# MedicationRequest (HDR CZ) - HL7 Czech Hospital Discharge Report Implementation Guide v0.1.0

* [**Table of Contents**](toc.md)
* [**Artifacts**](artifacts.md)
* **MedicationRequest (HDR CZ)**

## Resource Profile: MedicationRequest (HDR CZ) 

| | | |
| :--- | :--- | :--- |
| *Official URL*:https://hl7.cz/fhir/hdr/StructureDefinition/cz-medicationRequest-hdr | *Version*:0.1.0 | |
| * Standards status: *[Draft](http://hl7.org/fhir/R4/versions.html#std-process) | [Maturity Level](http://hl7.org/fhir/versions.html#maturity): 1 | *Computable Name*:CZ_MedicationRequestHdr |

 
This profile constrains the MedicationRequest resource for the purpose of this guide, adapted from the MPD work. 

**Usages:**

* Derived from this Profile: [MedicationRequest: Obligations (HDR CZ) - hospital stay](StructureDefinition-cz-medicationrequest-hospitalstay-obl-hdr.md) and [MedicationRequest: Obligations (HDR CZ) - medication summary](StructureDefinition-cz-medicationrequest-medicationsummary-obl-hdr.md)
* Use this Profile: [Bundle (HDR CZ)](StructureDefinition-cz-bundle-hdr.md)
* Refer to this Profile: [Composition (HDR CZ)](StructureDefinition-cz-composition-hdr.md) and [MedicationDispense (HDR)](StructureDefinition-cz-medicationDispense-hdr.md)
* Examples for this Profile: [MedicationRequest/medicationrequest-story-dopegyt-discharge](MedicationRequest-medicationrequest-story-dopegyt-discharge.md) and [MedicationRequest/medicationrequest-story-fraxiparine-discharge](MedicationRequest-medicationrequest-story-fraxiparine-discharge.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/hl7.fhir.cz.hdr|current/StructureDefinition/cz-medicationRequest-hdr)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-cz-medicationRequest-hdr.csv), [Excel](StructureDefinition-cz-medicationRequest-hdr.xlsx), [Schematron](StructureDefinition-cz-medicationRequest-hdr.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "cz-medicationRequest-hdr",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 1
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "draft"
  }],
  "url" : "https://hl7.cz/fhir/hdr/StructureDefinition/cz-medicationRequest-hdr",
  "version" : "0.1.0",
  "name" : "CZ_MedicationRequestHdr",
  "title" : "MedicationRequest (HDR CZ)",
  "status" : "draft",
  "date" : "2026-03-20T08:27:28+00:00",
  "publisher" : "HL7 Czech Republic",
  "contact" : [{
    "name" : "HL7 Czech Republic",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.hl7.cz/"
    }]
  }],
  "description" : "This profile constrains the MedicationRequest resource for the purpose of this guide, adapted from the MPD work.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "CZ",
      "display" : "Czechia"
    }]
  }],
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "script10.6",
    "uri" : "http://ncpdp.org/SCRIPT10_6",
    "name" : "Mapping to NCPDP SCRIPT 10.6"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "MedicationRequest",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "MedicationRequest.identifier",
      "path" : "MedicationRequest.identifier",
      "short" : "Prescription/prescribed item ID",
      "comment" : "It is the prescription ID if the presciption includes only one prescribed item"
    },
    {
      "id" : "MedicationRequest.status",
      "path" : "MedicationRequest.status",
      "short" : "Current state of the order"
    },
    {
      "id" : "MedicationRequest.medication[x]",
      "path" : "MedicationRequest.medication[x]",
      "slicing" : {
        "discriminator" : [{
          "type" : "type",
          "path" : "$this"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "MedicationRequest.medication[x]:medicationReference",
      "path" : "MedicationRequest.medication[x]",
      "sliceName" : "medicationReference",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/core/StructureDefinition/cz-Medication"]
      }]
    },
    {
      "id" : "MedicationRequest.subject",
      "path" : "MedicationRequest.subject",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core"]
      }]
    },
    {
      "id" : "MedicationRequest.authoredOn",
      "path" : "MedicationRequest.authoredOn",
      "min" : 1
    },
    {
      "id" : "MedicationRequest.requester",
      "path" : "MedicationRequest.requester",
      "min" : 1
    },
    {
      "id" : "MedicationRequest.reasonCode",
      "path" : "MedicationRequest.reasonCode",
      "short" : "Reason or indication for this prescription"
    },
    {
      "id" : "MedicationRequest.reasonReference",
      "path" : "MedicationRequest.reasonReference",
      "short" : "Condition or observation that supports this prescription"
    },
    {
      "id" : "MedicationRequest.groupIdentifier",
      "path" : "MedicationRequest.groupIdentifier",
      "short" : "Prescription this is part of",
      "comment" : "Not needed if a presciption includes only one prescribed item"
    },
    {
      "id" : "MedicationRequest.dosageInstruction",
      "path" : "MedicationRequest.dosageInstruction",
      "short" : "How the medication should be taken."
    },
    {
      "id" : "MedicationRequest.dosageInstruction.text",
      "path" : "MedicationRequest.dosageInstruction.text",
      "short" : "Free text dosage instructions"
    },
    {
      "id" : "MedicationRequest.dosageInstruction.timing",
      "path" : "MedicationRequest.dosageInstruction.timing",
      "short" : "Administration schedule"
    },
    {
      "id" : "MedicationRequest.dosageInstruction.timing.repeat.duration",
      "path" : "MedicationRequest.dosageInstruction.timing.repeat.duration",
      "short" : "Duration of the treatment"
    },
    {
      "id" : "MedicationRequest.dosageInstruction.timing.repeat.frequency",
      "path" : "MedicationRequest.dosageInstruction.timing.repeat.frequency",
      "short" : "Frequency times per period"
    },
    {
      "id" : "MedicationRequest.dosageInstruction.timing.repeat.period",
      "path" : "MedicationRequest.dosageInstruction.timing.repeat.period",
      "short" : "Duration of time over which repetitions are to occur"
    },
    {
      "id" : "MedicationRequest.dosageInstruction.timing.repeat.periodUnit",
      "path" : "MedicationRequest.dosageInstruction.timing.repeat.periodUnit",
      "short" : "Unit of the period (e.g. day)"
    },
    {
      "id" : "MedicationRequest.dosageInstruction.timing.code",
      "path" : "MedicationRequest.dosageInstruction.timing.code",
      "short" : "A code for the timing schedule."
    },
    {
      "id" : "MedicationRequest.dosageInstruction.route",
      "path" : "MedicationRequest.dosageInstruction.route",
      "short" : "Route of administration"
    },
    {
      "id" : "MedicationRequest.dosageInstruction.doseAndRate.dose[x]",
      "path" : "MedicationRequest.dosageInstruction.doseAndRate.dose[x]",
      "slicing" : {
        "discriminator" : [{
          "type" : "type",
          "path" : "$this"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity",
      "path" : "MedicationRequest.dosageInstruction.doseAndRate.dose[x]",
      "sliceName" : "doseQuantity",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Quantity",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
      }]
    },
    {
      "id" : "MedicationRequest.dispenseRequest",
      "path" : "MedicationRequest.dispenseRequest",
      "min" : 1
    },
    {
      "id" : "MedicationRequest.dispenseRequest.quantity",
      "path" : "MedicationRequest.dispenseRequest.quantity",
      "min" : 1
    },
    {
      "id" : "MedicationRequest.substitution.allowed[x]",
      "path" : "MedicationRequest.substitution.allowed[x]",
      "slicing" : {
        "discriminator" : [{
          "type" : "type",
          "path" : "$this"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "MedicationRequest.substitution.allowed[x]:allowedCodeableConcept",
      "path" : "MedicationRequest.substitution.allowed[x]",
      "sliceName" : "allowedCodeableConcept",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }]
    }]
  }
}

```
