HL7 Europe Discharge Report
1.0.0-ci-build - ci-build
150
HL7 Europe Discharge Report
1.0.0-ci-build - ci-build
150
HL7 Europe Discharge Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/discharge-report/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.eu/fhir/discharge-report/StructureDefinition/medicationRequest-obl-eu-dr | Version: 1.0.0-ci-build | |||
| Standards status: Informative | Maturity Level: 0 | Computable Name: MedicationRequestEuDrObligation | ||
Copyright/Legal: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0). |
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This profile defines obligations for the MedicationRequest resource for the purpose of this guide, adapted from the MPD work.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:  | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
  MedicationRequest |
0..* | MedicationRequestEuCore | Ordering of medication for patient or group
| |||||||||||||
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||||||
  Slices for extension |
Content/Rules for all slices | |||||||||||||||
   extension:effectiveDosePeriod |
0..1 | Period | Period over which the medication should be taken. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod Constraints: ext-1 | |||||||||||||
 extension:renderedDosageInstruction |
0..1 | markdown | Full representation of the dosage instructions URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction Constraints: ext-1 | |||||||||||||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||||||
| status |
1..1 | code | Current state of the order Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
| |||||||||||||
| intent |
1..1 | code | Order, proposal or plan Binding: medicationRequest Intent (required): The kind of medication order. | |||||||||||||
| doNotPerform |
0..1 | boolean | True if request is prohibiting action | |||||||||||||
 medication[x] |
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 (EU core)) | |||||||||||||||
| subject |
1..1 | Reference(Patient (EU core) | Group) | Who or group medication request is for
| |||||||||||||
| authoredOn |
0..1 | dateTime | Date when the request was authored
| |||||||||||||
| requester |
0..1 | Reference(Patient (EU core) | Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | RelatedPerson) | The individual responsible for ordering the medication
| |||||||||||||
| reasonCode |
0..* | CodeableConcept | Reason or indication for this prescription Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
| |||||||||||||
| reasonReference |
0..* | Reference(Condition | Observation) | Condition or observation that supports this prescription
| |||||||||||||
| groupIdentifier |
0..1 | Identifier | Group identifier
| |||||||||||||
| dosageInstruction |
0..* | Dosage | How the medication should be taken.
| |||||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||||
| text |
0..1 | string | Free text dosage instructions
| |||||||||||||
 timing |
0..1 | Timing | Administration schedule
| |||||||||||||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||||
| dispenseRequest |
0..1 | BackboneElement | Medication supply authorization
| |||||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||||
| extension:prescribedQuantity |
0..1 | Quantity | Overall amount of product prescribed, independent from the number of repeats. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medicationrequest-prescribedQuantity | |||||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||||
| quantity |
C | 0..1 | SimpleQuantity(4.0.1) | Amount of medication to supply per dispense Constraints: sqty-1
| ||||||||||||
| Documentation for this format | ||||||||||||||||
| 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.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📦4.0.1 | FHIR Std. |
| 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 | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | MedicationRequest.extension:effectiveDosePeriod, MedicationRequest.extension:renderedDosageInstruction, MedicationRequest.modifierExtension, MedicationRequest.dosageInstruction.modifierExtension, MedicationRequest.dosageInstruction.timing.modifierExtension, MedicationRequest.dispenseRequest.extension:prescribedQuantity, MedicationRequest.dispenseRequest.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| sqty-1 | error | MedicationRequest.dispenseRequest.quantity | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
This structure is derived from MedicationRequestEuCore
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
MedicationRequestEuCore |
| ||||||||||
 status |
1..1 | code | Current state of the order
| |||||||||
| medication[x] |
1..1 | CodeableConcept, Reference(Medication (EU core)) | Medication to be taken
| |||||||||
| subject |
1..1 | Reference(Patient (EU core) | Group) | Who or group medication request is for
| |||||||||
| authoredOn |
0..1 | dateTime | Date when the request was authored
| |||||||||
| requester |
0..1 | Reference(Patient (EU core) | Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | RelatedPerson) | The individual responsible for ordering the medication
| |||||||||
| reasonCode |
0..* | CodeableConcept | Reason or indication for this prescription
| |||||||||
| reasonReference |
0..* | Reference(Condition | Observation) | Condition or observation that supports this prescription
| |||||||||
| groupIdentifier |
0..1 | Identifier | Group identifier
| |||||||||
| dosageInstruction |
0..* | Dosage | How the medication should be taken.
| |||||||||
| text |
0..1 | string | Free text dosage instructions
| |||||||||
| timing |
0..1 | Timing | Administration schedule
| |||||||||
| doseAndRate |
||||||||||||
| Slices for dose[x] |
Content/Rules for all slices | |||||||||||
| dose[x]:doseQuantity |
0..1 | SimpleQuantity | Amount of medication per dose
| |||||||||
| dispenseRequest |
0..1 | BackboneElement | Medication supply authorization
| |||||||||
| quantity |
0..1 | SimpleQuantity(4.0.1) | Amount of medication to supply per dispense
| |||||||||
| substitution |
||||||||||||
| Slices for allowed[x] |
1..1 | boolean, CodeableConcept | Whether substitution is allowed or not Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | |||||||||
| allowed[x]:allowedCodeableConcept |
0..1 | CodeableConcept | Whether substitution is allowed or not
| |||||||||
| Documentation for this format | ||||||||||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
0..* | MedicationRequestEuCore | Ordering of medication for patient or group
| |||||||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||||||
| language |
0..1 | code | Language of the request Binding: CommonLanguages (preferred): A human language.
| |||||||||||||
| 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:effectiveDosePeriod |
0..1 | Period | Period over which the medication should be taken. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod Constraints: ext-1 | |||||||||||||
| extension:renderedDosageInstruction |
0..1 | markdown | Full representation of the dosage instructions URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction Constraints: ext-1 | |||||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||||||
| identifier |
0..* | Identifier | Business identifier for this request | |||||||||||||
| status |
1..1 | code | Current state of the order Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
| |||||||||||||
| statusReason |
0..1 | CodeableConcept | Reason for current status of the order Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||||||||||
| intent |
1..1 | code | Order, proposal or plan Binding: medicationRequest Intent (required): The kind of medication order. | |||||||||||||
| category |
0..* | CodeableConcept | Category of the medication request 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 |
0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | |||||||||||||
| doNotPerform |
0..1 | boolean | True if request is prohibiting action | |||||||||||||
| reported[x] |
0..1 | Reported rather than primary record | ||||||||||||||
| reportedBoolean |
boolean | |||||||||||||||
| reportedReference |
Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||||||||||||||
| medication[x] |
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 (EU core)) | |||||||||||||||
| subject |
1..1 | Reference(Patient (EU core) | Group) | Who or group medication request is for
| |||||||||||||
| encounter |
0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay | |||||||||||||
| supportingInformation |
0..* | Reference(Resource) | Information to support ordering of the medication | |||||||||||||
| authoredOn |
0..1 | dateTime | Date when the request was authored
| |||||||||||||
| requester |
0..1 | Reference(Patient (EU core) | Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | RelatedPerson) | The individual responsible for ordering the medication
| |||||||||||||
| performer |
0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||||||||||
| performerType |
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 this prescription Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
| |||||||||||||
| reasonReference |
0..* | Reference(Condition | Observation) | Condition or observation that supports this prescription
| |||||||||||||
| instantiatesCanonical |
0..* | canonical() | Instantiates FHIR protocol or definition | |||||||||||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||||||||||
| basedOn |
0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | |||||||||||||
| groupIdentifier |
0..1 | Identifier | Group identifier
| |||||||||||||
| 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 | |||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||
| author[x] |
0..1 | Individual responsible for the annotation | ||||||||||||||
| authorReference |
Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||||||||||
| authorString |
string | |||||||||||||||
| time |
0..1 | dateTime | When the annotation was made | |||||||||||||
| text |
1..1 | markdown | Textual note about the request | |||||||||||||
| 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 | |||||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||||
| sequence |
0..1 | integer | The order of the dosage instructions | |||||||||||||
| text |
0..1 | string | Free text dosage instructions
| |||||||||||||
| additionalInstruction |
0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | |||||||||||||
| patientInstruction |
0..1 | string | Patient or consumer oriented instructions | |||||||||||||
| timing |
0..1 | Timing | Administration schedule
| |||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||||
| event |
0..* | dateTime | When the event occurs | |||||||||||||
| repeat |
C | 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 | |||||||||||||
| bounds[x] |
0..1 | Length/Range of lengths, or (Start and/or end) limits | ||||||||||||||
| boundsDuration |
Duration | |||||||||||||||
| boundsRange |
Range | |||||||||||||||
| boundsPeriod |
Period | |||||||||||||||
| count |
0..1 | positiveInt | Number of times to repeat | |||||||||||||
| countMax |
0..1 | positiveInt | Maximum number of times to repeat | |||||||||||||
| duration |
0..1 | decimal | Duration of the treatment | |||||||||||||
| durationMax |
0..1 | decimal | How long when it happens (Max) | |||||||||||||
| durationUnit |
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 |
0..1 | positiveInt | Frequency times per period | |||||||||||||
| frequencyMax |
0..1 | positiveInt | Event occurs up to frequencyMax times per period | |||||||||||||
| period |
0..1 | decimal | Duration of time over which repetitions are to occur | |||||||||||||
| periodMax |
0..1 | decimal | Upper limit of period (3-4 hours) | |||||||||||||
| periodUnit |
0..1 | code | Unit of the period (e.g. day) Binding: UnitsOfTime (required): A unit of time (units from UCUM). | |||||||||||||
| dayOfWeek |
0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required) | |||||||||||||
| timeOfDay |
0..* | time | Time of day for action | |||||||||||||
| when |
0..* | code | Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule. | |||||||||||||
| offset |
0..1 | unsignedInt | Minutes from event (before or after) | |||||||||||||
| code |
0..1 | CodeableConcept | A code for the timing schedule. Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern. | |||||||||||||
| asNeeded[x] |
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 |
0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | |||||||||||||
| route |
0..1 | CodeableConcept | Route of administration Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | |||||||||||||
| method |
0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | |||||||||||||
| doseAndRate |
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 | |||||||||||||
| type |
0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | |||||||||||||
| Slices for dose[x] |
0..1 | Quantity | Amount of medication per dose Slice: Unordered, Closed by type:$this | |||||||||||||
| dose[x]:doseQuantity |
C | 0..1 | SimpleQuantity | Amount of medication per dose Constraints: sqty-1
| ||||||||||||
| rate[x] |
0..1 | Amount of medication per unit of time | ||||||||||||||
| rateRatio |
Ratio | |||||||||||||||
| rateRange |
Range | |||||||||||||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||||||||||
| maxDosePerPeriod |
0..1 | Ratio | Upper limit on medication per unit of time | |||||||||||||
| maxDosePerAdministration |
C | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per administration Constraints: sqty-1 | ||||||||||||
| maxDosePerLifetime |
C | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per lifetime of the patient Constraints: sqty-1 | ||||||||||||
| dispenseRequest |
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 | |||||||||||||
| extension:prescribedQuantity |
0..1 | Quantity | Overall amount of product prescribed, independent from the number of repeats. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medicationrequest-prescribedQuantity | |||||||||||||
| modifierExtension |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||||
| quantity |
C | 0..1 | SimpleQuantity(4.0.1) | First fill quantity Constraints: sqty-1 | ||||||||||||
| duration |
0..1 | Duration | First fill duration | |||||||||||||
| dispenseInterval |
0..1 | Duration | Interval between dispenses | |||||||||||||
| validityPeriod |
0..1 | Period | Validity period of the dispense request | |||||||||||||
| numberOfRepeatsAllowed |
0..1 | unsignedInt | Number of repeats allowed | |||||||||||||
| quantity |
C | 0..1 | SimpleQuantity(4.0.1) | Amount of medication to supply per dispense Constraints: sqty-1
| ||||||||||||
| expectedSupplyDuration |
0..1 | Duration | Number of days supply per dispense | |||||||||||||
| performer |
0..1 | Reference(Organization) | Intended dispenser | |||||||||||||
| substitution |
0..1 | BackboneElement | Whether substitution is allowed | |||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||||
| Slices for allowed[x] |
1..1 | Whether substitution is allowed or not Slice: Unordered, Closed by type:$this Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||||||||||||||
| allowedBoolean |
boolean | |||||||||||||||
| allowedCodeableConcept |
CodeableConcept | |||||||||||||||
| allowed[x]:allowedCodeableConcept |
0..1 | CodeableConcept | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
| |||||||||||||
| 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 | ||||||||||||||||
| 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 | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.route | Base | example | SNOMED CT Route Codes | 📍4.0.1 | FHIR Std. |
| 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 v7.4 |
| MedicationRequest.substitution.allowed[x]:allowedCodeableConcept | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.4 |
| MedicationRequest.substitution.reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v7.4 |
| 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 | **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()
|
| sqty-1 | error | MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity, MedicationRequest.dosageInstruction.maxDosePerAdministration, MedicationRequest.dosageInstruction.maxDosePerLifetime, MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
| 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()
|
This structure is derived from MedicationRequestEuCore
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
0..* | MedicationRequestEuCore | Ordering of medication for patient or group
| |||||||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||||
| extension:effectiveDosePeriod |
0..1 | Period | Period over which the medication should be taken. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod Constraints: ext-1 | |||||||||||||
| extension:renderedDosageInstruction |
0..1 | markdown | Full representation of the dosage instructions URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction Constraints: ext-1 | |||||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||||||
| status |
1..1 | code | Current state of the order Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
| |||||||||||||
| intent |
1..1 | code | Order, proposal or plan Binding: medicationRequest Intent (required): The kind of medication order. | |||||||||||||
| doNotPerform |
0..1 | boolean | True if request is prohibiting action | |||||||||||||
| medication[x] |
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 (EU core)) | |||||||||||||||
| subject |
1..1 | Reference(Patient (EU core) | Group) | Who or group medication request is for
| |||||||||||||
| authoredOn |
0..1 | dateTime | Date when the request was authored
| |||||||||||||
| requester |
0..1 | Reference(Patient (EU core) | Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | RelatedPerson) | The individual responsible for ordering the medication
| |||||||||||||
| reasonCode |
0..* | CodeableConcept | Reason or indication for this prescription Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
| |||||||||||||
| reasonReference |
0..* | Reference(Condition | Observation) | Condition or observation that supports this prescription
| |||||||||||||
| groupIdentifier |
0..1 | Identifier | Group identifier
| |||||||||||||
| dosageInstruction |
0..* | Dosage | How the medication should be taken.
| |||||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||||
| text |
0..1 | string | Free text dosage instructions
| |||||||||||||
| timing |
0..1 | Timing | Administration schedule
| |||||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||||
| dispenseRequest |
0..1 | BackboneElement | Medication supply authorization
| |||||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||||||
| extension:prescribedQuantity |
0..1 | Quantity | Overall amount of product prescribed, independent from the number of repeats. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medicationrequest-prescribedQuantity | |||||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||||
| quantity |
C | 0..1 | SimpleQuantity(4.0.1) | Amount of medication to supply per dispense Constraints: sqty-1
| ||||||||||||
| Documentation for this format | ||||||||||||||||
| 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.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📦4.0.1 | FHIR Std. |
| 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 | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | MedicationRequest.extension:effectiveDosePeriod, MedicationRequest.extension:renderedDosageInstruction, MedicationRequest.modifierExtension, MedicationRequest.dosageInstruction.modifierExtension, MedicationRequest.dosageInstruction.timing.modifierExtension, MedicationRequest.dispenseRequest.extension:prescribedQuantity, MedicationRequest.dispenseRequest.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| sqty-1 | error | MedicationRequest.dispenseRequest.quantity | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
Differential View
This structure is derived from MedicationRequestEuCore
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
MedicationRequestEuCore |
| ||||||||||
| status |
1..1 | code | Current state of the order
| |||||||||
| medication[x] |
1..1 | CodeableConcept, Reference(Medication (EU core)) | Medication to be taken
| |||||||||
| subject |
1..1 | Reference(Patient (EU core) | Group) | Who or group medication request is for
| |||||||||
| authoredOn |
0..1 | dateTime | Date when the request was authored
| |||||||||
| requester |
0..1 | Reference(Patient (EU core) | Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | RelatedPerson) | The individual responsible for ordering the medication
| |||||||||
| reasonCode |
0..* | CodeableConcept | Reason or indication for this prescription
| |||||||||
| reasonReference |
0..* | Reference(Condition | Observation) | Condition or observation that supports this prescription
| |||||||||
| groupIdentifier |
0..1 | Identifier | Group identifier
| |||||||||
| dosageInstruction |
0..* | Dosage | How the medication should be taken.
| |||||||||
| text |
0..1 | string | Free text dosage instructions
| |||||||||
| timing |
0..1 | Timing | Administration schedule
| |||||||||
| doseAndRate |
||||||||||||
| Slices for dose[x] |
Content/Rules for all slices | |||||||||||
| dose[x]:doseQuantity |
0..1 | SimpleQuantity | Amount of medication per dose
| |||||||||
| dispenseRequest |
0..1 | BackboneElement | Medication supply authorization
| |||||||||
| quantity |
0..1 | SimpleQuantity(4.0.1) | Amount of medication to supply per dispense
| |||||||||
| substitution |
||||||||||||
| Slices for allowed[x] |
1..1 | boolean, CodeableConcept | Whether substitution is allowed or not Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | |||||||||
| allowed[x]:allowedCodeableConcept |
0..1 | CodeableConcept | Whether substitution is allowed or not
| |||||||||
| Documentation for this format | ||||||||||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
0..* | MedicationRequestEuCore | Ordering of medication for patient or group
| |||||||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||||||
| language |
0..1 | code | Language of the request Binding: CommonLanguages (preferred): A human language.
| |||||||||||||
| 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:effectiveDosePeriod |
0..1 | Period | Period over which the medication should be taken. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod Constraints: ext-1 | |||||||||||||
| extension:renderedDosageInstruction |
0..1 | markdown | Full representation of the dosage instructions URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction Constraints: ext-1 | |||||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||||||
| identifier |
0..* | Identifier | Business identifier for this request | |||||||||||||
| status |
1..1 | code | Current state of the order Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
| |||||||||||||
| statusReason |
0..1 | CodeableConcept | Reason for current status of the order Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||||||||||
| intent |
1..1 | code | Order, proposal or plan Binding: medicationRequest Intent (required): The kind of medication order. | |||||||||||||
| category |
0..* | CodeableConcept | Category of the medication request 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 |
0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | |||||||||||||
| doNotPerform |
0..1 | boolean | True if request is prohibiting action | |||||||||||||
| reported[x] |
0..1 | Reported rather than primary record | ||||||||||||||
| reportedBoolean |
boolean | |||||||||||||||
| reportedReference |
Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||||||||||||||
| medication[x] |
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 (EU core)) | |||||||||||||||
| subject |
1..1 | Reference(Patient (EU core) | Group) | Who or group medication request is for
| |||||||||||||
| encounter |
0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay | |||||||||||||
| supportingInformation |
0..* | Reference(Resource) | Information to support ordering of the medication | |||||||||||||
| authoredOn |
0..1 | dateTime | Date when the request was authored
| |||||||||||||
| requester |
0..1 | Reference(Patient (EU core) | Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | RelatedPerson) | The individual responsible for ordering the medication
| |||||||||||||
| performer |
0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||||||||||
| performerType |
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 this prescription Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
| |||||||||||||
| reasonReference |
0..* | Reference(Condition | Observation) | Condition or observation that supports this prescription
| |||||||||||||
| instantiatesCanonical |
0..* | canonical() | Instantiates FHIR protocol or definition | |||||||||||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||||||||||
| basedOn |
0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | |||||||||||||
| groupIdentifier |
0..1 | Identifier | Group identifier
| |||||||||||||
| 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 | |||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||
| author[x] |
0..1 | Individual responsible for the annotation | ||||||||||||||
| authorReference |
Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||||||||||
| authorString |
string | |||||||||||||||
| time |
0..1 | dateTime | When the annotation was made | |||||||||||||
| text |
1..1 | markdown | Textual note about the request | |||||||||||||
| 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 | |||||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||||
| sequence |
0..1 | integer | The order of the dosage instructions | |||||||||||||
| text |
0..1 | string | Free text dosage instructions
| |||||||||||||
| additionalInstruction |
0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | |||||||||||||
| patientInstruction |
0..1 | string | Patient or consumer oriented instructions | |||||||||||||
| timing |
0..1 | Timing | Administration schedule
| |||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||||
| event |
0..* | dateTime | When the event occurs | |||||||||||||
| repeat |
C | 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 | |||||||||||||
| bounds[x] |
0..1 | Length/Range of lengths, or (Start and/or end) limits | ||||||||||||||
| boundsDuration |
Duration | |||||||||||||||
| boundsRange |
Range | |||||||||||||||
| boundsPeriod |
Period | |||||||||||||||
| count |
0..1 | positiveInt | Number of times to repeat | |||||||||||||
| countMax |
0..1 | positiveInt | Maximum number of times to repeat | |||||||||||||
| duration |
0..1 | decimal | Duration of the treatment | |||||||||||||
| durationMax |
0..1 | decimal | How long when it happens (Max) | |||||||||||||
| durationUnit |
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 |
0..1 | positiveInt | Frequency times per period | |||||||||||||
| frequencyMax |
0..1 | positiveInt | Event occurs up to frequencyMax times per period | |||||||||||||
| period |
0..1 | decimal | Duration of time over which repetitions are to occur | |||||||||||||
| periodMax |
0..1 | decimal | Upper limit of period (3-4 hours) | |||||||||||||
| periodUnit |
0..1 | code | Unit of the period (e.g. day) Binding: UnitsOfTime (required): A unit of time (units from UCUM). | |||||||||||||
| dayOfWeek |
0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required) | |||||||||||||
| timeOfDay |
0..* | time | Time of day for action | |||||||||||||
| when |
0..* | code | Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule. | |||||||||||||
| offset |
0..1 | unsignedInt | Minutes from event (before or after) | |||||||||||||
| code |
0..1 | CodeableConcept | A code for the timing schedule. Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern. | |||||||||||||
| asNeeded[x] |
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 |
0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | |||||||||||||
| route |
0..1 | CodeableConcept | Route of administration Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | |||||||||||||
| method |
0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | |||||||||||||
| doseAndRate |
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 | |||||||||||||
| type |
0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | |||||||||||||
| Slices for dose[x] |
0..1 | Quantity | Amount of medication per dose Slice: Unordered, Closed by type:$this | |||||||||||||
| dose[x]:doseQuantity |
C | 0..1 | SimpleQuantity | Amount of medication per dose Constraints: sqty-1
| ||||||||||||
| rate[x] |
0..1 | Amount of medication per unit of time | ||||||||||||||
| rateRatio |
Ratio | |||||||||||||||
| rateRange |
Range | |||||||||||||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||||||||||
| maxDosePerPeriod |
0..1 | Ratio | Upper limit on medication per unit of time | |||||||||||||
| maxDosePerAdministration |
C | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per administration Constraints: sqty-1 | ||||||||||||
| maxDosePerLifetime |
C | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per lifetime of the patient Constraints: sqty-1 | ||||||||||||
| dispenseRequest |
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 | |||||||||||||
| extension:prescribedQuantity |
0..1 | Quantity | Overall amount of product prescribed, independent from the number of repeats. URL: https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medicationrequest-prescribedQuantity | |||||||||||||
| modifierExtension |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||||
| quantity |
C | 0..1 | SimpleQuantity(4.0.1) | First fill quantity Constraints: sqty-1 | ||||||||||||
| duration |
0..1 | Duration | First fill duration | |||||||||||||
| dispenseInterval |
0..1 | Duration | Interval between dispenses | |||||||||||||
| validityPeriod |
0..1 | Period | Validity period of the dispense request | |||||||||||||
| numberOfRepeatsAllowed |
0..1 | unsignedInt | Number of repeats allowed | |||||||||||||
| quantity |
C | 0..1 | SimpleQuantity(4.0.1) | Amount of medication to supply per dispense Constraints: sqty-1
| ||||||||||||
| expectedSupplyDuration |
0..1 | Duration | Number of days supply per dispense | |||||||||||||
| performer |
0..1 | Reference(Organization) | Intended dispenser | |||||||||||||
| substitution |
0..1 | BackboneElement | Whether substitution is allowed | |||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||||
| Slices for allowed[x] |
1..1 | Whether substitution is allowed or not Slice: Unordered, Closed by type:$this Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view | ||||||||||||||
| allowedBoolean |
boolean | |||||||||||||||
| allowedCodeableConcept |
CodeableConcept | |||||||||||||||
| allowed[x]:allowedCodeableConcept |
0..1 | CodeableConcept | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
| |||||||||||||
| 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 | ||||||||||||||||
| 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 | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.route | Base | example | SNOMED CT Route Codes | 📍4.0.1 | FHIR Std. |
| 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 v7.4 |
| MedicationRequest.substitution.allowed[x]:allowedCodeableConcept | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.4 |
| MedicationRequest.substitution.reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v7.4 |
| 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 | **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()
|
| sqty-1 | error | MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity, MedicationRequest.dosageInstruction.maxDosePerAdministration, MedicationRequest.dosageInstruction.maxDosePerLifetime, MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
| 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()
|
This structure is derived from MedicationRequestEuCore
Other representations of profile: CSV, Excel, Schematron
IG © 2026+ HL7 Europe. Package hl7.fhir.eu.discharge-report#1.0.0-ci-build based on FHIR 4.0.1. Generated 2026-10-06
