Profile Comparison between http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationRequest-eu-mpd vs http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationRequest-eu-mpd

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/MedicationRequest
copyright	Used by permission of HL7 Europe, all rights reserved Creative Commons License
date	2025-06-04T20:58:22+02:00	2026-02-25T23:39:26+00:00	Values Differ
description	This profile defines how to represent ePrescription or other medication request.	This profile defines how to represent MedicationRequest in HL7 FHIR for the purpose of this guide.	Values Differ
experimental
fhirVersion	5.0.0
jurisdiction
jurisdiction[0]	http://unstats.un.org/unsd/methods/m49/m49.htm#150
kind	resource
name	MedicationRequestEuMpd
publisher	HL7 Europe
purpose
status	draft
title	MedicationRequest: MPD
type	MedicationRequest
url	http://hl7.eu/fhir/mpd-r5/StructureDefinition/MedicationRequest-eu-mpd
version	0.1.0-ballot	0.1.0-ci-build	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group This profile also imposes the profile IHE Medication Order		0..*	MedicationRequest	Ordering of medication for patient or group
id	Σ	0..1	id	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (required): IETF language tag for a human language Additional Bindings Purpose ?? Starter		0..1	code	Language of the resource content Binding: ?? (required): IETF language tag for a human language Additional Bindings Purpose ?? Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	Prescription/prescribed item ID	O	0..*	Identifier	Prescription/prescribed item ID Obligations Actor SHALL:able-to-populate Producer
basedOn	Σ	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	A plan or request that is fulfilled in whole or in part by this medication request	Σ	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	A plan or request that is fulfilled in whole or in part by this medication request
priorPrescription		0..1	Reference(MedicationRequest)	Reference to an order/prescription that is being replaced by this MedicationRequest		0..1	Reference(MedicationRequest)	Reference to an order/prescription that is being replaced by this MedicationRequest
groupIdentifier	Σ	0..1	Identifier	Prescription this is part of. Not needed if a presciption includes only one prescribed item.	Σ	0..1	Identifier	Prescription this is part of. Not needed if a presciption includes only one prescribed item.
status	?!Σ	1..1	code	Current state of the order Binding: ?? (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.	?!OΣ	1..1	code	active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown Binding: ?? (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Obligations Actor SHALL:able-to-populate Producer
statusReason		0..1	CodeableConcept	Reason for current status Binding: ?? (example): Identifies the reasons for a given status.		0..1	CodeableConcept	Reason for current status Binding: ?? (example): Identifies the reasons for a given status.
statusChanged		0..1	dateTime	When the status was changed		0..1	dateTime	When the status was changed
intent	?!Σ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order.	?!Σ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order.
category		0..*	CodeableConcept	Grouping or category of medication request Binding: ?? (example): A coded concept identifying where the medication is to be consumed or administered.		0..*	CodeableConcept	Grouping or category of medication request Binding: ?? (example): A coded concept identifying where the medication is to be consumed or administered.
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request.	Σ	0..1	code	routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if patient is to stop taking or not to start taking the medication	?!Σ	0..1	boolean	True if patient is to stop taking or not to start taking the medication
medication	Σ	1..1	CodeableReference(Medication: MPD)	Medication to be taken Binding: ?? (example): A coded concept identifying substance or product that can be ordered.	OΣ	1..1	CodeableReference(Medication: MPD)	Medication to be taken Binding: ?? (example): A coded concept identifying substance or product that can be ordered. Obligations Actor SHALL:able-to-populate Producer
subject	Σ	1..1	Reference(Patient (EU core))	Individual or group for whom the medication has been requested	OΣ	1..1	Reference(Patient (EU core))	Individual or group for whom the medication has been requested Obligations Actor SHALL:able-to-populate Producer
informationSource		0..*	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	The person or organization who provided the information about this request, if the source is someone other than the requestor		0..*	Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)	The person or organization who provided the information about this request, if the source is someone other than the requestor
encounter		0..1	Reference(Encounter)	Encounter created as part of encounter/admission/stay		0..1	Reference(Encounter)	Encounter created as part of encounter/admission/stay
supportingInformation		0..*	Reference(Resource)	Information to support fulfilling of the medication		0..*	Reference(Resource)	Information to support fulfilling of the medication
authoredOn	Σ	1..1	dateTime	When request was initially authored	OΣ	1..1	dateTime	When request was initially authored Obligations Actor SHALL:able-to-populate Producer
requester	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/What requested the Request	OΣ	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/What requested the Request Obligations Actor SHALL:able-to-populate Producer
reported	Σ	0..1	boolean	Reported rather than primary record	Σ	0..1	boolean	Reported rather than primary record
performerType	Σ	0..1	CodeableConcept	Desired kind of performer of the medication administration Binding: ?? (extensible): Identifies the type of individual that is desired to administer the medication.	Σ	0..1	CodeableConcept	Desired kind of performer of the medication administration Binding: ?? (extensible): Identifies the type of individual that is desired to administer the medication.
performer		0..*	Reference(Practitioner | PractitionerRole | Organization | Patient | DeviceDefinition | RelatedPerson | CareTeam | HealthcareService)	Intended performer of administration		0..*	Reference(Practitioner | PractitionerRole | Organization | Patient | DeviceDefinition | RelatedPerson | CareTeam | HealthcareService)	Intended performer of administration
device		0..*	CodeableReference(DeviceDefinition)	Intended type of device for the administration		0..*	CodeableReference(DeviceDefinition)	Intended type of device for the administration
recorder		0..1	Reference(Practitioner | PractitionerRole)	Person who entered the request		0..1	Reference(Practitioner | PractitionerRole)	Person who entered the request
reason		0..*	CodeableReference(Condition | Observation)	Reason or indication for this prescription Binding: ?? (example): A coded concept indicating why the medication was ordered. Additional Bindings Purpose ?? candidate		0..*	CodeableReference(Condition | Observation)	Reason or indication for this prescription Binding: ?? (example): A coded concept indicating why the medication was ordered. Additional Bindings Purpose ?? candidate
courseOfTherapyType		0..1	CodeableConcept	Overall pattern of medication administration Binding: ?? (extensible): Identifies the overall pattern of medication administratio.		0..1	CodeableConcept	Overall pattern of medication administration Binding: ?? (extensible): Identifies the overall pattern of medication administratio.
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
note		0..*	Annotation	Information about the prescription		0..*	Annotation	Information about the prescription
id						0..1	id	Unique id for inter-element referencing	Added this element
Slices for extension						0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	Added this element
author[x]					Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization), string	Individual responsible for the annotation	Added this element
time					Σ	0..1	dateTime	When the annotation was made	Added this element
text					OΣ	1..1	markdown	The annotation - text content (as markdown) Obligations Actor SHOULD:able-to-populate Producer	Added this element
renderedDosageInstruction		0..1	markdown	Full representation of the dosage instructions	O	0..1	markdown	Full representation of the dosage instructions Obligations Actor SHOULD:able-to-populate Producer
effectiveDosePeriod		0..1	Period	Period over which the medication is to be taken		0..1	Period	Period over which the medication is to be taken
dosageInstruction		0..*	Dosage	How the medication should be taken.	O	0..*	??	How the medication should be taken. Obligations Actor SHALL:able-to-populate Producer
id		0..1	id	Unique id for inter-element referencing		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions	Σ	0..1	integer	The order of the dosage instructions
text	Σ	0..1	string	Free text dosage instructions	Σ	0..1	string	Free text dosage instructions
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions	OΣ	0..1	string	Patient or consumer oriented instructions Obligations Actor Source SHOULD:able-to-populate Producer from Dosage: MPD
timing	Σ	0..1	Timing	Administration schedule	Σ	0..1	Timing	Administration schedule
id		0..1	id	Unique id for inter-element referencing		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	Σ	0..*	dateTime	When the event occurs	Σ	0..*	dateTime	When the event occurs
repeat	ΣC	0..1	Element	When the event is to occur	OΣC	0..1	Element	When the event is to occur Obligations Actor Source SHALL:able-to-populate Producer from Dosage: MPD
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x]	Σ	0..1	Duration, Range, Period	Length/Range of lengths, or (Start and/or end) limits	OΣ	0..1	Duration, Range, Period	Length/Range of lengths, or (Start and/or end) limits Obligations Actor Source SHALL:able-to-populate Producer from Dosage: MPD
count	ΣC	0..1	positiveInt	Number of times to repeat	ΣC	0..1	positiveInt	Number of times to repeat
countMax	ΣC	0..1	positiveInt	Maximum number of times to repeat	ΣC	0..1	positiveInt	Maximum number of times to repeat
duration	ΣC	0..1	decimal	Duration of the treatment	ΣC	0..1	decimal	Duration of the treatment
durationMax	ΣC	0..1	decimal	How long when it happens (Max)	ΣC	0..1	decimal	How long when it happens (Max)
durationUnit	ΣC	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: ?? (required): A unit of time (units from UCUM).	ΣC	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: ?? (required): A unit of time (units from UCUM).
frequency	Σ	0..1	positiveInt	Frequency times per period	OΣ	0..1	positiveInt	Frequency times per period Obligations Actor Source SHALL:able-to-populate Producer from Dosage: MPD
frequencyMax	Σ	0..1	positiveInt	Event occurs up to frequencyMax times per period	Σ	0..1	positiveInt	Event occurs up to frequencyMax times per period
period	ΣC	0..1	decimal	Duration of time over which repetitions are to occur	OΣC	0..1	decimal	Duration of time over which repetitions are to occur Obligations Actor Source SHALL:able-to-populate Producer from Dosage: MPD
periodMax	ΣC	0..1	decimal	Upper limit of period (3-4 hours)	ΣC	0..1	decimal	Upper limit of period (3-4 hours)
periodUnit	ΣC	0..1	code	Unit of the period (e.g. day) Binding: ?? (required): A unit of time (units from UCUM).	OΣC	0..1	code	Unit of the period (e.g. day) Binding: ?? (required): A unit of time (units from UCUM). Obligations Actor Source SHALL:able-to-populate Producer from Dosage: MPD
dayOfWeek	Σ	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: ?? (required)	Σ	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: ?? (required)
timeOfDay	ΣC	0..*	time	Time of day for action	ΣC	0..*	time	Time of day for action
when	ΣC	0..*	code	Code for time period of occurrence Binding: ?? (required): Real-world event relating to the schedule.	ΣC	0..*	code	Code for time period of occurrence Binding: ?? (required): Real-world event relating to the schedule.
offset	ΣC	0..1	unsignedInt	Minutes from event (before or after)	ΣC	0..1	unsignedInt	Minutes from event (before or after)
code	Σ	0..1	CodeableConcept	A code for the timing schedule. Binding: ?? (preferred): Code for a known / defined timing pattern.	Σ	0..1	CodeableConcept	A code for the timing schedule. Binding: ?? (preferred): Code for a known / defined timing pattern.	Example/preferred bindings differ at MedicationRequest.dosageInstruction.timing.code using binding from MedicationRequestEuMpd
asNeeded	ΣC	0..1	boolean	Take "as needed"	ΣC	0..1	boolean	Take "as needed"
asNeededFor	ΣC	0..*	CodeableConcept	Take "as needed" (for x) Binding: ?? (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.	ΣC	0..*	CodeableConcept	Take "as needed" (for x) Binding: ?? (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.
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body.	Σ	0..1	CodeableConcept	Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body.
route	Σ	0..1	CodeableConcept	Route of administration Binding: ?? (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.	OΣ	0..1	CodeableConcept	Route of administration Binding: ?? (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. Obligations Actor Source SHOULD:able-to-populate Producer from Dosage: MPD
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.	Σ	0..1	CodeableConcept	Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	Σ	0..*	Element	Amount of medication administered, to be administered or typical amount to be administered	Σ	0..*	Element	Amount of medication administered, to be administered or typical amount to be administered
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified.	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified.
Slices for dose[x]	Σ	0..1	Range, ??	Amount of medication per dose Slice: Unordered, Open by type:$this	OΣ	0..1	Range, ??	Amount of medication per dose Slice: Unordered, Open by type:$this Obligations Actor Source SHALL:able-to-populate Producer from Dosage: MPD
rate[x]	Σ	0..1	Ratio, Range, ??	Amount of medication per unit of time	Σ	0..1	Ratio, Range, ??	Amount of medication per unit of time
maxDosePerPeriod	Σ	0..*	Ratio	Upper limit on medication per unit of time	Σ	0..*	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	??	Upper limit on medication per administration	Σ	0..1	??	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	??	Upper limit on medication per lifetime of the patient	Σ	0..1	??	Upper limit on medication per lifetime of the patient
dispenseRequest		0..1	BackboneElement	Medication supply authorization		0..1	BackboneElement	Medication supply authorization
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
initialFill		0..1	BackboneElement	First fill details		0..1	BackboneElement	First fill details
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity		0..1	??	First fill quantity		0..1	??	First fill quantity
duration		0..1	Duration	First fill duration		0..1	Duration	First fill duration
dispenseInterval		0..1	Duration	Minimum period of time between dispenses		0..1	Duration	Minimum period of time between dispenses
validityPeriod		0..1	Period	Time period supply is authorized for	O	0..1	Period	Time period supply is authorized for Obligations Actor SHOULD:able-to-populate Producer
numberOfRepeatsAllowed		0..1	unsignedInt	Number of refills authorized		0..1	unsignedInt	Number of refills authorized
quantity		0..1	??	Amount of medication to supply per dispense		0..1	??	Amount of medication to supply per dispense
expectedSupplyDuration		0..1	Duration	Number of days supply per dispense		0..1	Duration	Number of days supply per dispense
dispenser		0..1	Reference(Organization)	Intended performer of dispense		0..1	Reference(Organization)	Intended performer of dispense
dispenserInstruction		0..*	Annotation	Additional information for the dispenser		0..*	Annotation	Additional information for the dispenser
doseAdministrationAid		0..1	CodeableConcept	Type of adherence packaging to use for the dispense Binding: ?? (example)		0..1	CodeableConcept	Type of adherence packaging to use for the dispense Binding: ?? (example)
substitution		0..1	BackboneElement	Any restrictions on medication substitution	O	0..1	BackboneElement	Any restrictions on medication substitution. Substitution rules (including the definition of substitution) vary across different countries, and the semantics of this element should be interpreted accordingly. Obligations Actor SHOULD:able-to-populate Producer
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
allowed[x]		1..1	boolean, CodeableConcept	Whether substitution is allowed or not Binding: ?? (preferred): Identifies the type of substitution allowed.		1..1	boolean, CodeableConcept	Whether substitution is allowed or not Slice: Unordered, Open by type:$this Binding: ?? (preferred): Identifies the type of substitution allowed.
reason		0..1	CodeableConcept	Why should (not) substitution be made Binding: ?? (example): SubstanceAdminSubstitutionReason		0..1	CodeableConcept	Why should (not) substitution be made Binding: ?? (example): SubstanceAdminSubstitutionReason
eventHistory		0..*	Reference(Provenance)	A list of events of interest in the lifecycle		0..*	Reference(Provenance)	A list of events of interest in the lifecycle
Documentation for this format