| Left: | WHO SMART Guidelines Medication Not Requested (http://smart.who.int/base-clinical/StructureDefinition/sg-medicationnotrequested) |
| Right: | WHO SMART Guidelines Medication Not Requested (http://smart.who.int/base-clinical/StructureDefinition/sg-medicationnotrequested) |
| Error | StructureDefinition.version | Values for version differ: '1.0.0' vs '1.0.1' |
| Information | StructureDefinition.date | Values for date differ: '2026-09-04T05:49:22+00:00' vs '2026-10-02T07:59:36+00:00' |
| Name | Value | Comments | |
|---|---|---|---|
abstract | false | ||
baseDefinition | http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-medicationrequest | ||
copyright | |||
date | 2026-09-04T05:49:22+00:00 | 2026-10-02T07:59:36+00:00 |
|
description | The WHO SMART Guidelines Medication Not Requested profile defines conformance requirements and exchange expectations for MedicationRequest resources used to communicate that a specific medication (or class of medications) should not be prescribed in WHO Smart Guidelines content. | ||
experimental | false | ||
fhirVersion | 4.0.1 | ||
jurisdiction | |||
![]() jurisdiction[0] | http://unstats.un.org/unsd/methods/m49/m49.htm#001 | ||
kind | resource | ||
name | SGMedicationNotRequested | ||
publisher | WHO | ||
purpose | |||
status | draft | ||
title | WHO SMART Guidelines Medication Not Requested | ||
type | MedicationRequest | ||
url | http://smart.who.int/base-clinical/StructureDefinition/sg-medicationnotrequested | ||
version | 1.0.0 | 1.0.1 |
|
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments![]() | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
![]() | SC | 0..* | CPGMedicationRequest | Ordering of medication for patient or group Constraints: mnr-1 | SC | 0..* | CPGMedicationRequest | Ordering of medication for patient or group Constraints: mnr-1 | |||||||||
![]() ![]() | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||
![]() ![]() | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||
![]() ![]() | ?!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 | |||||||||
![]() ![]() | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||||||||
![]() ![]() | 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 | |||||||||||
![]() ![]() | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
![]() ![]() | 0..* | Extension | Extension Slice: Unordered, Open by value:url | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||
![]() ![]() | S | 1..* | Identifier | External ids for this request | S | 1..* | Identifier | External ids for this request | |||||||||
![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
![]() ![]() ![]() | 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 | |||||||||||
![]() ![]() ![]() | ?!SΣ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: ?? (required): Identifies the purpose for this identifier, if known . | ?!SΣ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: ?? (required): Identifies the purpose for this identifier, if known . | |||||||||
![]() ![]() ![]() | Σ | 0..1 | CodeableConcept | Description of identifier Binding: ?? (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | Σ | 0..1 | CodeableConcept | Description of identifier Binding: ?? (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | |||||||||
![]() ![]() ![]() | SΣ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | SΣ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |||||||||
![]() ![]() ![]() | SΣ | 1..1 | string | The value that is unique Example General: 123456 | SΣ | 1..1 | string | The value that is unique Example General: 123456 | |||||||||
![]() ![]() ![]() | Σ | 0..1 | Period | Time period when id is/was valid for use | Σ | 0..1 | Period | Time period when id is/was valid for use | |||||||||
![]() ![]() ![]() | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||||||
![]() ![]() | ?!SΣ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: ?? (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. | ?!SΣ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: ?? (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. | |||||||||
![]() ![]() | 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. | |||||||||||
![]() ![]() | ?!SΣ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order. | ?!SΣ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order. | |||||||||
![]() ![]() | S | 0..* | CodeableConcept | Type of medication usage 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 | Type of medication usage 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. | |||||||||
![]() ![]() | SΣ | 0..1 | code | routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request. | SΣ | 0..1 | code | routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request. | |||||||||
![]() ![]() | ?!SΣ | 1..1 | boolean | True if request is prohibiting action Fixed Value: true | ?!SΣ | 1..1 | boolean | True if request is prohibiting action Fixed Value: true | |||||||||
![]() ![]() | Σ | 0..1 | boolean, Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Reported rather than primary record | Σ | 0..1 | boolean, Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Reported rather than primary record | |||||||||
![]() ![]() | SΣC | 1..1 | CodeableConcept | Medication to be taken Binding: ?? (example): A coded concept identifying substance or product that can be ordered. | SΣC | 1..1 | CodeableConcept | Medication to be taken Binding: ?? (example): A coded concept identifying substance or product that can be ordered. | |||||||||
![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
![]() ![]() ![]() | 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 | |||||||||||
![]() ![]() ![]() | ΣC | 0..* | Coding | Code defined by a terminology system | ΣC | 0..* | Coding | Code defined by a terminology system | |||||||||
![]() ![]() ![]() | Σ | 0..1 | string | Plain text representation of the concept | Σ | 0..1 | string | Plain text representation of the concept | |||||||||
![]() ![]() | SΣ | 1..1 | Reference(WHO SMART Guidelines Patient) | Who or group medication request is for | SΣ | 1..1 | Reference(WHO SMART Guidelines Patient) | Who or group medication request is for | |||||||||
![]() ![]() | S | 0..1 | Reference(WHO SMART Guidelines Encounter) | Encounter created as part of encounter/admission/stay | S | 0..1 | Reference(WHO SMART Guidelines Encounter) | Encounter created as part of encounter/admission/stay | |||||||||
![]() ![]() | S | 0..* | Reference(Resource) | Pertinent information | S | 0..* | Reference(Resource) | Pertinent information | |||||||||
![]() ![]() | SΣ | 1..1 | dateTime | When request was initially authored | SΣ | 1..1 | dateTime | When request was initially authored | |||||||||
![]() ![]() | SΣ | 0..1 | Reference(WHO SMART Guidelines Practitioner | WHO SMART Guidelines PractitionerRole | WHO SMART Guidelines Patient | WHO SMART Guidelines RelatedPerson) | Who/What requested the Request | SΣ | 0..1 | Reference(WHO SMART Guidelines Practitioner | WHO SMART Guidelines PractitionerRole | WHO SMART Guidelines Patient | WHO SMART Guidelines RelatedPerson) | Who/What requested the Request | |||||||||
![]() ![]() | 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 | |||||||||||
![]() ![]() | 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. | |||||||||
![]() ![]() | S | 0..1 | Reference(WHO SMART Guidelines Practitioner | WHO SMART Guidelines PractitionerRole) | Person who entered the request | S | 0..1 | Reference(WHO SMART Guidelines Practitioner | WHO SMART Guidelines PractitionerRole) | Person who entered the request | |||||||||
![]() ![]() | S | 1..1 | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: ?? (example): A coded concept indicating why the medication was ordered. | S | 1..1 | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: ?? (example): A coded concept indicating why the medication was ordered. | |||||||||
![]() ![]() | 0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written | 0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written | |||||||||||
![]() ![]() | SΣ | 0..* | canonical() | Source | SΣ | 0..* | canonical() | Source | |||||||||
![]() ![]() | Σ | 0..* | uri | Instantiates external protocol or definition | Σ | 0..* | uri | Instantiates external protocol or definition | |||||||||
![]() ![]() | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | |||||||||
![]() ![]() | Σ | 0..1 | Identifier | Composite request this is part of | Σ | 0..1 | Identifier | Composite request this is part of | |||||||||
![]() ![]() | 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. | |||||||||||
![]() ![]() | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||||||||
![]() ![]() | 0..* | Annotation | Information about the prescription | 0..* | Annotation | Information about the prescription | |||||||||||
![]() ![]() | 0..* | Dosage | How the medication should be taken | 0..* | Dosage | How the medication should be taken | |||||||||||
![]() ![]() | 0..1 | BackboneElement | Medication supply authorization | 0..1 | BackboneElement | Medication supply authorization | |||||||||||
![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
![]() ![]() ![]() | 0..1 | BackboneElement | First fill details | 0..1 | BackboneElement | First fill details | |||||||||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
![]() ![]() ![]() ![]() | 0..1 | ?? | First fill quantity | 0..1 | ?? | First fill quantity | |||||||||||
![]() ![]() ![]() ![]() | 0..1 | Duration | First fill duration | 0..1 | Duration | First fill duration | |||||||||||
![]() ![]() ![]() | 0..1 | Duration | Minimum period of time between dispenses | 0..1 | Duration | Minimum period of time between dispenses | |||||||||||
![]() ![]() ![]() | 0..1 | Period | Time period supply is authorized for | 0..1 | Period | Time period supply is authorized for | |||||||||||
![]() ![]() ![]() | 0..1 | unsignedInt | Number of refills authorized | 0..1 | unsignedInt | Number of refills authorized | |||||||||||
![]() ![]() ![]() | 0..1 | ?? | Amount of medication to supply per dispense | 0..1 | ?? | Amount of medication to supply per dispense | |||||||||||
![]() ![]() ![]() | 0..1 | Duration | Number of days supply per dispense | 0..1 | Duration | Number of days supply per dispense | |||||||||||
![]() ![]() ![]() | 0..1 | Reference(Organization) | Intended dispenser | 0..1 | Reference(Organization) | Intended dispenser | |||||||||||
![]() ![]() | 0..1 | BackboneElement | Any restrictions on medication substitution | 0..1 | BackboneElement | Any restrictions on medication substitution | |||||||||||
![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
![]() ![]() ![]() | 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. | |||||||||||
![]() ![]() ![]() | 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. | |||||||||||
![]() ![]() | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced | |||||||||||
![]() ![]() | 0..* | Reference(DetectedIssue) | Clinical Issue with action | 0..* | Reference(DetectedIssue) | Clinical Issue with action | |||||||||||
![]() ![]() | 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 | |||||||||||||||||