FR Document Core (FHIR), published by Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris. 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/ansforge/interop-IG-fhir-document-core/ and changes regularly. See the Directory of published versions

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Resource Profile: MedicationRequest - FR Medication Request Document

FRMedicationRequestDocument permet de décrire un traitement prescrit avec notamment le médicament, le mode d’administration, la quantité, la durée et la fréquence d'administration.

Usages:

• Refer to this Profile: CarePlan - FR Care Plan Document, Immunization - FR Immunization Document, ImmunizationRecommendation - FR Immunization Recommendation Document, MedicationAdministration - FR Medication Administration Document... Show 3 more, MedicationDispense - FR Medication Dispense Document, MedicationRequest - FR Medication Request Document and MedicationStatement - FR Medication Statement Document

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
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Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest(4.0.1)	Ordering of medication for patient or group
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:horsAMM	S	0..*	(Complex)	Hors Autorisation de mise sur le marché URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel Constraints: ext-1
extension:notCovered		0..1	boolean	Traitement non remboursable URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-not-covered-extension Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier		0..*	Identifier	Identifiant prescription
status	?!SΣ	1..1	code	Statut Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Required Pattern: completed
intent	?!Σ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Required Pattern: order
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
medication[x]	SΣ	1..1		Produit de santé Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication - FR Medication Document(0.1.0))
subject	Σ	1..1	Reference(FR Patient Document(0.1.0) | FR Patient INS Document(0.1.0))	Who or group medication request is for
encounter		0..1	Reference(FR Encounter Care Document(0.1.0))	Encounter created as part of encounter/admission/stay
authoredOn	SΣ	0..1	dateTime	When request was initially authored
requester	SΣ	0..1	Reference(FR PractitionerRole Document(0.1.0) | FR Practitioner Document(0.1.0))	Prescripteur
reasonReference	S	0..*	Reference(Observation | Condition - FR Condition Document(0.1.0) | Observation - FR Observation Prevention Document(0.1.0) | Observation - FR Observation ALD Document(0.1.0) | Observation - FR Observation Work Related Accident Document(0.1.0))	Motif du traitement
instantiatesUri	Σ	0..*	uri	Référence de la prescription
basedOn	SΣ	0..1	Reference(MedicationRequest - FR Medication Request Document(0.1.0) | CarePlan - FR Care Plan Document(0.1.0) | ServiceRequest - FR Service Request Document(0.1.0) | ImmunizationRecommendation - FR Immunization Recommendation Document(0.1.0))	Référence à un item du plan de traitement. Une copie du plan de traitement médicamenteux.
dosageInstruction		0..*	Dosage	How the medication should be taken
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
sequence	SΣ	0..1	integer	The order of the dosage instructions
additionalInstruction	Σ	0..*	CodeableConcept	Informations supplémentaires utilisables pour instructions au Patien ou pércondition préalables à l'utilisation du médicament Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
timing	SΣ	0..1	Timing	Durée du traitement et fréquence d'administration.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
repeat	SΣC	0..1	Element	When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
Slices for bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits Slice: Unordered, Open by type:$this
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
bounds[x]:boundsPeriod	Σ	0..1	Period	Durée du traitement
start	ΣC	0..1	dateTime	Date de début du traitement
end	ΣC	0..1	dateTime	Date de fin du traitement
frequency	SΣ	0..1	positiveInt	Event occurs frequency times per period
period	SΣ	0..1	decimal	Event occurs frequency times per period
periodUnit	SΣ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
when	SΣ	0..*	code	Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset	SΣ	0..1	unsignedInt	Minutes from event (before or after)
asNeeded[x]	SΣ	0..1		Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	SΣ	0..1	CodeableConcept	Région anatomique d'administration Binding: JdvHumanSubstanceAdministrationSiteCisis (20260619134041) (required)
route	SΣ	0..1	CodeableConcept	Voie d'administration Binding: FRValueSetEDQMDocument (0.1.0) (required)
doseAndRate	Σ	0..*	Element	Amount of medication administered
Slices for dose[x]	Σ	0..1		Amount of medication per dose Slice: Unordered, Open by type:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseRange	SΣ	0..1	Range	Dose à administrer
low	SΣ	1..1	SimpleQuantity(4.0.1)	Low limit
high	SΣ	1..1	SimpleQuantity(4.0.1)	High limit
Slices for rate[x]	Σ	0..1		Amount of medication per unit of time Slice: Unordered, Open by type:$this
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
rate[x]:rateRange	SΣ	0..1	Range	Rythme d'administration
low	SΣ	1..1	SimpleQuantity(4.0.1)	Low limit
high	SΣ	1..1	SimpleQuantity(4.0.1)	High limit
maxDosePerPeriod	SΣ	0..1	Ratio	Dose maximale
numerator	SΣ	1..1	Quantity	Numerator value
denominator	SΣ	1..1	Quantity	Denominator value
dispenseRequest	S	0..1	BackboneElement	Medication supply authorization
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:dispenserInstructionR5		0..1	(Complex)	R5: Additional information for the dispenser (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenserInstruction Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenserInstruction"
value[x]		1..1	Annotation	instructions au dispensateur
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
validityPeriod	S	0..1	Period	Période de validité
numberOfRepeatsAllowed	S	0..1	unsignedInt	Nombre de renouvellement(s) possible(s)
quantity	S	0..1	SimpleQuantity(4.0.1)	Quantité à dispenser
substitution	S	1..1	BackboneElement	Autorisation de substitution
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
Slices for allowed[x]	S	1..1		Whether substitution is allowed or not Slice: Unordered, Open by type:$this Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): Identifies the type of substitution allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
allowed[x]:allowedCodeableConcept		0..1	CodeableConcept	Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (20260619134042) (required)
reason	S	0..1	CodeableConcept	Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
text	Σ	0..1	string	Motif de non substitution (Marge thérapeutique étroite, Enfant forme galénique, Contre-indication formelle).
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.medication[x]	Base	example	SNOMED CT Medication 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.periodUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.when	Base	required	EventTiming	📍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	required	JDV Human Substance Administration Site CISIS	📍20260619134041	Terminologies de Santé v1.11
MedicationRequest.dosageInstruction.​route	Base	required	ValueSet - FR ValueSet EDQM Document	📍0.1.0	This IG
MedicationRequest.substitution.​allowed[x]	Base	example	ActSubstanceAdminSubstitutionCode	📍3.0.0	THO v7.3
MedicationRequest.substitution.​allowed[x]:allowedCodeableConcept	Base	required	ActSubstanceAdminSubstitutionCode	📍20260619134042	Terminologies de Santé v1.11
MedicationRequest.substitution.​reason	Base	example	SubstanceAdminSubstitutionReason	📍3.0.0	THO v7.3

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()
ele-1	error	MedicationRequest.implicitRules, MedicationRequest.extension, MedicationRequest.extension:horsAMM, MedicationRequest.extension:notCovered, MedicationRequest.modifierExtension, MedicationRequest.identifier, MedicationRequest.status, MedicationRequest.intent, MedicationRequest.doNotPerform, MedicationRequest.medication[x], MedicationRequest.subject, MedicationRequest.encounter, MedicationRequest.authoredOn, MedicationRequest.requester, MedicationRequest.reasonReference, MedicationRequest.instantiatesUri, MedicationRequest.basedOn, MedicationRequest.dosageInstruction, MedicationRequest.dosageInstruction.modifierExtension, MedicationRequest.dosageInstruction.sequence, MedicationRequest.dosageInstruction.additionalInstruction, MedicationRequest.dosageInstruction.timing, MedicationRequest.dosageInstruction.timing.modifierExtension, MedicationRequest.dosageInstruction.timing.repeat, MedicationRequest.dosageInstruction.timing.repeat.bounds[x], MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.start, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.end, MedicationRequest.dosageInstruction.timing.repeat.frequency, MedicationRequest.dosageInstruction.timing.repeat.period, MedicationRequest.dosageInstruction.timing.repeat.periodUnit, MedicationRequest.dosageInstruction.timing.repeat.when, MedicationRequest.dosageInstruction.timing.repeat.offset, MedicationRequest.dosageInstruction.asNeeded[x], MedicationRequest.dosageInstruction.site, MedicationRequest.dosageInstruction.route, MedicationRequest.dosageInstruction.doseAndRate, MedicationRequest.dosageInstruction.doseAndRate.dose[x], MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high, MedicationRequest.dosageInstruction.doseAndRate.rate[x], MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.low, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.high, MedicationRequest.dosageInstruction.maxDosePerPeriod, MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator, MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator, MedicationRequest.dispenseRequest, MedicationRequest.dispenseRequest.extension, MedicationRequest.dispenseRequest.extension:dispenserInstructionR5, MedicationRequest.dispenseRequest.extension:dispenserInstructionR5.value[x], MedicationRequest.dispenseRequest.modifierExtension, MedicationRequest.dispenseRequest.validityPeriod, MedicationRequest.dispenseRequest.numberOfRepeatsAllowed, MedicationRequest.dispenseRequest.quantity, MedicationRequest.substitution, MedicationRequest.substitution.modifierExtension, MedicationRequest.substitution.allowed[x], MedicationRequest.substitution.allowed[x]:allowedCodeableConcept, MedicationRequest.substitution.reason, MedicationRequest.substitution.reason.text	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	MedicationRequest.extension, MedicationRequest.extension:horsAMM, MedicationRequest.extension:notCovered, MedicationRequest.modifierExtension, MedicationRequest.dosageInstruction.modifierExtension, MedicationRequest.dosageInstruction.timing.modifierExtension, MedicationRequest.dispenseRequest.extension, MedicationRequest.dispenseRequest.extension:dispenserInstructionR5, MedicationRequest.dispenseRequest.modifierExtension, MedicationRequest.substitution.modifierExtension	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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest(4.0.1)	Ordering of medication for patient or group
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:horsAMM	S	0..*	(Complex)	Hors Autorisation de mise sur le marché URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel
extension:notCovered		0..1	boolean	Traitement non remboursable URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-not-covered-extension
identifier		0..*	Identifier	Identifiant prescription
status	S	1..1	code	Statut Required Pattern: completed
intent		1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: order
medication[x]	S	1..1		Produit de santé
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication - FR Medication Document(0.1.0))
subject		1..1	Reference(FR Patient Document(0.1.0) | FR Patient INS Document(0.1.0))	Who or group medication request is for
encounter		0..1	Reference(FR Encounter Care Document(0.1.0))	Encounter created as part of encounter/admission/stay
authoredOn	S	0..1	dateTime	When request was initially authored
requester	S	0..1	Reference(FR PractitionerRole Document(0.1.0) | FR Practitioner Document(0.1.0))	Prescripteur
reasonReference	S	0..*	Reference(Observation | Condition - FR Condition Document(0.1.0) | Observation - FR Observation Prevention Document(0.1.0) | Observation - FR Observation ALD Document(0.1.0) | Observation - FR Observation Work Related Accident Document(0.1.0))	Motif du traitement
instantiatesUri		0..*	uri	Référence de la prescription
basedOn	S	0..1	Reference(MedicationRequest - FR Medication Request Document(0.1.0) | CarePlan - FR Care Plan Document(0.1.0) | ServiceRequest - FR Service Request Document(0.1.0) | ImmunizationRecommendation - FR Immunization Recommendation Document(0.1.0))	Référence à un item du plan de traitement. Une copie du plan de traitement médicamenteux.
dosageInstruction
sequence	S	0..1	integer	The order of the dosage instructions
additionalInstruction		0..*	CodeableConcept	Informations supplémentaires utilisables pour instructions au Patien ou pércondition préalables à l'utilisation du médicament
timing	S	0..1	Timing	Durée du traitement et fréquence d'administration.
repeat	S	0..1	Element	When the event is to occur
Slices for bounds[x]		0..1	Duration, Range, Period	Length/Range of lengths, or (Start and/or end) limits Slice: Unordered, Open by type:$this
bounds[x]:boundsPeriod		0..1	Period	Durée du traitement
start		0..1	dateTime	Date de début du traitement
end		0..1	dateTime	Date de fin du traitement
frequency	S	0..1	positiveInt	Event occurs frequency times per period
period	S	0..1	decimal	Event occurs frequency times per period
periodUnit	S	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM)
when	S	0..*	code	Code for time period of occurrence
offset	S	0..1	unsignedInt	Minutes from event (before or after)
asNeeded[x]	S	0..1	boolean, CodeableConcept	Take "as needed" (for x)
site	S	0..1	CodeableConcept	Région anatomique d'administration Binding: JdvHumanSubstanceAdministrationSiteCisis (20260619134041) (required)
route	S	0..1	CodeableConcept	Voie d'administration Binding: FRValueSetEDQMDocument (0.1.0) (required)
doseAndRate
Slices for dose[x]		0..1	Range, SimpleQuantity(4.0.1)	Amount of medication per dose Slice: Unordered, Open by type:$this
dose[x]:doseRange	S	0..1	Range	Dose à administrer
low	S	1..1	SimpleQuantity(4.0.1)	Low limit
high	S	1..1	SimpleQuantity(4.0.1)	High limit
Slices for rate[x]		0..1	Ratio, Range, SimpleQuantity(4.0.1)	Amount of medication per unit of time Slice: Unordered, Open by type:$this
rate[x]:rateRange	S	0..1	Range	Rythme d'administration
low	S	1..1	SimpleQuantity(4.0.1)	Low limit
high	S	1..1	SimpleQuantity(4.0.1)	High limit
maxDosePerPeriod	S	0..1	Ratio	Dose maximale
numerator	S	1..1	Quantity	Numerator value
denominator	S	1..1	Quantity	Denominator value
dispenseRequest	S	0..1	BackboneElement	Medication supply authorization
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:dispenserInstructionR5		0..1	(Complex)	R5: Additional information for the dispenser (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenserInstruction
extension		0..0		Extension
value[x]		1..1	Annotation	instructions au dispensateur
validityPeriod	S	0..1	Period	Période de validité
numberOfRepeatsAllowed	S	0..1	unsignedInt	Nombre de renouvellement(s) possible(s)
quantity	S	0..1	SimpleQuantity(4.0.1)	Quantité à dispenser
substitution	S	1..1	BackboneElement	Autorisation de substitution
Slices for allowed[x]	S	1..1	boolean, CodeableConcept	Whether substitution is allowed or not Slice: Unordered, Open by type:$this
allowed[x]:allowedCodeableConcept		0..1	CodeableConcept	Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (20260619134042) (required)
reason	S	0..1	CodeableConcept	Why should (not) substitution be made
text		0..1	string	Motif de non substitution (Marge thérapeutique étroite, Enfant forme galénique, Contre-indication formelle).
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.dosageInstruction.​site	Base	required	JDV Human Substance Administration Site CISIS	📍20260619134041	Terminologies de Santé v1.11
MedicationRequest.dosageInstruction.​route	Base	required	ValueSet - FR ValueSet EDQM Document	📍0.1.0	This IG
MedicationRequest.substitution.​allowed[x]:allowedCodeableConcept	Base	required	ActSubstanceAdminSubstitutionCode	📍20260619134042	Terminologies de Santé v1.11

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest(4.0.1)	Ordering of medication for patient or group
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 Bindings Purpose 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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:horsAMM	S	0..*	(Complex)	Hors Autorisation de mise sur le marché URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel Constraints: ext-1
extension:notCovered		0..1	boolean	Traitement non remboursable URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-not-covered-extension Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier		0..*	Identifier	Identifiant prescription
status	?!SΣ	1..1	code	Statut Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Required Pattern: completed
statusReason		0..1	CodeableConcept	Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent	?!Σ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Required Pattern: order
category		0..*	CodeableConcept	Type of medication usage 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.
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 request is prohibiting action
reported[x]	Σ	0..1		Reported rather than primary record
reportedBoolean			boolean
reportedReference			Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
medication[x]	SΣ	1..1		Produit de santé Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication - FR Medication Document(0.1.0))
subject	Σ	1..1	Reference(FR Patient Document(0.1.0) | FR Patient INS Document(0.1.0))	Who or group medication request is for
encounter		0..1	Reference(FR Encounter Care Document(0.1.0))	Encounter created as part of encounter/admission/stay
supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication
authoredOn	SΣ	0..1	dateTime	When request was initially authored
requester	SΣ	0..1	Reference(FR PractitionerRole Document(0.1.0) | FR Practitioner Document(0.1.0))	Prescripteur
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	Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
reasonReference	S	0..*	Reference(Observation | Condition - FR Condition Document(0.1.0) | Observation - FR Observation Prevention Document(0.1.0) | Observation - FR Observation ALD Document(0.1.0) | Observation - FR Observation Work Related Accident Document(0.1.0))	Motif du traitement
instantiatesCanonical	Σ	0..*	canonical()	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Référence de la prescription
basedOn	SΣ	0..1	Reference(MedicationRequest - FR Medication Request Document(0.1.0) | CarePlan - FR Care Plan Document(0.1.0) | ServiceRequest - FR Service Request Document(0.1.0) | ImmunizationRecommendation - FR Immunization Recommendation Document(0.1.0))	Référence à un item du plan de traitement. Une copie du plan de traitement médicamenteux.
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		0..*	Dosage	How the 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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
sequence	SΣ	0..1	integer	The order of the dosage instructions
text	Σ	0..1	string	Free text dosage instructions e.g. SIG
additionalInstruction	Σ	0..*	CodeableConcept	Informations supplémentaires utilisables pour instructions au Patien ou pércondition préalables à l'utilisation du médicament 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	Durée du traitement et fréquence d'administration.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
event	Σ	0..*	dateTime	When the event occurs
repeat	SΣC	0..1	Element	When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
Slices for bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits Slice: Unordered, Open by type:$this
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
bounds[x]:boundsPeriod	Σ	0..1	Period	Durée du traitement
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
start	ΣC	0..1	dateTime	Date de début du traitement
end	ΣC	0..1	dateTime	Date de fin du traitement
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	SΣ	0..1	positiveInt	Event occurs frequency times per period
frequencyMax	Σ	0..1	positiveInt	Event occurs up to frequencyMax times per period
period	SΣ	0..1	decimal	Event occurs frequency times per period
periodMax	Σ	0..1	decimal	Upper limit of period (3-4 hours)
periodUnit	SΣ	0..1	code	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	SΣ	0..*	code	Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset	SΣ	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]	SΣ	0..1		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	SΣ	0..1	CodeableConcept	Région anatomique d'administration Binding: JdvHumanSubstanceAdministrationSiteCisis (20260619134041) (required)
route	SΣ	0..1	CodeableConcept	Voie d'administration Binding: FRValueSetEDQMDocument (0.1.0) (required)
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	Σ	0..*	Element	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 Constraints: ext-1
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
Slices for dose[x]	Σ	0..1		Amount of medication per dose Slice: Unordered, Open by type:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseRange	SΣ	0..1	Range	Dose à administrer
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
low	SΣ	1..1	SimpleQuantity(4.0.1)	Low limit
high	SΣ	1..1	SimpleQuantity(4.0.1)	High limit
Slices for rate[x]	Σ	0..1		Amount of medication per unit of time Slice: Unordered, Open by type:$this
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
rate[x]:rateRange	SΣ	0..1	Range	Rythme d'administration
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
low	SΣ	1..1	SimpleQuantity(4.0.1)	Low limit
high	SΣ	1..1	SimpleQuantity(4.0.1)	High limit
maxDosePerPeriod	SΣ	0..1	Ratio	Dose maximale
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
numerator	SΣ	1..1	Quantity	Numerator value
denominator	SΣ	1..1	Quantity	Denominator value
maxDosePerAdministration	Σ	0..1	SimpleQuantity(4.0.1)	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity(4.0.1)	Upper limit on medication per lifetime of the patient
dispenseRequest	S	0..1	BackboneElement	Medication supply authorization
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:dispenserInstructionR5		0..1	(Complex)	R5: Additional information for the dispenser (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenserInstruction Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenserInstruction"
value[x]		1..1	Annotation	instructions au dispensateur
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
initialFill		0..1	BackboneElement	First fill details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
quantity		0..1	SimpleQuantity(4.0.1)	First fill quantity
duration		0..1	Duration	First fill duration
dispenseInterval		0..1	Duration	Minimum period of time between dispenses
validityPeriod	S	0..1	Period	Période de validité
numberOfRepeatsAllowed	S	0..1	unsignedInt	Nombre de renouvellement(s) possible(s)
quantity	S	0..1	SimpleQuantity(4.0.1)	Quantité à dispenser
expectedSupplyDuration		0..1	Duration	Number of days supply per dispense
performer		0..1	Reference(Organization)	Intended dispenser
substitution	S	1..1	BackboneElement	Autorisation de substitution
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
Slices for allowed[x]	S	1..1		Whether substitution is allowed or not Slice: Unordered, Open by type:$this Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): Identifies the type of substitution allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
allowed[x]:allowedCodeableConcept		0..1	CodeableConcept	Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (20260619134042) (required)
reason	S	0..1	CodeableConcept	Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Motif de non substitution (Marge thérapeutique étroite, Enfant forme galénique, Contre-indication formelle).
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
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.priority	Base	required	Request priority	📍4.0.1	FHIR Std.
MedicationRequest.medication[x]	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
MedicationRequest.performerType	Base	example	Procedure Performer Role Codes	📍4.0.1	FHIR Std.
MedicationRequest.reasonCode	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.
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	required	JDV Human Substance Administration Site CISIS	📍20260619134041	Terminologies de Santé v1.11
MedicationRequest.dosageInstruction.​route	Base	required	ValueSet - FR ValueSet EDQM Document	📍0.1.0	This IG
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.substitution.​allowed[x]	Base	example	ActSubstanceAdminSubstitutionCode	📍3.0.0	THO v7.3
MedicationRequest.substitution.​allowed[x]:allowedCodeableConcept	Base	required	ActSubstanceAdminSubstitutionCode	📍20260619134042	Terminologies de Santé v1.11
MedicationRequest.substitution.​reason	Base	example	SubstanceAdminSubstitutionReason	📍3.0.0	THO v7.3

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()
ele-1	error	MedicationRequest.meta, MedicationRequest.implicitRules, MedicationRequest.language, MedicationRequest.text, MedicationRequest.extension, MedicationRequest.extension:horsAMM, MedicationRequest.extension:notCovered, MedicationRequest.modifierExtension, MedicationRequest.identifier, MedicationRequest.status, MedicationRequest.statusReason, MedicationRequest.intent, MedicationRequest.category, MedicationRequest.priority, MedicationRequest.doNotPerform, MedicationRequest.reported[x], MedicationRequest.medication[x], MedicationRequest.subject, MedicationRequest.encounter, MedicationRequest.supportingInformation, MedicationRequest.authoredOn, MedicationRequest.requester, MedicationRequest.performer, MedicationRequest.performerType, MedicationRequest.recorder, MedicationRequest.reasonCode, MedicationRequest.reasonReference, MedicationRequest.instantiatesCanonical, MedicationRequest.instantiatesUri, MedicationRequest.basedOn, MedicationRequest.groupIdentifier, MedicationRequest.courseOfTherapyType, MedicationRequest.insurance, MedicationRequest.note, MedicationRequest.dosageInstruction, MedicationRequest.dosageInstruction.extension, MedicationRequest.dosageInstruction.modifierExtension, MedicationRequest.dosageInstruction.sequence, MedicationRequest.dosageInstruction.text, MedicationRequest.dosageInstruction.additionalInstruction, MedicationRequest.dosageInstruction.patientInstruction, MedicationRequest.dosageInstruction.timing, MedicationRequest.dosageInstruction.timing.extension, MedicationRequest.dosageInstruction.timing.modifierExtension, MedicationRequest.dosageInstruction.timing.event, MedicationRequest.dosageInstruction.timing.repeat, MedicationRequest.dosageInstruction.timing.repeat.extension, MedicationRequest.dosageInstruction.timing.repeat.bounds[x], MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.extension, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.start, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.end, MedicationRequest.dosageInstruction.timing.repeat.count, MedicationRequest.dosageInstruction.timing.repeat.countMax, MedicationRequest.dosageInstruction.timing.repeat.duration, MedicationRequest.dosageInstruction.timing.repeat.durationMax, MedicationRequest.dosageInstruction.timing.repeat.durationUnit, MedicationRequest.dosageInstruction.timing.repeat.frequency, MedicationRequest.dosageInstruction.timing.repeat.frequencyMax, MedicationRequest.dosageInstruction.timing.repeat.period, MedicationRequest.dosageInstruction.timing.repeat.periodMax, MedicationRequest.dosageInstruction.timing.repeat.periodUnit, MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek, MedicationRequest.dosageInstruction.timing.repeat.timeOfDay, MedicationRequest.dosageInstruction.timing.repeat.when, MedicationRequest.dosageInstruction.timing.repeat.offset, MedicationRequest.dosageInstruction.timing.code, MedicationRequest.dosageInstruction.asNeeded[x], MedicationRequest.dosageInstruction.site, MedicationRequest.dosageInstruction.route, MedicationRequest.dosageInstruction.method, MedicationRequest.dosageInstruction.doseAndRate, MedicationRequest.dosageInstruction.doseAndRate.extension, MedicationRequest.dosageInstruction.doseAndRate.type, MedicationRequest.dosageInstruction.doseAndRate.dose[x], MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.extension, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high, MedicationRequest.dosageInstruction.doseAndRate.rate[x], MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.extension, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.low, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.high, MedicationRequest.dosageInstruction.maxDosePerPeriod, MedicationRequest.dosageInstruction.maxDosePerPeriod.extension, MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator, MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator, MedicationRequest.dosageInstruction.maxDosePerAdministration, MedicationRequest.dosageInstruction.maxDosePerLifetime, MedicationRequest.dispenseRequest, MedicationRequest.dispenseRequest.extension, MedicationRequest.dispenseRequest.extension:dispenserInstructionR5, MedicationRequest.dispenseRequest.extension:dispenserInstructionR5.value[x], MedicationRequest.dispenseRequest.modifierExtension, MedicationRequest.dispenseRequest.initialFill, MedicationRequest.dispenseRequest.initialFill.extension, MedicationRequest.dispenseRequest.initialFill.modifierExtension, MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.initialFill.duration, MedicationRequest.dispenseRequest.dispenseInterval, MedicationRequest.dispenseRequest.validityPeriod, MedicationRequest.dispenseRequest.numberOfRepeatsAllowed, MedicationRequest.dispenseRequest.quantity, MedicationRequest.dispenseRequest.expectedSupplyDuration, MedicationRequest.dispenseRequest.performer, MedicationRequest.substitution, MedicationRequest.substitution.extension, MedicationRequest.substitution.modifierExtension, MedicationRequest.substitution.allowed[x], MedicationRequest.substitution.allowed[x]:allowedCodeableConcept, MedicationRequest.substitution.reason, MedicationRequest.substitution.reason.extension, MedicationRequest.substitution.reason.coding, MedicationRequest.substitution.reason.text, MedicationRequest.priorPrescription, MedicationRequest.detectedIssue, MedicationRequest.eventHistory	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	MedicationRequest.extension, MedicationRequest.extension:horsAMM, MedicationRequest.extension:notCovered, MedicationRequest.modifierExtension, MedicationRequest.dosageInstruction.extension, MedicationRequest.dosageInstruction.modifierExtension, MedicationRequest.dosageInstruction.timing.extension, MedicationRequest.dosageInstruction.timing.modifierExtension, MedicationRequest.dosageInstruction.timing.repeat.extension, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.extension, MedicationRequest.dosageInstruction.doseAndRate.extension, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.extension, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.extension, MedicationRequest.dosageInstruction.maxDosePerPeriod.extension, MedicationRequest.dispenseRequest.extension, MedicationRequest.dispenseRequest.extension:dispenserInstructionR5, MedicationRequest.dispenseRequest.modifierExtension, MedicationRequest.dispenseRequest.initialFill.extension, MedicationRequest.dispenseRequest.initialFill.modifierExtension, MedicationRequest.substitution.extension, MedicationRequest.substitution.modifierExtension, MedicationRequest.substitution.reason.extension	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()

Summary

Mandatory: 1 element(7 nested mandatory elements)
Must-Support: 34 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• Medication - FR Medication Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-medication-document|0.1.0)
• FR Patient Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-patient-document|0.1.0)
• FR Patient INS Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-patient-ins-document|0.1.0)
• FR Encounter Care Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-encounter-care-document|0.1.0)
• FR PractitionerRole Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-practitionerRole-document|0.1.0)
• FR Practitioner Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-practitioner-document|0.1.0)
• Observation (http://hl7.org/fhir/StructureDefinition/Observation|4.0.1)
• Condition - FR Condition Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-condition-document|0.1.0)
• Observation - FR Observation Prevention Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-observation-prevention-document|0.1.0)
• Observation - FR Observation ALD Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-observation-ald-document|0.1.0)
• Observation - FR Observation Work Related Accident Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-observation-work-related-accident-document|0.1.0)
• MedicationRequest - FR Medication Request Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-medication-request-document|0.1.0)
• CarePlan - FR Care Plan Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-care-plan-document|0.1.0)
• ServiceRequest - FR Service Request Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-service-request-document|0.1.0)
• ImmunizationRecommendation - FR Immunization Recommendation Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-immunization-recommendation-document|0.1.0)

Extensions

This structure refers to these extensions:

• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel|1.0.0-comment-2
• https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-not-covered-extension|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenserInstruction|0.1.0

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.timing.repeat.bounds[x]
• The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.doseAndRate.dose[x]
• The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.doseAndRate.rate[x]
• The element 1 is sliced based on the value of MedicationRequest.substitution.allowed[x]

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest(4.0.1)	Ordering of medication for patient or group
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:horsAMM	S	0..*	(Complex)	Hors Autorisation de mise sur le marché URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel Constraints: ext-1
extension:notCovered		0..1	boolean	Traitement non remboursable URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-not-covered-extension Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier		0..*	Identifier	Identifiant prescription
status	?!SΣ	1..1	code	Statut Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Required Pattern: completed
intent	?!Σ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Required Pattern: order
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
medication[x]	SΣ	1..1		Produit de santé Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication - FR Medication Document(0.1.0))
subject	Σ	1..1	Reference(FR Patient Document(0.1.0) | FR Patient INS Document(0.1.0))	Who or group medication request is for
encounter		0..1	Reference(FR Encounter Care Document(0.1.0))	Encounter created as part of encounter/admission/stay
authoredOn	SΣ	0..1	dateTime	When request was initially authored
requester	SΣ	0..1	Reference(FR PractitionerRole Document(0.1.0) | FR Practitioner Document(0.1.0))	Prescripteur
reasonReference	S	0..*	Reference(Observation | Condition - FR Condition Document(0.1.0) | Observation - FR Observation Prevention Document(0.1.0) | Observation - FR Observation ALD Document(0.1.0) | Observation - FR Observation Work Related Accident Document(0.1.0))	Motif du traitement
instantiatesUri	Σ	0..*	uri	Référence de la prescription
basedOn	SΣ	0..1	Reference(MedicationRequest - FR Medication Request Document(0.1.0) | CarePlan - FR Care Plan Document(0.1.0) | ServiceRequest - FR Service Request Document(0.1.0) | ImmunizationRecommendation - FR Immunization Recommendation Document(0.1.0))	Référence à un item du plan de traitement. Une copie du plan de traitement médicamenteux.
dosageInstruction		0..*	Dosage	How the medication should be taken
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
sequence	SΣ	0..1	integer	The order of the dosage instructions
additionalInstruction	Σ	0..*	CodeableConcept	Informations supplémentaires utilisables pour instructions au Patien ou pércondition préalables à l'utilisation du médicament Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
timing	SΣ	0..1	Timing	Durée du traitement et fréquence d'administration.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
repeat	SΣC	0..1	Element	When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
Slices for bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits Slice: Unordered, Open by type:$this
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
bounds[x]:boundsPeriod	Σ	0..1	Period	Durée du traitement
start	ΣC	0..1	dateTime	Date de début du traitement
end	ΣC	0..1	dateTime	Date de fin du traitement
frequency	SΣ	0..1	positiveInt	Event occurs frequency times per period
period	SΣ	0..1	decimal	Event occurs frequency times per period
periodUnit	SΣ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
when	SΣ	0..*	code	Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset	SΣ	0..1	unsignedInt	Minutes from event (before or after)
asNeeded[x]	SΣ	0..1		Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	SΣ	0..1	CodeableConcept	Région anatomique d'administration Binding: JdvHumanSubstanceAdministrationSiteCisis (20260619134041) (required)
route	SΣ	0..1	CodeableConcept	Voie d'administration Binding: FRValueSetEDQMDocument (0.1.0) (required)
doseAndRate	Σ	0..*	Element	Amount of medication administered
Slices for dose[x]	Σ	0..1		Amount of medication per dose Slice: Unordered, Open by type:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseRange	SΣ	0..1	Range	Dose à administrer
low	SΣ	1..1	SimpleQuantity(4.0.1)	Low limit
high	SΣ	1..1	SimpleQuantity(4.0.1)	High limit
Slices for rate[x]	Σ	0..1		Amount of medication per unit of time Slice: Unordered, Open by type:$this
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
rate[x]:rateRange	SΣ	0..1	Range	Rythme d'administration
low	SΣ	1..1	SimpleQuantity(4.0.1)	Low limit
high	SΣ	1..1	SimpleQuantity(4.0.1)	High limit
maxDosePerPeriod	SΣ	0..1	Ratio	Dose maximale
numerator	SΣ	1..1	Quantity	Numerator value
denominator	SΣ	1..1	Quantity	Denominator value
dispenseRequest	S	0..1	BackboneElement	Medication supply authorization
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:dispenserInstructionR5		0..1	(Complex)	R5: Additional information for the dispenser (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenserInstruction Constraints: ext-1
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenserInstruction"
value[x]		1..1	Annotation	instructions au dispensateur
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
validityPeriod	S	0..1	Period	Période de validité
numberOfRepeatsAllowed	S	0..1	unsignedInt	Nombre de renouvellement(s) possible(s)
quantity	S	0..1	SimpleQuantity(4.0.1)	Quantité à dispenser
substitution	S	1..1	BackboneElement	Autorisation de substitution
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
Slices for allowed[x]	S	1..1		Whether substitution is allowed or not Slice: Unordered, Open by type:$this Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): Identifies the type of substitution allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
allowed[x]:allowedCodeableConcept		0..1	CodeableConcept	Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (20260619134042) (required)
reason	S	0..1	CodeableConcept	Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
text	Σ	0..1	string	Motif de non substitution (Marge thérapeutique étroite, Enfant forme galénique, Contre-indication formelle).
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.medication[x]	Base	example	SNOMED CT Medication 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.periodUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.when	Base	required	EventTiming	📍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	required	JDV Human Substance Administration Site CISIS	📍20260619134041	Terminologies de Santé v1.11
MedicationRequest.dosageInstruction.​route	Base	required	ValueSet - FR ValueSet EDQM Document	📍0.1.0	This IG
MedicationRequest.substitution.​allowed[x]	Base	example	ActSubstanceAdminSubstitutionCode	📍3.0.0	THO v7.3
MedicationRequest.substitution.​allowed[x]:allowedCodeableConcept	Base	required	ActSubstanceAdminSubstitutionCode	📍20260619134042	Terminologies de Santé v1.11
MedicationRequest.substitution.​reason	Base	example	SubstanceAdminSubstitutionReason	📍3.0.0	THO v7.3

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()
ele-1	error	MedicationRequest.implicitRules, MedicationRequest.extension, MedicationRequest.extension:horsAMM, MedicationRequest.extension:notCovered, MedicationRequest.modifierExtension, MedicationRequest.identifier, MedicationRequest.status, MedicationRequest.intent, MedicationRequest.doNotPerform, MedicationRequest.medication[x], MedicationRequest.subject, MedicationRequest.encounter, MedicationRequest.authoredOn, MedicationRequest.requester, MedicationRequest.reasonReference, MedicationRequest.instantiatesUri, MedicationRequest.basedOn, MedicationRequest.dosageInstruction, MedicationRequest.dosageInstruction.modifierExtension, MedicationRequest.dosageInstruction.sequence, MedicationRequest.dosageInstruction.additionalInstruction, MedicationRequest.dosageInstruction.timing, MedicationRequest.dosageInstruction.timing.modifierExtension, MedicationRequest.dosageInstruction.timing.repeat, MedicationRequest.dosageInstruction.timing.repeat.bounds[x], MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.start, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.end, MedicationRequest.dosageInstruction.timing.repeat.frequency, MedicationRequest.dosageInstruction.timing.repeat.period, MedicationRequest.dosageInstruction.timing.repeat.periodUnit, MedicationRequest.dosageInstruction.timing.repeat.when, MedicationRequest.dosageInstruction.timing.repeat.offset, MedicationRequest.dosageInstruction.asNeeded[x], MedicationRequest.dosageInstruction.site, MedicationRequest.dosageInstruction.route, MedicationRequest.dosageInstruction.doseAndRate, MedicationRequest.dosageInstruction.doseAndRate.dose[x], MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high, MedicationRequest.dosageInstruction.doseAndRate.rate[x], MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.low, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.high, MedicationRequest.dosageInstruction.maxDosePerPeriod, MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator, MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator, MedicationRequest.dispenseRequest, MedicationRequest.dispenseRequest.extension, MedicationRequest.dispenseRequest.extension:dispenserInstructionR5, MedicationRequest.dispenseRequest.extension:dispenserInstructionR5.value[x], MedicationRequest.dispenseRequest.modifierExtension, MedicationRequest.dispenseRequest.validityPeriod, MedicationRequest.dispenseRequest.numberOfRepeatsAllowed, MedicationRequest.dispenseRequest.quantity, MedicationRequest.substitution, MedicationRequest.substitution.modifierExtension, MedicationRequest.substitution.allowed[x], MedicationRequest.substitution.allowed[x]:allowedCodeableConcept, MedicationRequest.substitution.reason, MedicationRequest.substitution.reason.text	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	MedicationRequest.extension, MedicationRequest.extension:horsAMM, MedicationRequest.extension:notCovered, MedicationRequest.modifierExtension, MedicationRequest.dosageInstruction.modifierExtension, MedicationRequest.dosageInstruction.timing.modifierExtension, MedicationRequest.dispenseRequest.extension, MedicationRequest.dispenseRequest.extension:dispenserInstructionR5, MedicationRequest.dispenseRequest.modifierExtension, MedicationRequest.substitution.modifierExtension	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()

Differential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest(4.0.1)	Ordering of medication for patient or group
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:horsAMM	S	0..*	(Complex)	Hors Autorisation de mise sur le marché URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel
extension:notCovered		0..1	boolean	Traitement non remboursable URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-not-covered-extension
identifier		0..*	Identifier	Identifiant prescription
status	S	1..1	code	Statut Required Pattern: completed
intent		1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: order
medication[x]	S	1..1		Produit de santé
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication - FR Medication Document(0.1.0))
subject		1..1	Reference(FR Patient Document(0.1.0) | FR Patient INS Document(0.1.0))	Who or group medication request is for
encounter		0..1	Reference(FR Encounter Care Document(0.1.0))	Encounter created as part of encounter/admission/stay
authoredOn	S	0..1	dateTime	When request was initially authored
requester	S	0..1	Reference(FR PractitionerRole Document(0.1.0) | FR Practitioner Document(0.1.0))	Prescripteur
reasonReference	S	0..*	Reference(Observation | Condition - FR Condition Document(0.1.0) | Observation - FR Observation Prevention Document(0.1.0) | Observation - FR Observation ALD Document(0.1.0) | Observation - FR Observation Work Related Accident Document(0.1.0))	Motif du traitement
instantiatesUri		0..*	uri	Référence de la prescription
basedOn	S	0..1	Reference(MedicationRequest - FR Medication Request Document(0.1.0) | CarePlan - FR Care Plan Document(0.1.0) | ServiceRequest - FR Service Request Document(0.1.0) | ImmunizationRecommendation - FR Immunization Recommendation Document(0.1.0))	Référence à un item du plan de traitement. Une copie du plan de traitement médicamenteux.
dosageInstruction
sequence	S	0..1	integer	The order of the dosage instructions
additionalInstruction		0..*	CodeableConcept	Informations supplémentaires utilisables pour instructions au Patien ou pércondition préalables à l'utilisation du médicament
timing	S	0..1	Timing	Durée du traitement et fréquence d'administration.
repeat	S	0..1	Element	When the event is to occur
Slices for bounds[x]		0..1	Duration, Range, Period	Length/Range of lengths, or (Start and/or end) limits Slice: Unordered, Open by type:$this
bounds[x]:boundsPeriod		0..1	Period	Durée du traitement
start		0..1	dateTime	Date de début du traitement
end		0..1	dateTime	Date de fin du traitement
frequency	S	0..1	positiveInt	Event occurs frequency times per period
period	S	0..1	decimal	Event occurs frequency times per period
periodUnit	S	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM)
when	S	0..*	code	Code for time period of occurrence
offset	S	0..1	unsignedInt	Minutes from event (before or after)
asNeeded[x]	S	0..1	boolean, CodeableConcept	Take "as needed" (for x)
site	S	0..1	CodeableConcept	Région anatomique d'administration Binding: JdvHumanSubstanceAdministrationSiteCisis (20260619134041) (required)
route	S	0..1	CodeableConcept	Voie d'administration Binding: FRValueSetEDQMDocument (0.1.0) (required)
doseAndRate
Slices for dose[x]		0..1	Range, SimpleQuantity(4.0.1)	Amount of medication per dose Slice: Unordered, Open by type:$this
dose[x]:doseRange	S	0..1	Range	Dose à administrer
low	S	1..1	SimpleQuantity(4.0.1)	Low limit
high	S	1..1	SimpleQuantity(4.0.1)	High limit
Slices for rate[x]		0..1	Ratio, Range, SimpleQuantity(4.0.1)	Amount of medication per unit of time Slice: Unordered, Open by type:$this
rate[x]:rateRange	S	0..1	Range	Rythme d'administration
low	S	1..1	SimpleQuantity(4.0.1)	Low limit
high	S	1..1	SimpleQuantity(4.0.1)	High limit
maxDosePerPeriod	S	0..1	Ratio	Dose maximale
numerator	S	1..1	Quantity	Numerator value
denominator	S	1..1	Quantity	Denominator value
dispenseRequest	S	0..1	BackboneElement	Medication supply authorization
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:dispenserInstructionR5		0..1	(Complex)	R5: Additional information for the dispenser (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenserInstruction
extension		0..0		Extension
value[x]		1..1	Annotation	instructions au dispensateur
validityPeriod	S	0..1	Period	Période de validité
numberOfRepeatsAllowed	S	0..1	unsignedInt	Nombre de renouvellement(s) possible(s)
quantity	S	0..1	SimpleQuantity(4.0.1)	Quantité à dispenser
substitution	S	1..1	BackboneElement	Autorisation de substitution
Slices for allowed[x]	S	1..1	boolean, CodeableConcept	Whether substitution is allowed or not Slice: Unordered, Open by type:$this
allowed[x]:allowedCodeableConcept		0..1	CodeableConcept	Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (20260619134042) (required)
reason	S	0..1	CodeableConcept	Why should (not) substitution be made
text		0..1	string	Motif de non substitution (Marge thérapeutique étroite, Enfant forme galénique, Contre-indication formelle).
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.dosageInstruction.​site	Base	required	JDV Human Substance Administration Site CISIS	📍20260619134041	Terminologies de Santé v1.11
MedicationRequest.dosageInstruction.​route	Base	required	ValueSet - FR ValueSet EDQM Document	📍0.1.0	This IG
MedicationRequest.substitution.​allowed[x]:allowedCodeableConcept	Base	required	ActSubstanceAdminSubstitutionCode	📍20260619134042	Terminologies de Santé v1.11

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest(4.0.1)	Ordering of medication for patient or group
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 Bindings Purpose 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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:horsAMM	S	0..*	(Complex)	Hors Autorisation de mise sur le marché URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel Constraints: ext-1
extension:notCovered		0..1	boolean	Traitement non remboursable URL: https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-not-covered-extension Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier		0..*	Identifier	Identifiant prescription
status	?!SΣ	1..1	code	Statut Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Required Pattern: completed
statusReason		0..1	CodeableConcept	Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent	?!Σ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Required Pattern: order
category		0..*	CodeableConcept	Type of medication usage 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.
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 request is prohibiting action
reported[x]	Σ	0..1		Reported rather than primary record
reportedBoolean			boolean
reportedReference			Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
medication[x]	SΣ	1..1		Produit de santé Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication - FR Medication Document(0.1.0))
subject	Σ	1..1	Reference(FR Patient Document(0.1.0) | FR Patient INS Document(0.1.0))	Who or group medication request is for
encounter		0..1	Reference(FR Encounter Care Document(0.1.0))	Encounter created as part of encounter/admission/stay
supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication
authoredOn	SΣ	0..1	dateTime	When request was initially authored
requester	SΣ	0..1	Reference(FR PractitionerRole Document(0.1.0) | FR Practitioner Document(0.1.0))	Prescripteur
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	Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
reasonReference	S	0..*	Reference(Observation | Condition - FR Condition Document(0.1.0) | Observation - FR Observation Prevention Document(0.1.0) | Observation - FR Observation ALD Document(0.1.0) | Observation - FR Observation Work Related Accident Document(0.1.0))	Motif du traitement
instantiatesCanonical	Σ	0..*	canonical()	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Référence de la prescription
basedOn	SΣ	0..1	Reference(MedicationRequest - FR Medication Request Document(0.1.0) | CarePlan - FR Care Plan Document(0.1.0) | ServiceRequest - FR Service Request Document(0.1.0) | ImmunizationRecommendation - FR Immunization Recommendation Document(0.1.0))	Référence à un item du plan de traitement. Une copie du plan de traitement médicamenteux.
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		0..*	Dosage	How the 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 Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
sequence	SΣ	0..1	integer	The order of the dosage instructions
text	Σ	0..1	string	Free text dosage instructions e.g. SIG
additionalInstruction	Σ	0..*	CodeableConcept	Informations supplémentaires utilisables pour instructions au Patien ou pércondition préalables à l'utilisation du médicament 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	Durée du traitement et fréquence d'administration.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
event	Σ	0..*	dateTime	When the event occurs
repeat	SΣC	0..1	Element	When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
Slices for bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits Slice: Unordered, Open by type:$this
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
bounds[x]:boundsPeriod	Σ	0..1	Period	Durée du traitement
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
start	ΣC	0..1	dateTime	Date de début du traitement
end	ΣC	0..1	dateTime	Date de fin du traitement
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	SΣ	0..1	positiveInt	Event occurs frequency times per period
frequencyMax	Σ	0..1	positiveInt	Event occurs up to frequencyMax times per period
period	SΣ	0..1	decimal	Event occurs frequency times per period
periodMax	Σ	0..1	decimal	Upper limit of period (3-4 hours)
periodUnit	SΣ	0..1	code	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	SΣ	0..*	code	Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset	SΣ	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]	SΣ	0..1		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	SΣ	0..1	CodeableConcept	Région anatomique d'administration Binding: JdvHumanSubstanceAdministrationSiteCisis (20260619134041) (required)
route	SΣ	0..1	CodeableConcept	Voie d'administration Binding: FRValueSetEDQMDocument (0.1.0) (required)
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	Σ	0..*	Element	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 Constraints: ext-1
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
Slices for dose[x]	Σ	0..1		Amount of medication per dose Slice: Unordered, Open by type:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseRange	SΣ	0..1	Range	Dose à administrer
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
low	SΣ	1..1	SimpleQuantity(4.0.1)	Low limit
high	SΣ	1..1	SimpleQuantity(4.0.1)	High limit
Slices for rate[x]	Σ	0..1		Amount of medication per unit of time Slice: Unordered, Open by type:$this
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
rate[x]:rateRange	SΣ	0..1	Range	Rythme d'administration
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
low	SΣ	1..1	SimpleQuantity(4.0.1)	Low limit
high	SΣ	1..1	SimpleQuantity(4.0.1)	High limit
maxDosePerPeriod	SΣ	0..1	Ratio	Dose maximale
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
numerator	SΣ	1..1	Quantity	Numerator value
denominator	SΣ	1..1	Quantity	Denominator value
maxDosePerAdministration	Σ	0..1	SimpleQuantity(4.0.1)	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity(4.0.1)	Upper limit on medication per lifetime of the patient
dispenseRequest	S	0..1	BackboneElement	Medication supply authorization
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
extension:dispenserInstructionR5		0..1	(Complex)	R5: Additional information for the dispenser (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenserInstruction Constraints: ext-1
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenserInstruction"
value[x]		1..1	Annotation	instructions au dispensateur
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
initialFill		0..1	BackboneElement	First fill details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
quantity		0..1	SimpleQuantity(4.0.1)	First fill quantity
duration		0..1	Duration	First fill duration
dispenseInterval		0..1	Duration	Minimum period of time between dispenses
validityPeriod	S	0..1	Period	Période de validité
numberOfRepeatsAllowed	S	0..1	unsignedInt	Nombre de renouvellement(s) possible(s)
quantity	S	0..1	SimpleQuantity(4.0.1)	Quantité à dispenser
expectedSupplyDuration		0..1	Duration	Number of days supply per dispense
performer		0..1	Reference(Organization)	Intended dispenser
substitution	S	1..1	BackboneElement	Autorisation de substitution
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
Slices for allowed[x]	S	1..1		Whether substitution is allowed or not Slice: Unordered, Open by type:$this Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): Identifies the type of substitution allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
allowed[x]:allowedCodeableConcept		0..1	CodeableConcept	Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (20260619134042) (required)
reason	S	0..1	CodeableConcept	Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Motif de non substitution (Marge thérapeutique étroite, Enfant forme galénique, Contre-indication formelle).
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
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.priority	Base	required	Request priority	📍4.0.1	FHIR Std.
MedicationRequest.medication[x]	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
MedicationRequest.performerType	Base	example	Procedure Performer Role Codes	📍4.0.1	FHIR Std.
MedicationRequest.reasonCode	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.
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	required	JDV Human Substance Administration Site CISIS	📍20260619134041	Terminologies de Santé v1.11
MedicationRequest.dosageInstruction.​route	Base	required	ValueSet - FR ValueSet EDQM Document	📍0.1.0	This IG
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.substitution.​allowed[x]	Base	example	ActSubstanceAdminSubstitutionCode	📍3.0.0	THO v7.3
MedicationRequest.substitution.​allowed[x]:allowedCodeableConcept	Base	required	ActSubstanceAdminSubstitutionCode	📍20260619134042	Terminologies de Santé v1.11
MedicationRequest.substitution.​reason	Base	example	SubstanceAdminSubstitutionReason	📍3.0.0	THO v7.3

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()
ele-1	error	MedicationRequest.meta, MedicationRequest.implicitRules, MedicationRequest.language, MedicationRequest.text, MedicationRequest.extension, MedicationRequest.extension:horsAMM, MedicationRequest.extension:notCovered, MedicationRequest.modifierExtension, MedicationRequest.identifier, MedicationRequest.status, MedicationRequest.statusReason, MedicationRequest.intent, MedicationRequest.category, MedicationRequest.priority, MedicationRequest.doNotPerform, MedicationRequest.reported[x], MedicationRequest.medication[x], MedicationRequest.subject, MedicationRequest.encounter, MedicationRequest.supportingInformation, MedicationRequest.authoredOn, MedicationRequest.requester, MedicationRequest.performer, MedicationRequest.performerType, MedicationRequest.recorder, MedicationRequest.reasonCode, MedicationRequest.reasonReference, MedicationRequest.instantiatesCanonical, MedicationRequest.instantiatesUri, MedicationRequest.basedOn, MedicationRequest.groupIdentifier, MedicationRequest.courseOfTherapyType, MedicationRequest.insurance, MedicationRequest.note, MedicationRequest.dosageInstruction, MedicationRequest.dosageInstruction.extension, MedicationRequest.dosageInstruction.modifierExtension, MedicationRequest.dosageInstruction.sequence, MedicationRequest.dosageInstruction.text, MedicationRequest.dosageInstruction.additionalInstruction, MedicationRequest.dosageInstruction.patientInstruction, MedicationRequest.dosageInstruction.timing, MedicationRequest.dosageInstruction.timing.extension, MedicationRequest.dosageInstruction.timing.modifierExtension, MedicationRequest.dosageInstruction.timing.event, MedicationRequest.dosageInstruction.timing.repeat, MedicationRequest.dosageInstruction.timing.repeat.extension, MedicationRequest.dosageInstruction.timing.repeat.bounds[x], MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.extension, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.start, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.end, MedicationRequest.dosageInstruction.timing.repeat.count, MedicationRequest.dosageInstruction.timing.repeat.countMax, MedicationRequest.dosageInstruction.timing.repeat.duration, MedicationRequest.dosageInstruction.timing.repeat.durationMax, MedicationRequest.dosageInstruction.timing.repeat.durationUnit, MedicationRequest.dosageInstruction.timing.repeat.frequency, MedicationRequest.dosageInstruction.timing.repeat.frequencyMax, MedicationRequest.dosageInstruction.timing.repeat.period, MedicationRequest.dosageInstruction.timing.repeat.periodMax, MedicationRequest.dosageInstruction.timing.repeat.periodUnit, MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek, MedicationRequest.dosageInstruction.timing.repeat.timeOfDay, MedicationRequest.dosageInstruction.timing.repeat.when, MedicationRequest.dosageInstruction.timing.repeat.offset, MedicationRequest.dosageInstruction.timing.code, MedicationRequest.dosageInstruction.asNeeded[x], MedicationRequest.dosageInstruction.site, MedicationRequest.dosageInstruction.route, MedicationRequest.dosageInstruction.method, MedicationRequest.dosageInstruction.doseAndRate, MedicationRequest.dosageInstruction.doseAndRate.extension, MedicationRequest.dosageInstruction.doseAndRate.type, MedicationRequest.dosageInstruction.doseAndRate.dose[x], MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.extension, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high, MedicationRequest.dosageInstruction.doseAndRate.rate[x], MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.extension, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.low, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.high, MedicationRequest.dosageInstruction.maxDosePerPeriod, MedicationRequest.dosageInstruction.maxDosePerPeriod.extension, MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator, MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator, MedicationRequest.dosageInstruction.maxDosePerAdministration, MedicationRequest.dosageInstruction.maxDosePerLifetime, MedicationRequest.dispenseRequest, MedicationRequest.dispenseRequest.extension, MedicationRequest.dispenseRequest.extension:dispenserInstructionR5, MedicationRequest.dispenseRequest.extension:dispenserInstructionR5.value[x], MedicationRequest.dispenseRequest.modifierExtension, MedicationRequest.dispenseRequest.initialFill, MedicationRequest.dispenseRequest.initialFill.extension, MedicationRequest.dispenseRequest.initialFill.modifierExtension, MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.initialFill.duration, MedicationRequest.dispenseRequest.dispenseInterval, MedicationRequest.dispenseRequest.validityPeriod, MedicationRequest.dispenseRequest.numberOfRepeatsAllowed, MedicationRequest.dispenseRequest.quantity, MedicationRequest.dispenseRequest.expectedSupplyDuration, MedicationRequest.dispenseRequest.performer, MedicationRequest.substitution, MedicationRequest.substitution.extension, MedicationRequest.substitution.modifierExtension, MedicationRequest.substitution.allowed[x], MedicationRequest.substitution.allowed[x]:allowedCodeableConcept, MedicationRequest.substitution.reason, MedicationRequest.substitution.reason.extension, MedicationRequest.substitution.reason.coding, MedicationRequest.substitution.reason.text, MedicationRequest.priorPrescription, MedicationRequest.detectedIssue, MedicationRequest.eventHistory	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	MedicationRequest.extension, MedicationRequest.extension:horsAMM, MedicationRequest.extension:notCovered, MedicationRequest.modifierExtension, MedicationRequest.dosageInstruction.extension, MedicationRequest.dosageInstruction.modifierExtension, MedicationRequest.dosageInstruction.timing.extension, MedicationRequest.dosageInstruction.timing.modifierExtension, MedicationRequest.dosageInstruction.timing.repeat.extension, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod.extension, MedicationRequest.dosageInstruction.doseAndRate.extension, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.extension, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.extension, MedicationRequest.dosageInstruction.maxDosePerPeriod.extension, MedicationRequest.dispenseRequest.extension, MedicationRequest.dispenseRequest.extension:dispenserInstructionR5, MedicationRequest.dispenseRequest.modifierExtension, MedicationRequest.dispenseRequest.initialFill.extension, MedicationRequest.dispenseRequest.initialFill.modifierExtension, MedicationRequest.substitution.extension, MedicationRequest.substitution.modifierExtension, MedicationRequest.substitution.reason.extension	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()

Summary

Mandatory: 1 element(7 nested mandatory elements)
Must-Support: 34 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• Medication - FR Medication Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-medication-document|0.1.0)
• FR Patient Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-patient-document|0.1.0)
• FR Patient INS Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-patient-ins-document|0.1.0)
• FR Encounter Care Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-encounter-care-document|0.1.0)
• FR PractitionerRole Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-practitionerRole-document|0.1.0)
• FR Practitioner Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-practitioner-document|0.1.0)
• Observation (http://hl7.org/fhir/StructureDefinition/Observation|4.0.1)
• Condition - FR Condition Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-condition-document|0.1.0)
• Observation - FR Observation Prevention Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-observation-prevention-document|0.1.0)
• Observation - FR Observation ALD Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-observation-ald-document|0.1.0)
• Observation - FR Observation Work Related Accident Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-observation-work-related-accident-document|0.1.0)
• MedicationRequest - FR Medication Request Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-medication-request-document|0.1.0)
• CarePlan - FR Care Plan Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-care-plan-document|0.1.0)
• ServiceRequest - FR Service Request Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-service-request-document|0.1.0)
• ImmunizationRecommendation - FR Immunization Recommendation Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-immunization-recommendation-document|0.1.0)

Extensions

This structure refers to these extensions:

• https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel|1.0.0-comment-2
• https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-not-covered-extension|0.1.0
• http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenserInstruction|0.1.0

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.timing.repeat.bounds[x]
• The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.doseAndRate.dose[x]
• The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.doseAndRate.rate[x]
• The element 1 is sliced based on the value of MedicationRequest.substitution.allowed[x]