationRequestProfile Ordering of medication for patient or group
Constraints: dom-7
... status 1..1 code (USCDI+ Quality) (USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
... intent 1..1 code (USCDI+ Quality) (USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
... doNotPerform 0..1 boolean True if medication was not requested
Fixed Value: false
... medication[x] 1..1 CodeableConcept, Reference(US Core Medication Profile) (USCDI+ Quality) (USCDI) Medication to be taken
... subject 1..1 Reference(US Quality Core Patient) (USCDI) Who or group medication request is for
... encounter 0..1 Reference(US Quality Core Encounter) (USCDI) Encounter created as part of encounter/admission/stay
... authoredOn 0..1 dateTime (USCDI+ Quality) (USCDI) When request was initially authored
... requester 0..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Patient) (USCDI) Who/What requested the Request
... reasonCode 0..* CodeableConcept (USCDI+ Quality) (USCDI) Reason or indication for ordering or not ordering the medication
... reasonReference 0..* Reference(US Quality Core Condition Encounter Diagnosis | US Quality Core Condition Problems Health Concerns | US Quality Core Simple Observation) (USCDI+ Quality) (USCDI) US Quality Core Condition or Observation that supports the prescription
... dosageInstruction 0..* Dosage (USCDI+ Quality) (USCDI) How medication should be taken
.... text 0..1 string (USCDI+ Quality) (USCDI) Free text dosage instructions e.g. SIG
.... timing 0..1 Timing (USCDI+ Quality) (USCDI) When medication should be administered
..... repeat 0..1 Element (USCDI+ Quality) When the event is to occur
...... bounds[x] 0..1 Duration, Range, Period (USCDI+ Quality) Length/Range of lengths, or (Start and/or end) limits
...... frequency 0..1 positiveInt (USCDI+ Quality) Event occurs frequency times per period
...... frequencyMax 0..1 positiveInt (USCDI+ Quality) Event occurs frequencyMax times per period
...... period 0..1 decimal (USCDI+ Quality) Event occurs frequency times per period
...... periodMax 0..1 decimal (USCDI+ Quality) Upper limit of period (3-4 hours)
...... periodUnit 0..1 code (USCDI+ Quality) s | min | h | d | wk | mo | a - unit of time (UCUM)
.... asNeeded[x] 0..1 boolean, CodeableConcept (USCDI+ Quality) Take "as needed" (for x)
.... route 0..1 CodeableConcept (USCDI+ Quality) How drug should enter body
.... doseAndRate 0..* Element (USCDI+ Quality) (USCDI) Amount of medication administered
..... dose[x] 0..1 Quantity, Range (USCDI+ Quality) (USCDI) Amount of medication per dose
... dispenseRequest 0..1 BackboneElement (USCDI+ Quality) (USCDI) Medication supply authorization
.... initialFill 0..0 First fill details
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... validityPeriod 0..1 Period (USCDI+ Quality) Time period supply is authorized for
.... numberOfRepeatsAllowed 0..1 unsignedInt (USCDI+ Quality) (USCDI) Number of refills authorized
.... quantity 0..1 SimpleQuantity (USCDI+ Quality) (USCDI) Amount of medication to supply per dispense
.... expectedSupplyDuration 0..1 Duration (USCDI+ Quality) Number of days supply per dispense

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
dom-7 error MedicationRequest if doNotPerform is present, it SHALL be false doNotPerform.empty() or doNotPerform=false
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest C 0..* USCoreMedicationRequestProfile Ordering of medication for patient or group
Constraints: us-core-21, dom-7
... 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: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... 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 ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External ids for this request
... status ?!SΣ 1..1 code (USCDI+ Quality) (USCDI) 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 ?!SΣC 1..1 code (USCDI+ Quality) (USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.
... Slices for category S 0..* CodeableConcept (USCDI) Type of medication usage
Slice: Unordered, Open by pattern:$this
Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
.... category:us-core S 0..* CodeableConcept (USCDI) Type of medication usage
Binding: medicationRequest Category Codes (required): The type of medication order. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... 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 ?!Σ 0..1 boolean True if medication was not requested
Fixed Value: false
... reported[x] SΣ 0..1 Reference S(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Patient | US Quality Core RelatedPerson) (USCDI) Reported rather than primary record
... medication[x] SΣ 1..1 (USCDI+ Quality) (USCDI) Medication to be taken
Binding: Medication Clinical Drug . (extensible)
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(US Core Medication Profile)
... subject SΣ 1..1 Reference(US Quality Core Patient) (USCDI) Who or group medication request is for
... encounter S 0..1 Reference(US Quality Core Encounter) (USCDI) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
... authoredOn SΣ 0..1 dateTime (USCDI+ Quality) (USCDI) When request was initially authored
... requester SΣC 0..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Patient) (USCDI) 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(Practitioner | PractitionerRole) Person who entered the request
... reasonCode 0..* CodeableConcept (USCDI+ Quality) (USCDI) Reason or indication for ordering or not ordering the medication
Binding: US Core Condition Codes (extensible)
... reasonReference 0..* Reference(US Quality Core Condition Encounter Diagnosis | US Quality Core Condition Problems Health Concerns | US Quality Core Simple Observation) (USCDI+ Quality) (USCDI) US Quality Core Condition or Observation that supports the prescription
... 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 (USCDI+ Quality) (USCDI) How medication should be taken
.... id 0..1 string Unique id for inter-element referencing
.... 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 SΣ 0..1 string (USCDI+ Quality) (USCDI) 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 SΣ 0..1 Timing (USCDI+ Quality) (USCDI) When medication should be administered
..... id 0..1 string Unique id for inter-element referencing
..... 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 ΣC 0..1 Element (USCDI+ Quality) 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
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... bounds[x] Σ 0..1 (USCDI+ Quality) 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 Σ 0..1 positiveInt (USCDI+ Quality) Event occurs frequency times per period
...... frequencyMax Σ 0..1 positiveInt (USCDI+ Quality) Event occurs frequencyMax times per period
...... period Σ 0..1 decimal (USCDI+ Quality) Event occurs frequency times per period
...... periodMax Σ 0..1 decimal (USCDI+ Quality) Upper limit of period (3-4 hours)
...... periodUnit Σ 0..1 code (USCDI+ Quality) 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] Σ 0..1 (USCDI+ Quality) 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.
.... route Σ 0..1 CodeableConcept (USCDI+ Quality) 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 SΣ 0..* Element (USCDI+ Quality) (USCDI) Amount of medication administered
..... id 0..1 string Unique id for inter-element referencing
..... 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] SΣ 0..1 (USCDI+ Quality) (USCDI) Amount of medication per dose
Binding: Common UCUM units (preferred)
Additional BindingsPurpose
UCUMCodes Max Binding
...... doseQuantity Quantity S
...... doseRange Range
..... 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 (USCDI+ Quality) (USCDI) 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 0..1 Duration Minimum period of time between dispenses
.... validityPeriod 0..1 Period (USCDI+ Quality) Time period supply is authorized for
.... numberOfRepeatsAllowed S 0..1 unsignedInt (USCDI+ Quality) (USCDI) Number of refills authorized
.... quantity S 0..1 SimpleQuantity (USCDI+ Quality) (USCDI) Amount of medication to supply per dispense
.... expectedSupplyDuration 0..1 Duration (USCDI+ Quality) 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.language Base preferred Common Languages 📦4.0.1 FHIR Std.
MedicationRequest.status Base required Medicationrequest status 📦4.0.1 FHIR Std.
MedicationRequest.statusReason Base example Medication request status reason codes 📦4.0.1 FHIR Std.
MedicationRequest.intent Base required Medication request intent 📦4.0.1 FHIR Std.
MedicationRequest.category Base example Medication request category codes 📦4.0.1 FHIR Std.
MedicationRequest.category:us-core Base required Medication request category codes 📦4.0.1 FHIR Std.
MedicationRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
MedicationRequest.medication[x] Base extensible Medication Clinical Drug . 📦20170601 VSAC v0.11
MedicationRequest.performerType Base example Procedure Performer Role Codes 📦4.0.1 FHIR Std.
MedicationRequest.reasonCode Base extensible US Core Condition Codes 📦6.1.0 US Core v6.1
MedicationRequest.courseOfTherapyType Base example Medication request course of therapy codes 📦4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📦4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.durationUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.dayOfWeek Base required DaysOfWeek 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.when Base required EventTiming 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.code Base preferred TimingAbbreviation 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📦4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📦4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​route Base example SNOMED CT Route Codes 📦4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​method Base example SNOMED CT Administration Method Codes 📦4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.type Base example DoseAndRateType 📦4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x] Base preferred Common UCUM units 📦4.0.1 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v5.4
MedicationRequest.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v5.4

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().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()
dom-7 error MedicationRequest if doNotPerform is present, it SHALL be false doNotPerform.empty() or doNotPerform=false
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()
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()
us-core-21 error MedicationRequest requester SHALL be present if intent is "order" (intent='order' or intent='original-order' or intent='reflex-order'or intent='filler-order' or intent='instance-order') implies requester.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest C 0..* USCoreMedicationRequestProfile Ordering of medication for patient or group
Constraints: us-core-21, dom-7
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code (USCDI+ Quality) (USCDI) 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.
... Slices for category S 0..* CodeableConcept (USCDI) Type of medication usage
Slice: Unordered, Open by pattern:$this
Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
.... category:us-core S 0..* CodeableConcept (USCDI) Type of medication usage
Binding: medicationRequest Category Codes (required): The type of medication order. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... doNotPerform ?!Σ 0..1 boolean True if medication was not requested
Fixed Value: false
... reported[x] SΣ 0..1 Reference S(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Patient | US Quality Core RelatedPerson) (USCDI) Reported rather than primary record
... medication[x] SΣ 1..1 (USCDI+ Quality) (USCDI) Medication to be taken
Binding: Medication Clinical Drug . (extensible)
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(US Core Medication Profile)
... subject SΣ 1..1 Reference(US Quality Core Patient) (USCDI) Who or group medication request is for
... encounter S 0..1 Reference(US Quality Core Encounter) (USCDI) Encounter created as part of encounter/admission/stay
... authoredOn SΣ 0..1 dateTime (USCDI+ Quality) (USCDI) When request was initially authored
... requester SΣC 0..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Patient) (USCDI) Who/What requested the Request
... reasonCode 0..* CodeableConcept (USCDI+ Quality) (USCDI) Reason or indication for ordering or not ordering the medication
Binding: US Core Condition Codes (extensible)
... reasonReference 0..* Reference(US Quality Core Condition Encounter Diagnosis | US Quality Core Condition Problems Health Concerns | US Quality Core Simple Observation) (USCDI+ Quality) (USCDI) US Quality Core Condition or Observation that supports the prescription
... dosageInstruction S 0..* Dosage (USCDI+ Quality) (USCDI) How medication should be taken
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text SΣ 0..1 string (USCDI+ Quality) (USCDI) Free text dosage instructions e.g. SIG
.... timing SΣ 0..1 Timing (USCDI+ Quality) (USCDI) When medication should be administered
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... repeat ΣC 0..1 Element (USCDI+ Quality) 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
...... bounds[x] Σ 0..1 (USCDI+ Quality) Length/Range of lengths, or (Start and/or end) limits
....... boundsDuration Duration
....... boundsRange Range
....... boundsPeriod Period
...... frequency Σ 0..1 positiveInt (USCDI+ Quality) Event occurs frequency times per period
...... frequencyMax Σ 0..1 positiveInt (USCDI+ Quality) Event occurs frequencyMax times per period
...... period Σ 0..1 decimal (USCDI+ Quality) Event occurs frequency times per period
...... periodMax Σ 0..1 decimal (USCDI+ Quality) Upper limit of period (3-4 hours)
...... periodUnit Σ 0..1 code (USCDI+ Quality) 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 (USCDI+ Quality) 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
.... route Σ 0..1 CodeableConcept (USCDI+ Quality) 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.
.... doseAndRate SΣ 0..* Element (USCDI+ Quality) (USCDI) Amount of medication administered
..... dose[x] SΣ 0..1 (USCDI+ Quality) (USCDI) Amount of medication per dose
Binding: Common UCUM units (preferred)
Additional BindingsPurpose
UCUMCodes Max Binding
...... doseQuantity Quantity S
...... doseRange Range
... dispenseRequest S 0..1 BackboneElement (USCDI+ Quality) (USCDI) Medication supply authorization
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... validityPeriod 0..1 Period (USCDI+ Quality) Time period supply is authorized for
.... numberOfRepeatsAllowed S 0..1 unsignedInt (USCDI+ Quality) (USCDI) Number of refills authorized
.... quantity S 0..1 SimpleQuantity (USCDI+ Quality) (USCDI) Amount of medication to supply per dispense
.... expectedSupplyDuration 0..1 Duration (USCDI+ Quality) Number of days supply per dispense

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.status Base required Medicationrequest status 📦4.0.1 FHIR Std.
MedicationRequest.intent Base required Medication request intent 📦4.0.1 FHIR Std.
MedicationRequest.category Base example Medication request category codes 📦4.0.1 FHIR Std.
MedicationRequest.category:us-core Base required Medication request category codes 📦4.0.1 FHIR Std.
MedicationRequest.medication[x] Base extensible Medication Clinical Drug . 📦20170601 VSAC v0.11
MedicationRequest.reasonCode Base extensible US Core Condition Codes 📦6.1.0 US Core v6.1
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📦4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​route Base example SNOMED CT Route Codes 📦4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x] Base preferred Common UCUM units 📦4.0.1 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().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()
dom-7 error MedicationRequest if doNotPerform is present, it SHALL be false doNotPerform.empty() or doNotPerform=false
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()
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()
us-core-21 error MedicationRequest requester SHALL be present if intent is "order" (intent='order' or intent='original-order' or intent='reflex-order'or intent='filler-order' or intent='instance-order') implies requester.exists()

Differential View

This structure is derived from USCoreMedicationRequestProfile

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* USCoreMedicationRequestProfile Ordering of medication for patient or group
Constraints: dom-7
... status 1..1 code (USCDI+ Quality) (USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
... intent 1..1 code (USCDI+ Quality) (USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
... doNotPerform 0..1 boolean True if medication was not requested
Fixed Value: false
... medication[x] 1..1 CodeableConcept, Reference(US Core Medication Profile) (USCDI+ Quality) (USCDI) Medication to be taken
... subject 1..1 Reference(US Quality Core Patient) (USCDI) Who or group medication request is for
... encounter 0..1 Reference(US Quality Core Encounter) (USCDI) Encounter created as part of encounter/admission/stay
... authoredOn 0..1 dateTime (USCDI+ Quality) (USCDI) When request was initially authored
... requester 0..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Patient) (USCDI) Who/What requested the Request
... reasonCode 0..* CodeableConcept (USCDI+ Quality) (USCDI) Reason or indication for ordering or not ordering the medication
... reasonReference 0..* Reference(US Quality Core Condition Encounter Diagnosis | US Quality Core Condition Problems Health Concerns | US Quality Core Simple Observation) (USCDI+ Quality) (USCDI) US Quality Core Condition or Observation that supports the prescription
... dosageInstruction 0..* Dosage (USCDI+ Quality) (USCDI) How medication should be taken
.... text 0..1 string (USCDI+ Quality) (USCDI) Free text dosage instructions e.g. SIG
.... timing 0..1 Timing (USCDI+ Quality) (USCDI) When medication should be administered
..... repeat 0..1 Element (USCDI+ Quality) When the event is to occur
...... bounds[x] 0..1 Duration, Range, Period (USCDI+ Quality) Length/Range of lengths, or (Start and/or end) limits
...... frequency 0..1 positiveInt (USCDI+ Quality) Event occurs frequency times per period
...... frequencyMax 0..1 positiveInt (USCDI+ Quality) Event occurs frequencyMax times per period
...... period 0..1 decimal (USCDI+ Quality) Event occurs frequency times per period
...... periodMax 0..1 decimal (USCDI+ Quality) Upper limit of period (3-4 hours)
...... periodUnit 0..1 code (USCDI+ Quality) s | min | h | d | wk | mo | a - unit of time (UCUM)
.... asNeeded[x] 0..1 boolean, CodeableConcept (USCDI+ Quality) Take "as needed" (for x)
.... route 0..1 CodeableConcept (USCDI+ Quality) How drug should enter body
.... doseAndRate 0..* Element (USCDI+ Quality) (USCDI) Amount of medication administered
..... dose[x] 0..1 Quantity, Range (USCDI+ Quality) (USCDI) Amount of medication per dose
... dispenseRequest 0..1 BackboneElement (USCDI+ Quality) (USCDI) Medication supply authorization
.... initialFill 0..0 First fill details
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... validityPeriod 0..1 Period (USCDI+ Quality) Time period supply is authorized for
.... numberOfRepeatsAllowed 0..1 unsignedInt (USCDI+ Quality) (USCDI) Number of refills authorized
.... quantity 0..1 SimpleQuantity (USCDI+ Quality) (USCDI) Amount of medication to supply per dispense
.... expectedSupplyDuration 0..1 Duration (USCDI+ Quality) Number of days supply per dispense

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
dom-7 error MedicationRequest if doNotPerform is present, it SHALL be false doNotPerform.empty() or doNotPerform=false

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest C 0..* USCoreMedicationRequestProfile Ordering of medication for patient or group
Constraints: us-core-21, dom-7
... 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: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... 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 ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External ids for this request
... status ?!SΣ 1..1 code (USCDI+ Quality) (USCDI) 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 ?!SΣC 1..1 code (USCDI+ Quality) (USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.
... Slices for category S 0..* CodeableConcept (USCDI) Type of medication usage
Slice: Unordered, Open by pattern:$this
Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
.... category:us-core S 0..* CodeableConcept (USCDI) Type of medication usage
Binding: medicationRequest Category Codes (required): The type of medication order. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... 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 ?!Σ 0..1 boolean True if medication was not requested
Fixed Value: false
... reported[x] SΣ 0..1 Reference S(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Patient | US Quality Core RelatedPerson) (USCDI) Reported rather than primary record
... medication[x] SΣ 1..1 (USCDI+ Quality) (USCDI) Medication to be taken
Binding: Medication Clinical Drug . (extensible)
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(US Core Medication Profile)
... subject SΣ 1..1 Reference(US Quality Core Patient) (USCDI) Who or group medication request is for
... encounter S 0..1 Reference(US Quality Core Encounter) (USCDI) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
... authoredOn SΣ 0..1 dateTime (USCDI+ Quality) (USCDI) When request was initially authored
... requester SΣC 0..1 Reference(US Quality Core Practitioner | US Quality Core PractitionerRole | US Quality Core Patient) (USCDI) 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(Practitioner | PractitionerRole) Person who entered the request
... reasonCode 0..* CodeableConcept (USCDI+ Quality) (USCDI) Reason or indication for ordering or not ordering the medication
Binding: US Core Condition Codes (extensible)
... reasonReference 0..* Reference(US Quality Core Condition Encounter Diagnosis | US Quality Core Condition Problems Health Concerns | US Quality Core Simple Observation) (USCDI+ Quality) (USCDI) US Quality Core Condition or Observation that supports the prescription
... 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 (USCDI+ Quality) (USCDI) How medication should be taken
.... id 0..1 string Unique id for inter-element referencing
.... 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 SΣ 0..1 string (USCDI+ Quality) (USCDI) 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 SΣ 0..1 Timing (USCDI+ Quality) (USCDI) When medication should be administered
..... id 0..1 string Unique id for inter-element referencing
..... 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 ΣC 0..1 Element (USCDI+ Quality) 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
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... bounds[x] Σ 0..1 (USCDI+ Quality) 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 Σ 0..1 positiveInt (USCDI+ Quality) Event occurs frequency times per period
...... frequencyMax Σ 0..1 positiveInt (USCDI+ Quality) Event occurs frequencyMax times per period
...... period Σ 0..1 decimal (USCDI+ Quality) Event occurs frequency times per period
...... periodMax Σ 0..1 decimal (USCDI+ Quality) Upper limit of period (3-4 hours)
...... periodUnit Σ 0..1 code (USCDI+ Quality) 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] Σ 0..1 (USCDI+ Quality) 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.
.... route Σ 0..1 CodeableConcept (USCDI+ Quality) 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 SΣ 0..* Element (USCDI+ Quality) (USCDI) Amount of medication administered
..... id 0..1 string Unique id for inter-element referencing
..... 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] SΣ 0..1 (USCDI+ Quality) (USCDI) Amount of medication per dose
Binding: Common UCUM units (preferred)
Additional BindingsPurpose
UCUMCodes Max Binding
...... doseQuantity Quantity S
...... doseRange Range
..... 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 (USCDI+ Quality) (USCDI) 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 0..1 Duration Minimum period of time between dispenses
.... validityPeriod 0..1 Period (USCDI+ Quality) Time period supply is authorized for
.... numberOfRepeatsAllowed S 0..1 unsignedInt (USCDI+ Quality) (USCDI) Number of refills authorized
.... quantity S 0..1 SimpleQuantity (USCDI+ Quality) (USCDI) Amount of medication to supply per dispense
.... expectedSupplyDuration 0..1 Duration (USCDI+ Quality) 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.language Base preferred Common Languages 📦4.0.1 FHIR Std.
MedicationRequest.status Base required Medicationrequest status 📦4.0.1 FHIR Std.
MedicationRequest.statusReason Base example Medication request status reason codes 📦4.0.1 FHIR Std.
MedicationRequest.intent Base required Medication request intent 📦4.0.1 FHIR Std.
MedicationRequest.category Base example Medication request category codes 📦4.0.1 FHIR Std.
MedicationRequest.category:us-core Base required Medication request category codes 📦4.0.1 FHIR Std.
MedicationRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
MedicationRequest.medication[x] Base extensible Medication Clinical Drug . 📦20170601 VSAC v0.11
MedicationRequest.performerType Base example Procedure Performer Role Codes 📦4.0.1 FHIR Std.
MedicationRequest.reasonCode Base extensible US Core Condition Codes 📦6.1.0 US Core v6.1
MedicationRequest.courseOfTherapyType Base example Medication request course of therapy codes 📦4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📦4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.durationUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.dayOfWeek Base required DaysOfWeek 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.when Base required EventTiming 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.code Base preferred TimingAbbreviation 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📦4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📦4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​route Base example SNOMED CT Route Codes 📦4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​method Base example SNOMED CT Administration Method Codes 📦4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.type Base example DoseAndRateType 📦4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x] Base preferred Common UCUM units 📦4.0.1 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v5.4
MedicationRequest.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v5.4

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().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()
dom-7 error MedicationRequest if doNotPerform is present, it SHALL be false doNotPerform.empty() or doNotPerform=false
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()
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()
us-core-21 error MedicationRequest requester SHALL be present if intent is "order" (intent='order' or intent='original-order' or intent='reflex-order'or intent='filler-order' or intent='instance-order') implies requester.exists()

 

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