Medication
1.1.0 - STU

Medication, published by eHealth Platform. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-be/medication/ and changes regularly. See the Directory of published versions

## Resource Profile: BeMedicationPrescription

Official URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeMedicationPrescription | Version: 1.1.0
Active as of 2025-10-10 | Computable Name: BeMedicationPrescription

Medication Request profile - The common structure for medication request

Usages:

- This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationRequest | C | 0..* | MedicationRequest | Ordering of medication for patient or group Constraints: dosage-override-reason-required
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
extension:offLabel | S C | 0..1 | (Complex) | MedicationRequest - Off-label use URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeExtOffLabel Constraints: offLabel-reason-required
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:isOffLabelUse |  | 1..1 | Extension | Indicates that the recommended dosage was overridden
extension |  | 0..0 |  |
url |  | 1..1 | uri | "isOffLabelUse"
extension:reason |  | 0..* | Extension | The reason why the recommended dosage was overridden
extension |  | 0..0 |  |
url |  | 1..1 | uri | "reason"
url |  | 1..1 | uri | "https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeExtOffLabel"
extension:basedOnMedicationLine | S | 0..1 | Reference(BeMedicationLine) | Medication Line where this prescription is based upon URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BasedOnMedicationLine
extension:instructionsForReimbursement | S | 0..1 | CodeableConcept | Instructions for reimbursement URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeExtInstructionsForReimbursement Binding: Medication request reimbursement type ValueSet (required)
extension:statusChanged | S | 0..1 | dateTime | Indicates when the status of the medication request was last changed. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.statusChanged
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S | 1..* | Identifier | External ids for this request Slice: Unordered, Open by pattern:system
identifier:recip-e | S | 0..1 | Identifier | Recip-E identifier
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: http://ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-prescription
value | S Σ | 0..1 | string | The value that is unique Example General: 123456
status | ?!S Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: Medication Prescription Status (required)
statusReason | S | 0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent | ?!S 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.
priority | S 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
medication[x] | S Σ | 1..1 |  | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
subject | S Σ | 1..1 | Reference(BePatient) | Who or group medication request is for
supportingInformation | S | 0..* | Reference(Resource) | Information to support ordering of the medication
authoredOn | S Σ | 1..1 | dateTime | When request was initially authored
requester | S Σ | 1..1 | Reference(BePractitioner | BePractitionerRole) | Who/What requested the Request
reasonCode | S | 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(Condition | Observation) | Condition or observation that supports why the prescription is being written
groupIdentifier | S Σ | 0..1 | Identifier | Composite request this is part of
note | S | 0..* | Annotation | Information about the prescription
dosageInstruction | S | 1..* | BeDosage | How the medication should be taken
dispenseRequest | S | 0..1 | BackboneElement | Medication supply authorization
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
validityPeriod | S | 0..1 | Period | Time period supply is authorized for
start | S Σ C | 1..1 | dateTime | Starting time with inclusive boundary
end | S Σ C | 0..1 | dateTime | End time with inclusive boundary, if not ongoing
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | Number of refills authorized
quantity | S | 0..1 | SimpleQuantity(4.0.1) | Amount of medication to supply per dispense
substitution | S | 0..1 | BackboneElement | Any restrictions on medication substitution
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
allowed[x] | S | 1..1 | boolean | Whether substitution is allowed or not
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationRequest.identifier:recip-e.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
MedicationRequest.status | Base | required | Medication Prescription Status | 📦1.1.0 | This IG
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.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.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management | `text.`div`.exists()`
dosage-override-reason-required | error | MedicationRequest | If isOffLabelUse is true, reason must be provided | `extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/offLabel').hasValue() implies extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/offlabel').exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
offLabel-reason-required | error | MedicationRequest.extension:offLabel | If isOffLabelUse is true, reason must be provided | `extension.where(url = 'isOffLabelUse').value.ofType(boolean).where($this = true).exists() implies extension.where(url = 'reason').exists()`

This structure is derived from MedicationRequest

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationRequest | C | 0..* | MedicationRequest | Ordering of medication for patient or group Constraints: dosage-override-reason-required
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:offLabel | S | 0..1 | (Complex) | MedicationRequest - Off-label use URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeExtOffLabel
Slices for extension |  |  |  | Content/Rules for all slices
extension:isOffLabelUse |  | 1..1 | Extension | Indicates that the recommended dosage was overridden
extension:reason |  | 0..* | Extension | The reason why the recommended dosage was overridden
extension:basedOnMedicationLine | S | 0..1 | Reference(BeMedicationLine) | Medication Line where this prescription is based upon URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BasedOnMedicationLine
extension:instructionsForReimbursement | S | 0..1 | CodeableConcept | Instructions for reimbursement URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeExtInstructionsForReimbursement Binding: Medication request reimbursement type ValueSet (required)
extension:statusChanged | S | 0..1 | dateTime | Indicates when the status of the medication request was last changed. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.statusChanged
Slices for identifier | S | 1..* | Identifier | External ids for this request Slice: Unordered, Open by pattern:system
identifier:recip-e | S | 0..1 | Identifier | Recip-E identifier
system |  | 1..1 | uri | The namespace for the identifier value Required Pattern: http://ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-prescription
value | S | 0..1 | string | The value that is unique
status | S | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: Medication Prescription Status (required)
statusReason | S | 0..1 | CodeableConcept | Reason for current status
intent | S | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
priority | S | 0..1 | code | routine | urgent | asap | stat
medication[x] | S | 1..1 | CodeableConcept, Reference(Medication) | Medication to be taken
subject | S | 1..1 | Reference(BePatient) | Who or group medication request is for
supportingInformation | S | 0..* | Reference(Resource) | Information to support ordering of the medication
authoredOn | S | 1..1 | dateTime | When request was initially authored
requester | S | 1..1 | Reference(BePractitioner | BePractitionerRole) | Who/What requested the Request
reasonCode | S | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication
reasonReference | S | 0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written
groupIdentifier | S | 0..1 | Identifier | Composite request this is part of
note | S | 0..* | Annotation | Information about the prescription
dosageInstruction | S | 1..* | BeDosage | How the medication should be taken
dispenseRequest | S | 0..1 | BackboneElement | Medication supply authorization
validityPeriod | S | 0..1 | Period | Time period supply is authorized for
start | S | 1..1 | dateTime | Starting time with inclusive boundary
end | S | 0..1 | dateTime | End time with inclusive boundary, if not ongoing
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | Number of refills authorized
quantity | S | 0..1 | SimpleQuantity(4.0.1) | Amount of medication to supply per dispense
substitution | S | 0..1 | BackboneElement | Any restrictions on medication substitution
allowed[x] | S | 1..1 | boolean | Whether substitution is allowed or not
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
MedicationRequest.status | Base | required | Medication Prescription Status | 📦1.1.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
dosage-override-reason-required | error | MedicationRequest | If isOffLabelUse is true, reason must be provided | `extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/offLabel').hasValue() implies extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/offlabel').exists()`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationRequest | C | 0..* | MedicationRequest | Ordering of medication for patient or group Constraints: dosage-override-reason-required
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
extension:offLabel | S C | 0..1 | (Complex) | MedicationRequest - Off-label use URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeExtOffLabel Constraints: offLabel-reason-required
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:isOffLabelUse |  | 1..1 | Extension | Indicates that the recommended dosage was overridden
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "isOffLabelUse"
value[x] |  | 0..1 | boolean | Value of extension
extension:reason |  | 0..* | Extension | The reason why the recommended dosage was overridden
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "reason"
value[x] |  | 0..1 | CodeableConcept | Value of extension
url |  | 1..1 | uri | "https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeExtOffLabel"
extension:basedOnMedicationLine | S | 0..1 | Reference(BeMedicationLine) | Medication Line where this prescription is based upon URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BasedOnMedicationLine
extension:instructionsForReimbursement | S | 0..1 | CodeableConcept | Instructions for reimbursement URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeExtInstructionsForReimbursement Binding: Medication request reimbursement type ValueSet (required)
extension:statusChanged | S | 0..1 | dateTime | Indicates when the status of the medication request was last changed. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.statusChanged
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S | 1..* | Identifier | External ids for this request Slice: Unordered, Open by pattern:system
identifier:recip-e | S | 0..1 | Identifier | Recip-E identifier
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: http://ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-prescription
value | S Σ | 0..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
status | ?!S Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: Medication Prescription Status (required)
statusReason | S | 0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent | ?!S 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.
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 | S 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] | S Σ | 1..1 |  | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
subject | S Σ | 1..1 | Reference(BePatient) | Who or group medication request is for
encounter |  | 0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay
supportingInformation | S | 0..* | Reference(Resource) | Information to support ordering of the medication
authoredOn | S Σ | 1..1 | dateTime | When request was initially authored
requester | S Σ | 1..1 | Reference(BePractitioner | BePractitionerRole) | Who/What requested the Request
performer |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration
performerType | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
recorder |  | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request
reasonCode | S | 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(Condition | Observation) | Condition or observation that supports why the prescription is being written
instantiatesCanonical | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills
groupIdentifier | S 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 | S | 0..* | Annotation | Information about the prescription
dosageInstruction | S | 1..* | BeDosage | How the medication should be taken
dispenseRequest | S | 0..1 | BackboneElement | Medication supply authorization
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
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 | Time period supply is authorized for
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
start | S Σ C | 1..1 | dateTime | Starting time with inclusive boundary
end | S Σ C | 0..1 | dateTime | End time with inclusive boundary, if not ongoing
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | Number of refills authorized
quantity | S | 0..1 | SimpleQuantity(4.0.1) | Amount of medication to supply per dispense
expectedSupplyDuration |  | 0..1 | Duration | Number of days supply per dispense
performer |  | 0..1 | Reference(Organization) | Intended dispenser
substitution | S | 0..1 | BackboneElement | Any restrictions on medication substitution
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
allowed[x] | S | 1..1 | boolean | Whether substitution is allowed or not
reason |  | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
priorPrescription |  | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced
detectedIssue |  | 0..* | Reference(DetectedIssue) | Clinical Issue with action
eventHistory |  | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
MedicationRequest.identifier:recip-e.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
MedicationRequest.identifier:recip-e.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
MedicationRequest.status | Base | required | Medication Prescription Status | 📦1.1.0 | This IG
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.substitution.​reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v6.5

#### 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()`
dosage-override-reason-required | error | MedicationRequest | If isOffLabelUse is true, reason must be provided | `extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/offLabel').hasValue() implies extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/offlabel').exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
offLabel-reason-required | error | MedicationRequest.extension:offLabel | If isOffLabelUse is true, reason must be provided | `extension.where(url = 'isOffLabelUse').value.ofType(boolean).where($this = true).exists() implies extension.where(url = 'reason').exists()`

This structure is derived from MedicationRequest

Summary

Mandatory: 4 elements(2 nested mandatory elements)
Must-Support: 29 elements

Structures

This structure refers to these other structures:

- BePatient (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient)
- BePractitioner (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner)
- BePractitionerRole (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole)
- Medication Dosage (https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeDosage)

Extensions

This structure refers to these extensions:

- https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeExtOffLabel
- https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BasedOnMedicationLine
- https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeExtInstructionsForReimbursement
- http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.statusChanged

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of MedicationRequest.identifier

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationRequest | C | 0..* | MedicationRequest | Ordering of medication for patient or group Constraints: dosage-override-reason-required
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
extension:offLabel | S C | 0..1 | (Complex) | MedicationRequest - Off-label use URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeExtOffLabel Constraints: offLabel-reason-required
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:isOffLabelUse |  | 1..1 | Extension | Indicates that the recommended dosage was overridden
extension |  | 0..0 |  |
url |  | 1..1 | uri | "isOffLabelUse"
extension:reason |  | 0..* | Extension | The reason why the recommended dosage was overridden
extension |  | 0..0 |  |
url |  | 1..1 | uri | "reason"
url |  | 1..1 | uri | "https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeExtOffLabel"
extension:basedOnMedicationLine | S | 0..1 | Reference(BeMedicationLine) | Medication Line where this prescription is based upon URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BasedOnMedicationLine
extension:instructionsForReimbursement | S | 0..1 | CodeableConcept | Instructions for reimbursement URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeExtInstructionsForReimbursement Binding: Medication request reimbursement type ValueSet (required)
extension:statusChanged | S | 0..1 | dateTime | Indicates when the status of the medication request was last changed. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.statusChanged
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S | 1..* | Identifier | External ids for this request Slice: Unordered, Open by pattern:system
identifier:recip-e | S | 0..1 | Identifier | Recip-E identifier
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: http://ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-prescription
value | S Σ | 0..1 | string | The value that is unique Example General: 123456
status | ?!S Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: Medication Prescription Status (required)
statusReason | S | 0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent | ?!S 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.
priority | S 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
medication[x] | S Σ | 1..1 |  | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
subject | S Σ | 1..1 | Reference(BePatient) | Who or group medication request is for
supportingInformation | S | 0..* | Reference(Resource) | Information to support ordering of the medication
authoredOn | S Σ | 1..1 | dateTime | When request was initially authored
requester | S Σ | 1..1 | Reference(BePractitioner | BePractitionerRole) | Who/What requested the Request
reasonCode | S | 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(Condition | Observation) | Condition or observation that supports why the prescription is being written
groupIdentifier | S Σ | 0..1 | Identifier | Composite request this is part of
note | S | 0..* | Annotation | Information about the prescription
dosageInstruction | S | 1..* | BeDosage | How the medication should be taken
dispenseRequest | S | 0..1 | BackboneElement | Medication supply authorization
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
validityPeriod | S | 0..1 | Period | Time period supply is authorized for
start | S Σ C | 1..1 | dateTime | Starting time with inclusive boundary
end | S Σ C | 0..1 | dateTime | End time with inclusive boundary, if not ongoing
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | Number of refills authorized
quantity | S | 0..1 | SimpleQuantity(4.0.1) | Amount of medication to supply per dispense
substitution | S | 0..1 | BackboneElement | Any restrictions on medication substitution
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
allowed[x] | S | 1..1 | boolean | Whether substitution is allowed or not
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationRequest.identifier:recip-e.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
MedicationRequest.status | Base | required | Medication Prescription Status | 📦1.1.0 | This IG
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.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.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management | `text.`div`.exists()`
dosage-override-reason-required | error | MedicationRequest | If isOffLabelUse is true, reason must be provided | `extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/offLabel').hasValue() implies extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/offlabel').exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
offLabel-reason-required | error | MedicationRequest.extension:offLabel | If isOffLabelUse is true, reason must be provided | `extension.where(url = 'isOffLabelUse').value.ofType(boolean).where($this = true).exists() implies extension.where(url = 'reason').exists()`

Differential View

This structure is derived from MedicationRequest

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationRequest | C | 0..* | MedicationRequest | Ordering of medication for patient or group Constraints: dosage-override-reason-required
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:offLabel | S | 0..1 | (Complex) | MedicationRequest - Off-label use URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeExtOffLabel
Slices for extension |  |  |  | Content/Rules for all slices
extension:isOffLabelUse |  | 1..1 | Extension | Indicates that the recommended dosage was overridden
extension:reason |  | 0..* | Extension | The reason why the recommended dosage was overridden
extension:basedOnMedicationLine | S | 0..1 | Reference(BeMedicationLine) | Medication Line where this prescription is based upon URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BasedOnMedicationLine
extension:instructionsForReimbursement | S | 0..1 | CodeableConcept | Instructions for reimbursement URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeExtInstructionsForReimbursement Binding: Medication request reimbursement type ValueSet (required)
extension:statusChanged | S | 0..1 | dateTime | Indicates when the status of the medication request was last changed. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.statusChanged
Slices for identifier | S | 1..* | Identifier | External ids for this request Slice: Unordered, Open by pattern:system
identifier:recip-e | S | 0..1 | Identifier | Recip-E identifier
system |  | 1..1 | uri | The namespace for the identifier value Required Pattern: http://ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-prescription
value | S | 0..1 | string | The value that is unique
status | S | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: Medication Prescription Status (required)
statusReason | S | 0..1 | CodeableConcept | Reason for current status
intent | S | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
priority | S | 0..1 | code | routine | urgent | asap | stat
medication[x] | S | 1..1 | CodeableConcept, Reference(Medication) | Medication to be taken
subject | S | 1..1 | Reference(BePatient) | Who or group medication request is for
supportingInformation | S | 0..* | Reference(Resource) | Information to support ordering of the medication
authoredOn | S | 1..1 | dateTime | When request was initially authored
requester | S | 1..1 | Reference(BePractitioner | BePractitionerRole) | Who/What requested the Request
reasonCode | S | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication
reasonReference | S | 0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written
groupIdentifier | S | 0..1 | Identifier | Composite request this is part of
note | S | 0..* | Annotation | Information about the prescription
dosageInstruction | S | 1..* | BeDosage | How the medication should be taken
dispenseRequest | S | 0..1 | BackboneElement | Medication supply authorization
validityPeriod | S | 0..1 | Period | Time period supply is authorized for
start | S | 1..1 | dateTime | Starting time with inclusive boundary
end | S | 0..1 | dateTime | End time with inclusive boundary, if not ongoing
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | Number of refills authorized
quantity | S | 0..1 | SimpleQuantity(4.0.1) | Amount of medication to supply per dispense
substitution | S | 0..1 | BackboneElement | Any restrictions on medication substitution
allowed[x] | S | 1..1 | boolean | Whether substitution is allowed or not
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
MedicationRequest.status | Base | required | Medication Prescription Status | 📦1.1.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
dosage-override-reason-required | error | MedicationRequest | If isOffLabelUse is true, reason must be provided | `extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/offLabel').hasValue() implies extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/offlabel').exists()`

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationRequest | C | 0..* | MedicationRequest | Ordering of medication for patient or group Constraints: dosage-override-reason-required
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
extension:offLabel | S C | 0..1 | (Complex) | MedicationRequest - Off-label use URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeExtOffLabel Constraints: offLabel-reason-required
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:isOffLabelUse |  | 1..1 | Extension | Indicates that the recommended dosage was overridden
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "isOffLabelUse"
value[x] |  | 0..1 | boolean | Value of extension
extension:reason |  | 0..* | Extension | The reason why the recommended dosage was overridden
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "reason"
value[x] |  | 0..1 | CodeableConcept | Value of extension
url |  | 1..1 | uri | "https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeExtOffLabel"
extension:basedOnMedicationLine | S | 0..1 | Reference(BeMedicationLine) | Medication Line where this prescription is based upon URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BasedOnMedicationLine
extension:instructionsForReimbursement | S | 0..1 | CodeableConcept | Instructions for reimbursement URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeExtInstructionsForReimbursement Binding: Medication request reimbursement type ValueSet (required)
extension:statusChanged | S | 0..1 | dateTime | Indicates when the status of the medication request was last changed. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.statusChanged
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for identifier | S | 1..* | Identifier | External ids for this request Slice: Unordered, Open by pattern:system
identifier:recip-e | S | 0..1 | Identifier | Recip-E identifier
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: http://ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-prescription
value | S Σ | 0..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
status | ?!S Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: Medication Prescription Status (required)
statusReason | S | 0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent | ?!S 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.
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 | S 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] | S Σ | 1..1 |  | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
subject | S Σ | 1..1 | Reference(BePatient) | Who or group medication request is for
encounter |  | 0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay
supportingInformation | S | 0..* | Reference(Resource) | Information to support ordering of the medication
authoredOn | S Σ | 1..1 | dateTime | When request was initially authored
requester | S Σ | 1..1 | Reference(BePractitioner | BePractitionerRole) | Who/What requested the Request
performer |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration
performerType | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
recorder |  | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request
reasonCode | S | 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(Condition | Observation) | Condition or observation that supports why the prescription is being written
instantiatesCanonical | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills
groupIdentifier | S 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 | S | 0..* | Annotation | Information about the prescription
dosageInstruction | S | 1..* | BeDosage | How the medication should be taken
dispenseRequest | S | 0..1 | BackboneElement | Medication supply authorization
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
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
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
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 | Time period supply is authorized for
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
start | S Σ C | 1..1 | dateTime | Starting time with inclusive boundary
end | S Σ C | 0..1 | dateTime | End time with inclusive boundary, if not ongoing
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | Number of refills authorized
quantity | S | 0..1 | SimpleQuantity(4.0.1) | Amount of medication to supply per dispense
expectedSupplyDuration |  | 0..1 | Duration | Number of days supply per dispense
performer |  | 0..1 | Reference(Organization) | Intended dispenser
substitution | S | 0..1 | BackboneElement | Any restrictions on medication substitution
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
allowed[x] | S | 1..1 | boolean | Whether substitution is allowed or not
reason |  | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
priorPrescription |  | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced
detectedIssue |  | 0..* | Reference(DetectedIssue) | Clinical Issue with action
eventHistory |  | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
MedicationRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
MedicationRequest.identifier:recip-e.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
MedicationRequest.identifier:recip-e.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
MedicationRequest.status | Base | required | Medication Prescription Status | 📦1.1.0 | This IG
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.substitution.​reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v6.5

#### 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()`
dosage-override-reason-required | error | MedicationRequest | If isOffLabelUse is true, reason must be provided | `extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/offLabel').hasValue() implies extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/offlabel').exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
offLabel-reason-required | error | MedicationRequest.extension:offLabel | If isOffLabelUse is true, reason must be provided | `extension.where(url = 'isOffLabelUse').value.ofType(boolean).where($this = true).exists() implies extension.where(url = 'reason').exists()`

This structure is derived from MedicationRequest

Summary

Mandatory: 4 elements(2 nested mandatory elements)
Must-Support: 29 elements

Structures

This structure refers to these other structures:

- BePatient (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient)
- BePractitioner (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner)
- BePractitionerRole (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole)
- Medication Dosage (https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeDosage)

Extensions

This structure refers to these extensions:

- https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeExtOffLabel
- https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BasedOnMedicationLine
- https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BeExtInstructionsForReimbursement
- http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.statusChanged

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of MedicationRequest.identifier

Other representations of profile: CSV, Excel, Schematron