Profile Comparison between http://hl7.org/fhir/us/cdc-opioid-cpg/StructureDefinition/MMEMedicationRequest vs http://hl7.org/fhir/us/cdc-opioid-cpg/StructureDefinition/MMEMedicationRequest

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/us/cdc-opioid-cpg/StructureDefinition/OpioidMedicationRequest
copyright
date	2025-08-01T20:38:22+00:00	2026-04-15T19:27:25+00:00	Values Differ
description	Defines the minimum expectations for a MedicationRequest that can be used to successfully calculate Morphine Milligram Equivalent (MME)/day according to the 2022 CDC Clinical Practice Guideline for Prescribing Opioids Implementation Guide.
experimental
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	MMEMedicationRequest
publisher	HL7 International / Clinical Decision Support
purpose
status	active
title	MME MedicationRequest Profile
type	MedicationRequest
url	http://hl7.org/fhir/us/cdc-opioid-cpg/StructureDefinition/MMEMedicationRequest
version	1.0.0-ballot	1.0.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
MedicationRequest	C	0..*	OpioidMedicationRequest	Ordering of medication for patient or group	C	0..*	OpioidMedicationRequest	Ordering of medication for patient or group
id	Σ	0..1	id	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? 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		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		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External ids for this request		0..*	Identifier	External ids for this request
status	?!SΣC	1..1	code	(QI-Core)(USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: ?? (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription.	?!SΣC	1..1	code	(QI-Core)(USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: ?? (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: ?? (example): Identifies the reasons for a given status.		0..1	CodeableConcept	Reason for current status Binding: ?? (example): Identifies the reasons for a given status.
intent	?!SΣC	1..1	code	(USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order. Required Pattern: order	?!SΣC	1..1	code	(USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order. Required Pattern: order
Slices for category	S	0..*	CodeableConcept	(USCDI) Type of medication usage Slice: Unordered, Open by pattern:$this Binding: ?? (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.	S	0..*	CodeableConcept	(USCDI) Type of medication usage Slice: Unordered, Open by pattern:$this Binding: ?? (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.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request.	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	(QI-Core) True if medication was not requested Fixed Value: false	?!Σ	0..1	boolean	(QI-Core) True if medication was not requested Fixed Value: false
reported[x]	SΣ	0..1	Reference S(QICore Practitioner | QICore PractitionerRole | QICore Patient | QICore RelatedPerson)	(QI-Core)(USCDI) Reported rather than primary record	SΣ	0..1	Reference S(QICore Practitioner | QICore PractitionerRole | QICore Patient | QICore RelatedPerson)	(QI-Core)(USCDI) Reported rather than primary record
medication[x]	SΣ	1..1	CodeableConcept, Reference(Opioid Medication Profile)	(USCDI) Medication to be taken Binding: ?? (required)	SΣ	1..1	CodeableConcept, Reference(Opioid Medication Profile)	(USCDI) Medication to be taken Binding: ?? (required)
subject	SΣ	1..1	Reference(Opioid Review Useful Patient Profile)	(QI-Core)(USCDI) Who or group medication request is for	SΣ	1..1	Reference(Opioid Review Indicated Patient Profile)	(QI-Core)(USCDI) Who or group medication request is for
encounter	S	0..1	Reference(QICore Encounter)	(QI-Core)(USCDI) Encounter created as part of encounter/admission/stay	S	0..1	Reference(QICore Encounter)	(QI-Core)(USCDI) Encounter created as part of encounter/admission/stay
supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication		0..*	Reference(Resource)	Information to support ordering of the medication
authoredOn	SΣ	1..1	dateTime	(QI-Core)(USCDI) When request was initially authored	SΣ	1..1	dateTime	(QI-Core)(USCDI) When request was initially authored
requester	SΣC	0..1	Reference(QICore Practitioner | QICore PractitionerRole | QICore Patient)	(QI-Core)(USCDI) Who/What requested the Request	SΣC	0..1	Reference(QICore Practitioner | QICore PractitionerRole | QICore Patient)	(QI-Core)(USCDI) Who/What requested the Request
performer		0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration		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: ?? (example): Identifies the type of individual that is desired to administer the medication.	Σ	0..1	CodeableConcept	Desired kind of performer of the medication administration Binding: ?? (example): Identifies the type of individual that is desired to administer the medication.
recorder		0..1	Reference(Practitioner | PractitionerRole)	Person who entered the request		0..1	Reference(Practitioner | PractitionerRole)	Person who entered the request
reasonCode		0..*	CodeableConcept	(QI-Core)(USCDI) Reason or indication for ordering or not ordering the medication Binding: ?? (extensible)		0..*	CodeableConcept	(QI-Core)(USCDI) Reason or indication for ordering or not ordering the medication Binding: ?? (extensible)
reasonReference		0..*	Reference(QICore Condition Encounter Diagnosis | QICore Condition Problems Health Concerns | QICore Simple Observation)	(QI-Core)(USCDI) QI-Core Condition or Observation that supports the prescription		0..*	Reference(QICore Condition Encounter Diagnosis | QICore Condition Problems Health Concerns | QICore Simple Observation)	(QI-Core)(USCDI) QI-Core Condition or Observation that supports the prescription
instantiatesCanonical	Σ	0..*	canonical()	Instantiates FHIR protocol or definition	Σ	0..*	canonical()	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	What request fulfills	Σ	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	What request fulfills
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of	Σ	0..1	Identifier	Composite request this is part of
courseOfTherapyType		0..1	CodeableConcept	Overall pattern of medication administration Binding: ?? (example): Identifies the overall pattern of medication administratio.		0..1	CodeableConcept	Overall pattern of medication administration Binding: ?? (example): Identifies the overall pattern of medication administratio.
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
note		0..*	Annotation	Information about the prescription		0..*	Annotation	Information about the prescription
dosageInstruction	S	1..1	Dosage	(QI-Core)(USCDI) How medication should be taken	S	1..1	Dosage	(QI-Core)(USCDI) How medication should be taken
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		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	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions	Σ	0..1	integer	The order of the dosage instructions
text	SΣ	0..1	string	(USCDI) Free text dosage instructions e.g. SIG	SΣ	0..1	string	(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: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".	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	Σ	0..1	string	Patient or consumer oriented instructions
timing	SΣ	1..1	Timing	(QI-Core)(USCDI) When medication should be administered	SΣ	1..1	Timing	(QI-Core)(USCDI) When medication should be administered
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		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	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	Σ	0..*	dateTime	When the event occurs	Σ	0..*	dateTime	When the event occurs
repeat	SΣC	1..1	Element	(QI-Core) When the event is to occur	SΣC	1..1	Element	(QI-Core) When the event is to occur
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x]	Σ	0..1	Duration, Range, Period	(QI-Core) Length/Range of lengths, or (Start and/or end) limits	Σ	0..1	Duration, Range, Period	(QI-Core) Length/Range of lengths, or (Start and/or end) limits
count	Σ	0..1	positiveInt	Number of times to repeat	Σ	0..1	positiveInt	Number of times to repeat
countMax	Σ	0..1	positiveInt	Maximum number of times to repeat	Σ	0..1	positiveInt	Maximum number of times to repeat
duration	Σ	0..1	decimal	How long when it happens	Σ	0..1	decimal	How long when it happens
durationMax	Σ	0..1	decimal	How long when it happens (Max)	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).	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	(QI-Core) Event occurs frequency times per period	Σ	0..1	positiveInt	(QI-Core) Event occurs frequency times per period
frequencyMax	Σ	0..1	positiveInt	(QI-Core) Event occurs frequencyMax times per period	Σ	0..1	positiveInt	(QI-Core) Event occurs frequencyMax times per period
period	Σ	0..1	decimal	(QI-Core) Event occurs frequency times per period	Σ	0..1	decimal	(QI-Core) Event occurs frequency times per period
periodMax	Σ	0..1	decimal	(QI-Core) Upper limit of period (3-4 hours)	Σ	0..1	decimal	(QI-Core) Upper limit of period (3-4 hours)
periodUnit	Σ	0..1	code	(QI-Core) s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: ?? (required): A unit of time (units from UCUM).	Σ	0..1	code	(QI-Core) s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: ?? (required): A unit of time (units from UCUM).
dayOfWeek	Σ	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: ?? (required)	Σ	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: ?? (required)
timeOfDay	SΣ	0..1	time	Time of day for action	SΣ	0..1	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.	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)	Σ	0..1	unsignedInt	Minutes from event (before or after)
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: ?? (preferred): Code for a known / defined timing pattern.	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: ?? (preferred): Code for a known / defined timing pattern.
asNeeded[x]	Σ	0..1	boolean	(QI-Core) Take "as needed" (for x)	Σ	0..1	boolean	(QI-Core) Take "as needed" (for x)
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.	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	How drug should enter body 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.	Σ	0..1	CodeableConcept	How drug should enter body 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.	Σ	0..1	CodeableConcept	Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	SΣ	1..1	Element	(QI-Core)(USCDI) Amount of medication administered	SΣ	1..1	Element	(QI-Core)(USCDI) Amount of medication administered
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		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: ?? (example): The kind of dose or rate specified.	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified.
dose[x]	SΣ	1..1	Quantity S, Range	(QI-Core)(USCDI) Amount of medication per dose Binding: ?? (preferred) Additional Bindings Purpose ?? Max Binding	SΣ	1..1	Quantity S, Range	(QI-Core)(USCDI) Amount of medication per dose Binding: ?? (preferred) Additional Bindings Purpose ?? Max Binding
rate[x]	Σ	0..1	Ratio, Range, ??	Amount of medication per unit of time	Σ	0..1	Ratio, Range, ??	Amount of medication per unit of time
maxDosePerPeriod	Σ	0..1	Ratio	Upper limit on medication per unit of time	Σ	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	??	Upper limit on medication per administration	Σ	0..1	??	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	??	Upper limit on medication per lifetime of the patient	Σ	0..1	??	Upper limit on medication per lifetime of the patient
dispenseRequest	S	0..1	BackboneElement	(QI-Core)(USCDI) Medication supply authorization	S	0..1	BackboneElement	(QI-Core)(USCDI) Medication supply authorization
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
initialFill		0..0		First fill details		0..0		First fill details
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity		0..1	??	First fill quantity		0..1	??	First fill quantity
duration		0..1	Duration	First fill duration		0..1	Duration	First fill duration
dispenseInterval		0..1	Duration	(QI-Core) Minimum period of time between dispenses		0..1	Duration	(QI-Core) Minimum period of time between dispenses
validityPeriod		0..1	Period	Time period supply is authorized for		0..1	Period	Time period supply is authorized for
numberOfRepeatsAllowed	S	0..1	unsignedInt	(QI-Core)(USCDI) Number of refills authorized	S	0..1	unsignedInt	(QI-Core)(USCDI) Number of refills authorized
quantity	S	0..1	??	(QI-Core)(USCDI) Amount of medication to supply per dispense	S	0..1	??	(QI-Core)(USCDI) Amount of medication to supply per dispense
expectedSupplyDuration		0..1	Duration	(QI-Core) Number of days supply per dispense		0..1	Duration	(QI-Core) Number of days supply per dispense
performer		0..1	Reference(Organization)	Intended dispenser		0..1	Reference(Organization)	Intended dispenser
substitution		0..1	BackboneElement	Any restrictions on medication substitution		0..1	BackboneElement	Any restrictions on medication substitution
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
allowed[x]		1..1	boolean, CodeableConcept	Whether substitution is allowed or not Binding: ?? (example): Identifies the type of substitution allowed.		1..1	boolean, CodeableConcept	Whether substitution is allowed or not Binding: ?? (example): Identifies the type of substitution allowed.
reason		0..1	CodeableConcept	Why should (not) substitution be made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.		0..1	CodeableConcept	Why should (not) substitution be made Binding: ?? (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		0..1	Reference(MedicationRequest)	An order/prescription that is being replaced
detectedIssue		0..*	Reference(DetectedIssue)	Clinical Issue with action		0..*	Reference(DetectedIssue)	Clinical Issue with action
eventHistory		0..*	Reference(Provenance)	A list of events of interest in the lifecycle		0..*	Reference(Provenance)	A list of events of interest in the lifecycle
Documentation for this format