Medication IG DE, published by HL7 Deutschland e.V.. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7germany/medication-ig-de-r4/ and changes regularly. See the Directory of published versions

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Resource Profile: Medication Request DE ( Abstract )

Dieses Profil dient ausschließlich der Validierung des Implementation Guides auf DosageDE-Ebene (u. a. der Warnungs-Beispiele, die im dgMP-Profil als Fehler modelliert sind) und ist nicht für den produktiven Einsatz gedacht. Stattdessen sollte das jeweils passende Dosage-Profil direkt in das eigene Profil eingebunden werden.

Usages:

• Examples for this Profile: MedicationRequest/INV-C-dos-1-Request-01-of-03, MedicationRequest/W-AsNeededForRequiresAsNeededWarning-MR-01-of-03, MedicationRequest/W-DosageDoseUnitSameCodeWarning-01-of-03, MedicationRequest/W-DosageDoseValuePositiveWarning-01-of-05... Show 19 more, MedicationRequest/W-DosageDoseValuePositiveWarning-04-of-05, MedicationRequest/W-DosageLimitsPositiveWarning-MR-01-of-09, MedicationRequest/W-DosageLimitsPositiveWarning-MR-04-of-09, MedicationRequest/W-DosageLimitsPositiveWarning-MR-07-of-09, MedicationRequest/W-DosageStructuredOrFreeTextWarning-01-of-03, MedicationRequest/W-DosageStructuredRequiresBothWarning-01-of-03, MedicationRequest/W-FreeTextSingleDosageOnlyWarning-MR, MedicationRequest/W-TimingBoundsUnitMatchesCodeWarning-Request-01-of-03, MedicationRequest/W-TimingFreqOrPeriodGtOneWarning-MR-01-of-06, MedicationRequest/W-TimingFreqOrPeriodGtOneWarning-MR-04-of-06, MedicationRequest/W-TimingSingleDosageForTimeOfDayWarning-MR-01-of-03, MedicationRequest/W-TimingSingleDosageForTimeOfDayWarning-MR-04-of-06, MedicationRequest/W-TimingSingleDosageForWhenWarning-MR-01-of-03, MedicationRequest/W-TimingSingleDosageForWhenWarning-MR-04-of-06, MedicationRequest/W-TimingValuesPositiveWarning-MR-01-of-15, MedicationRequest/W-TimingValuesPositiveWarning-MR-04-of-15, MedicationRequest/W-TimingValuesPositiveWarning-MR-07-of-15, MedicationRequest/W-TimingValuesPositiveWarning-MR-10-of-15 and MedicationRequest/W-TimingValuesPositiveWarning-MR-13-of-15

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		0..*	MedicationRequest	This is an abstract profile. Ordering of medication for patient or group
MedicationRequest.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MedicationRequest.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for extension.extension:renderedDosageInstruction	S This element must be supported.	0..1	(Complex)	Dosierungsanweisung URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction Constraints: ext-1
MedicationRequest.Slices for extension.extension:renderedDosageInstruction.extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for extension.extension:renderedDosageInstruction.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction"
MedicationRequest.Slices for extension.extension:renderedDosageInstruction.value[x]		0..1	markdown	Hinweis: In der ersten Ausbaustufe des dgMP ist nur einfacher Text (String) zulässig; Markdown wird nicht unterstützt.
MedicationRequest.Slices for extension.extension:generatedDosageInstructionsMeta	S This element must be supported.	0..1	(Complex)	Metadaten zu den generierten Dosierungsanweisungen URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
MedicationRequest.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationRequest.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
MedicationRequest.intent	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order.
MedicationRequest.doNotPerform	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	True if request is prohibiting action
MedicationRequest.medication[x]	Σ This element is included in summaries.	1..1		Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
MedicationRequest.medication[x].medicationCodeableConcept			CodeableConcept
MedicationRequest.medication[x].medicationReference			Reference(Medication)
MedicationRequest.subject	Σ This element is included in summaries.	1..1	Reference(Patient | Group)	Who or group medication request is for
MedicationRequest.dosageInstruction	C	0..*	DosageDE	Angabe der Dosierinformationen strukturiert oder als Freitext Constraints: DosageStructuredOrFreeTextWarning, DosageStructuredRequiresBothWarning, DosageDoseUnitSameCodeWarning, DosageDoseValuePositiveWarning, DosageLimitsPositiveWarning, DosageFourSlotPatternInTextWarning, FreeTextSingleDosageOnlyWarning, AsNeededForRequiresAsNeededWarning, dos-1
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.status	Base	required	Medicationrequest status	📍4.0.1	FHIR Std.
MedicationRequest.intent	Base	required	Medication request intent	📍4.0.1	FHIR Std.
MedicationRequest.medication[x]	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
AsNeededForRequiresAsNeededWarning	warning	MedicationRequest.dosageInstruction	A reason for use (asNeededFor) should only be given together with asNeededBoolean = true.	extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() implies asNeeded.ofType(boolean) = true
DosageDoseUnitSameCodeWarning	warning	MedicationRequest.dosageInstruction	The dose unit should be the same across all dosages.	(%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).all( doseAndRate.exists() implies ( (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).doseAndRate.dose.ofType(Quantity).code | (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).doseAndRate.dose.ofType(Range).low.code | (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).doseAndRate.dose.ofType(Range).high.code ).distinct().count() = 1 )
DosageDoseValuePositiveWarning	warning	MedicationRequest.dosageInstruction	doseQuantity.value and doseRange.high.value should be greater than 0. The value 0 is additionally allowed for doseRange.low.value only.	doseAndRate.all( dose.ofType(Quantity).value.all($this > 0) and dose.ofType(Range).low.value.all($this >= 0) and dose.ofType(Range).high.value.all($this > 0) )
DosageFourSlotPatternInTextWarning	warning	MedicationRequest.dosageInstruction	A four-slot dosing schema (Viererschema, e.g. 1-1-1-1) was detected in Dosage.text. Please check whether it can be represented structurally.	text.exists() implies text.matches('.*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+.*').not()
DosageLimitsPositiveWarning	warning	MedicationRequest.dosageInstruction	The minimum interval between administrations (valueDuration.value) and maxDosePerPeriod (numerator.value, denominator.value) should be greater than 0.	modifierExtension.where( url = 'http://ig.fhir.de/igs/medication/StructureDefinition/MinimumIntervalBetweenAdministrations' ).value.ofType(Duration).value.all($this > 0) and maxDosePerPeriod.numerator.value.all($this > 0) and maxDosePerPeriod.denominator.value.all($this > 0)
DosageStructuredOrFreeTextWarning	warning	MedicationRequest.dosageInstruction	A dosage must be given either as free text only or as complete structured information only; mixing both is not allowed.	(%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).all( (text.exists() and timing.empty() and doseAndRate.empty()) or (text.empty() and (timing.exists() or doseAndRate.exists())) )
DosageStructuredRequiresBothWarning	warning	MedicationRequest.dosageInstruction	If a structured dosage is given, both timing and doseAndRate should be present. For pure as-needed dosages, doseAndRate may be given without timing.	(%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).all( (timing.exists() implies doseAndRate.exists()) and (doseAndRate.exists() implies ( timing.exists() or asNeeded.ofType(boolean) = true or extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() )) )
FreeTextSingleDosageOnlyWarning	warning	MedicationRequest.dosageInstruction	If a dosage is given as pure free text, there should be exactly one Dosage element.	( (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage) ).exists(text.exists() and timing.empty() and doseAndRate.empty()) ) implies ( (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage) ).count() = 1 )
dos-1	error	MedicationRequest.dosageInstruction	AsNeededFor can only be set if AsNeeded is empty or true	extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').empty() or asNeeded.empty() or asNeeded
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()

This structure is derived from MedicationRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest	This is an abstract profile. Ordering of medication for patient or group
MedicationRequest.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for extension.extension:renderedDosageInstruction	S This element must be supported.	0..1	(Complex)	Dosierungsanweisung URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction
MedicationRequest.Slices for extension.extension:renderedDosageInstruction.extension		0..0		Extension
MedicationRequest.Slices for extension.extension:renderedDosageInstruction.value[x]		0..1	markdown	Hinweis: In der ersten Ausbaustufe des dgMP ist nur einfacher Text (String) zulässig; Markdown wird nicht unterstützt.
MedicationRequest.Slices for extension.extension:generatedDosageInstructionsMeta	S This element must be supported.	0..1	(Complex)	Metadaten zu den generierten Dosierungsanweisungen URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
MedicationRequest.dosageInstruction		0..*	DosageDE	Angabe der Dosierinformationen strukturiert oder als Freitext
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest	This is an abstract profile. Ordering of medication for patient or group
MedicationRequest.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
MedicationRequest.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
MedicationRequest.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MedicationRequest.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
MedicationRequest.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
MedicationRequest.contained		0..*	Resource	Contained, inline Resources
MedicationRequest.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for extension.extension:renderedDosageInstruction	S This element must be supported.	0..1	(Complex)	Dosierungsanweisung URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction Constraints: ext-1
MedicationRequest.Slices for extension.extension:renderedDosageInstruction.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.Slices for extension.extension:renderedDosageInstruction.extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for extension.extension:renderedDosageInstruction.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction"
MedicationRequest.Slices for extension.extension:renderedDosageInstruction.value[x]		0..1	markdown	Hinweis: In der ersten Ausbaustufe des dgMP ist nur einfacher Text (String) zulässig; Markdown wird nicht unterstützt.
MedicationRequest.Slices for extension.extension:generatedDosageInstructionsMeta	S This element must be supported.	0..1	(Complex)	Metadaten zu den generierten Dosierungsanweisungen URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
MedicationRequest.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationRequest.identifier		0..*	Identifier	External ids for this request
MedicationRequest.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
MedicationRequest.statusReason		0..1	CodeableConcept	Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
MedicationRequest.intent	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order.
MedicationRequest.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.
MedicationRequest.priority	Σ This element is included in summaries.	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
MedicationRequest.doNotPerform	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	True if request is prohibiting action
MedicationRequest.reported[x]	Σ This element is included in summaries.	0..1		Reported rather than primary record
MedicationRequest.reported[x].reportedBoolean			boolean
MedicationRequest.reported[x].reportedReference			Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
MedicationRequest.medication[x]	Σ This element is included in summaries.	1..1		Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
MedicationRequest.medication[x].medicationCodeableConcept			CodeableConcept
MedicationRequest.medication[x].medicationReference			Reference(Medication)
MedicationRequest.subject	Σ This element is included in summaries.	1..1	Reference(Patient | Group)	Who or group medication request is for
MedicationRequest.encounter		0..1	Reference(Encounter)	Encounter created as part of encounter/admission/stay
MedicationRequest.supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication
MedicationRequest.authoredOn	Σ This element is included in summaries.	0..1	dateTime	When request was initially authored
MedicationRequest.requester	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/What requested the Request
MedicationRequest.performer		0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration
MedicationRequest.performerType	Σ This element is included in summaries.	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.
MedicationRequest.recorder		0..1	Reference(Practitioner | PractitionerRole)	Person who entered the request
MedicationRequest.reasonCode		0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
MedicationRequest.reasonReference		0..*	Reference(Condition | Observation)	Condition or observation that supports why the prescription is being written
MedicationRequest.instantiatesCanonical	Σ This element is included in summaries.	0..*	canonical()	Instantiates FHIR protocol or definition
MedicationRequest.instantiatesUri	Σ This element is included in summaries.	0..*	uri	Instantiates external protocol or definition
MedicationRequest.basedOn	Σ This element is included in summaries.	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	What request fulfills
MedicationRequest.groupIdentifier	Σ This element is included in summaries.	0..1	Identifier	Composite request this is part of
MedicationRequest.courseOfTherapyType		0..1	CodeableConcept	Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
MedicationRequest.insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
MedicationRequest.note		0..*	Annotation	Information about the prescription
MedicationRequest.dosageInstruction	C	0..*	DosageDE	Angabe der Dosierinformationen strukturiert oder als Freitext Constraints: DosageStructuredOrFreeTextWarning, DosageStructuredRequiresBothWarning, DosageDoseUnitSameCodeWarning, DosageDoseValuePositiveWarning, DosageLimitsPositiveWarning, DosageFourSlotPatternInTextWarning, FreeTextSingleDosageOnlyWarning, AsNeededForRequiresAsNeededWarning, dos-1
MedicationRequest.dispenseRequest		0..1	BackboneElement	Medication supply authorization
MedicationRequest.dispenseRequest.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dispenseRequest.extension		0..*	Extension	Additional content defined by implementations
MedicationRequest.dispenseRequest.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dispenseRequest.initialFill		0..1	BackboneElement	First fill details
MedicationRequest.dispenseRequest.initialFill.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dispenseRequest.initialFill.extension		0..*	Extension	Additional content defined by implementations
MedicationRequest.dispenseRequest.initialFill.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dispenseRequest.initialFill.quantity	C	0..1	SimpleQuantity(4.0.1)	First fill quantity Constraints: sqty-1
MedicationRequest.dispenseRequest.initialFill.duration		0..1	Duration	First fill duration
MedicationRequest.dispenseRequest.dispenseInterval		0..1	Duration	Minimum period of time between dispenses
MedicationRequest.dispenseRequest.validityPeriod		0..1	Period	Time period supply is authorized for
MedicationRequest.dispenseRequest.numberOfRepeatsAllowed		0..1	unsignedInt	Number of refills authorized
MedicationRequest.dispenseRequest.quantity	C	0..1	SimpleQuantity(4.0.1)	Amount of medication to supply per dispense Constraints: sqty-1
MedicationRequest.dispenseRequest.expectedSupplyDuration		0..1	Duration	Number of days supply per dispense
MedicationRequest.dispenseRequest.performer		0..1	Reference(Organization)	Intended dispenser
MedicationRequest.substitution		0..1	BackboneElement	Any restrictions on medication substitution
MedicationRequest.substitution.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.substitution.extension		0..*	Extension	Additional content defined by implementations
MedicationRequest.substitution.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.substitution.allowed[x]		1..1		Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
MedicationRequest.substitution.allowed[x].allowedBoolean			boolean
MedicationRequest.substitution.allowed[x].allowedCodeableConcept			CodeableConcept
MedicationRequest.substitution.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.
MedicationRequest.priorPrescription		0..1	Reference(MedicationRequest)	An order/prescription that is being replaced
MedicationRequest.detectedIssue		0..*	Reference(DetectedIssue)	Clinical Issue with action
MedicationRequest.eventHistory		0..*	Reference(Provenance)	A list of events of interest in the lifecycle
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
MedicationRequest.status	Base	required	Medicationrequest status	📍4.0.1	FHIR Std.
MedicationRequest.statusReason	Base	example	Medication request status reason codes	📍4.0.1	FHIR Std.
MedicationRequest.intent	Base	required	Medication request intent	📍4.0.1	FHIR Std.
MedicationRequest.category	Base	example	Medication request category codes	📍4.0.1	FHIR Std.
MedicationRequest.priority	Base	required	Request priority	📍4.0.1	FHIR Std.
MedicationRequest.medication[x]	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
MedicationRequest.performerType	Base	example	Procedure Performer Role Codes	📍4.0.1	FHIR Std.
MedicationRequest.reasonCode	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.
MedicationRequest.courseOfTherapyType	Base	example	Medication request course of therapy codes	📍4.0.1	FHIR Std.
MedicationRequest.substitution.​allowed[x]	Base	example	ActSubstanceAdminSubstitutionCode	📦3.0.0	THO v7.3
MedicationRequest.substitution.​reason	Base	example	SubstanceAdminSubstitutionReason	📦3.0.0	THO v7.3

Constraints

Id	Grade	Path(s)	Description	Expression
AsNeededForRequiresAsNeededWarning	warning	MedicationRequest.dosageInstruction	A reason for use (asNeededFor) should only be given together with asNeededBoolean = true.	extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() implies asNeeded.ofType(boolean) = true
DosageDoseUnitSameCodeWarning	warning	MedicationRequest.dosageInstruction	The dose unit should be the same across all dosages.	(%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).all( doseAndRate.exists() implies ( (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).doseAndRate.dose.ofType(Quantity).code | (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).doseAndRate.dose.ofType(Range).low.code | (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).doseAndRate.dose.ofType(Range).high.code ).distinct().count() = 1 )
DosageDoseValuePositiveWarning	warning	MedicationRequest.dosageInstruction	doseQuantity.value and doseRange.high.value should be greater than 0. The value 0 is additionally allowed for doseRange.low.value only.	doseAndRate.all( dose.ofType(Quantity).value.all($this > 0) and dose.ofType(Range).low.value.all($this >= 0) and dose.ofType(Range).high.value.all($this > 0) )
DosageFourSlotPatternInTextWarning	warning	MedicationRequest.dosageInstruction	A four-slot dosing schema (Viererschema, e.g. 1-1-1-1) was detected in Dosage.text. Please check whether it can be represented structurally.	text.exists() implies text.matches('.*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+.*').not()
DosageLimitsPositiveWarning	warning	MedicationRequest.dosageInstruction	The minimum interval between administrations (valueDuration.value) and maxDosePerPeriod (numerator.value, denominator.value) should be greater than 0.	modifierExtension.where( url = 'http://ig.fhir.de/igs/medication/StructureDefinition/MinimumIntervalBetweenAdministrations' ).value.ofType(Duration).value.all($this > 0) and maxDosePerPeriod.numerator.value.all($this > 0) and maxDosePerPeriod.denominator.value.all($this > 0)
DosageStructuredOrFreeTextWarning	warning	MedicationRequest.dosageInstruction	A dosage must be given either as free text only or as complete structured information only; mixing both is not allowed.	(%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).all( (text.exists() and timing.empty() and doseAndRate.empty()) or (text.empty() and (timing.exists() or doseAndRate.exists())) )
DosageStructuredRequiresBothWarning	warning	MedicationRequest.dosageInstruction	If a structured dosage is given, both timing and doseAndRate should be present. For pure as-needed dosages, doseAndRate may be given without timing.	(%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).all( (timing.exists() implies doseAndRate.exists()) and (doseAndRate.exists() implies ( timing.exists() or asNeeded.ofType(boolean) = true or extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() )) )
FreeTextSingleDosageOnlyWarning	warning	MedicationRequest.dosageInstruction	If a dosage is given as pure free text, there should be exactly one Dosage element.	( (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage) ).exists(text.exists() and timing.empty() and doseAndRate.empty()) ) implies ( (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage) ).count() = 1 )
dos-1	error	MedicationRequest.dosageInstruction	AsNeededFor can only be set if AsNeeded is empty or true	extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').empty() or asNeeded.empty() or asNeeded
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.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity	The comparator is not used on a SimpleQuantity	comparator.empty()

This structure is derived from MedicationRequest

Summary

Must-Support: 2 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• Dosage DE (http://ig.fhir.de/igs/medication/StructureDefinition/DosageDE)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction
• http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest	This is an abstract profile. Ordering of medication for patient or group
MedicationRequest.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MedicationRequest.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for extension.extension:renderedDosageInstruction	S This element must be supported.	0..1	(Complex)	Dosierungsanweisung URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction Constraints: ext-1
MedicationRequest.Slices for extension.extension:renderedDosageInstruction.extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for extension.extension:renderedDosageInstruction.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction"
MedicationRequest.Slices for extension.extension:renderedDosageInstruction.value[x]		0..1	markdown	Hinweis: In der ersten Ausbaustufe des dgMP ist nur einfacher Text (String) zulässig; Markdown wird nicht unterstützt.
MedicationRequest.Slices for extension.extension:generatedDosageInstructionsMeta	S This element must be supported.	0..1	(Complex)	Metadaten zu den generierten Dosierungsanweisungen URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
MedicationRequest.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationRequest.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
MedicationRequest.intent	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order.
MedicationRequest.doNotPerform	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	True if request is prohibiting action
MedicationRequest.medication[x]	Σ This element is included in summaries.	1..1		Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
MedicationRequest.medication[x].medicationCodeableConcept			CodeableConcept
MedicationRequest.medication[x].medicationReference			Reference(Medication)
MedicationRequest.subject	Σ This element is included in summaries.	1..1	Reference(Patient | Group)	Who or group medication request is for
MedicationRequest.dosageInstruction	C	0..*	DosageDE	Angabe der Dosierinformationen strukturiert oder als Freitext Constraints: DosageStructuredOrFreeTextWarning, DosageStructuredRequiresBothWarning, DosageDoseUnitSameCodeWarning, DosageDoseValuePositiveWarning, DosageLimitsPositiveWarning, DosageFourSlotPatternInTextWarning, FreeTextSingleDosageOnlyWarning, AsNeededForRequiresAsNeededWarning, dos-1
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.status	Base	required	Medicationrequest status	📍4.0.1	FHIR Std.
MedicationRequest.intent	Base	required	Medication request intent	📍4.0.1	FHIR Std.
MedicationRequest.medication[x]	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
AsNeededForRequiresAsNeededWarning	warning	MedicationRequest.dosageInstruction	A reason for use (asNeededFor) should only be given together with asNeededBoolean = true.	extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() implies asNeeded.ofType(boolean) = true
DosageDoseUnitSameCodeWarning	warning	MedicationRequest.dosageInstruction	The dose unit should be the same across all dosages.	(%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).all( doseAndRate.exists() implies ( (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).doseAndRate.dose.ofType(Quantity).code | (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).doseAndRate.dose.ofType(Range).low.code | (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).doseAndRate.dose.ofType(Range).high.code ).distinct().count() = 1 )
DosageDoseValuePositiveWarning	warning	MedicationRequest.dosageInstruction	doseQuantity.value and doseRange.high.value should be greater than 0. The value 0 is additionally allowed for doseRange.low.value only.	doseAndRate.all( dose.ofType(Quantity).value.all($this > 0) and dose.ofType(Range).low.value.all($this >= 0) and dose.ofType(Range).high.value.all($this > 0) )
DosageFourSlotPatternInTextWarning	warning	MedicationRequest.dosageInstruction	A four-slot dosing schema (Viererschema, e.g. 1-1-1-1) was detected in Dosage.text. Please check whether it can be represented structurally.	text.exists() implies text.matches('.*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+.*').not()
DosageLimitsPositiveWarning	warning	MedicationRequest.dosageInstruction	The minimum interval between administrations (valueDuration.value) and maxDosePerPeriod (numerator.value, denominator.value) should be greater than 0.	modifierExtension.where( url = 'http://ig.fhir.de/igs/medication/StructureDefinition/MinimumIntervalBetweenAdministrations' ).value.ofType(Duration).value.all($this > 0) and maxDosePerPeriod.numerator.value.all($this > 0) and maxDosePerPeriod.denominator.value.all($this > 0)
DosageStructuredOrFreeTextWarning	warning	MedicationRequest.dosageInstruction	A dosage must be given either as free text only or as complete structured information only; mixing both is not allowed.	(%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).all( (text.exists() and timing.empty() and doseAndRate.empty()) or (text.empty() and (timing.exists() or doseAndRate.exists())) )
DosageStructuredRequiresBothWarning	warning	MedicationRequest.dosageInstruction	If a structured dosage is given, both timing and doseAndRate should be present. For pure as-needed dosages, doseAndRate may be given without timing.	(%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).all( (timing.exists() implies doseAndRate.exists()) and (doseAndRate.exists() implies ( timing.exists() or asNeeded.ofType(boolean) = true or extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() )) )
FreeTextSingleDosageOnlyWarning	warning	MedicationRequest.dosageInstruction	If a dosage is given as pure free text, there should be exactly one Dosage element.	( (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage) ).exists(text.exists() and timing.empty() and doseAndRate.empty()) ) implies ( (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage) ).count() = 1 )
dos-1	error	MedicationRequest.dosageInstruction	AsNeededFor can only be set if AsNeeded is empty or true	extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').empty() or asNeeded.empty() or asNeeded
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()

Differential View

This structure is derived from MedicationRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest	This is an abstract profile. Ordering of medication for patient or group
MedicationRequest.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for extension.extension:renderedDosageInstruction	S This element must be supported.	0..1	(Complex)	Dosierungsanweisung URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction
MedicationRequest.Slices for extension.extension:renderedDosageInstruction.extension		0..0		Extension
MedicationRequest.Slices for extension.extension:renderedDosageInstruction.value[x]		0..1	markdown	Hinweis: In der ersten Ausbaustufe des dgMP ist nur einfacher Text (String) zulässig; Markdown wird nicht unterstützt.
MedicationRequest.Slices for extension.extension:generatedDosageInstructionsMeta	S This element must be supported.	0..1	(Complex)	Metadaten zu den generierten Dosierungsanweisungen URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
MedicationRequest.dosageInstruction		0..*	DosageDE	Angabe der Dosierinformationen strukturiert oder als Freitext
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MedicationRequest	This is an abstract profile. Ordering of medication for patient or group
MedicationRequest.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
MedicationRequest.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
MedicationRequest.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MedicationRequest.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
MedicationRequest.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
MedicationRequest.contained		0..*	Resource	Contained, inline Resources
MedicationRequest.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for extension.extension:renderedDosageInstruction	S This element must be supported.	0..1	(Complex)	Dosierungsanweisung URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction Constraints: ext-1
MedicationRequest.Slices for extension.extension:renderedDosageInstruction.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.Slices for extension.extension:renderedDosageInstruction.extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for extension.extension:renderedDosageInstruction.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction"
MedicationRequest.Slices for extension.extension:renderedDosageInstruction.value[x]		0..1	markdown	Hinweis: In der ersten Ausbaustufe des dgMP ist nur einfacher Text (String) zulässig; Markdown wird nicht unterstützt.
MedicationRequest.Slices for extension.extension:generatedDosageInstructionsMeta	S This element must be supported.	0..1	(Complex)	Metadaten zu den generierten Dosierungsanweisungen URL: http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta
MedicationRequest.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationRequest.identifier		0..*	Identifier	External ids for this request
MedicationRequest.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
MedicationRequest.statusReason		0..1	CodeableConcept	Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
MedicationRequest.intent	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order.
MedicationRequest.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.
MedicationRequest.priority	Σ This element is included in summaries.	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
MedicationRequest.doNotPerform	?! This element is a modifier element. Σ This element is included in summaries.	0..1	boolean	True if request is prohibiting action
MedicationRequest.reported[x]	Σ This element is included in summaries.	0..1		Reported rather than primary record
MedicationRequest.reported[x].reportedBoolean			boolean
MedicationRequest.reported[x].reportedReference			Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
MedicationRequest.medication[x]	Σ This element is included in summaries.	1..1		Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
MedicationRequest.medication[x].medicationCodeableConcept			CodeableConcept
MedicationRequest.medication[x].medicationReference			Reference(Medication)
MedicationRequest.subject	Σ This element is included in summaries.	1..1	Reference(Patient | Group)	Who or group medication request is for
MedicationRequest.encounter		0..1	Reference(Encounter)	Encounter created as part of encounter/admission/stay
MedicationRequest.supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication
MedicationRequest.authoredOn	Σ This element is included in summaries.	0..1	dateTime	When request was initially authored
MedicationRequest.requester	Σ This element is included in summaries.	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Who/What requested the Request
MedicationRequest.performer		0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration
MedicationRequest.performerType	Σ This element is included in summaries.	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.
MedicationRequest.recorder		0..1	Reference(Practitioner | PractitionerRole)	Person who entered the request
MedicationRequest.reasonCode		0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
MedicationRequest.reasonReference		0..*	Reference(Condition | Observation)	Condition or observation that supports why the prescription is being written
MedicationRequest.instantiatesCanonical	Σ This element is included in summaries.	0..*	canonical()	Instantiates FHIR protocol or definition
MedicationRequest.instantiatesUri	Σ This element is included in summaries.	0..*	uri	Instantiates external protocol or definition
MedicationRequest.basedOn	Σ This element is included in summaries.	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	What request fulfills
MedicationRequest.groupIdentifier	Σ This element is included in summaries.	0..1	Identifier	Composite request this is part of
MedicationRequest.courseOfTherapyType		0..1	CodeableConcept	Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
MedicationRequest.insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
MedicationRequest.note		0..*	Annotation	Information about the prescription
MedicationRequest.dosageInstruction	C	0..*	DosageDE	Angabe der Dosierinformationen strukturiert oder als Freitext Constraints: DosageStructuredOrFreeTextWarning, DosageStructuredRequiresBothWarning, DosageDoseUnitSameCodeWarning, DosageDoseValuePositiveWarning, DosageLimitsPositiveWarning, DosageFourSlotPatternInTextWarning, FreeTextSingleDosageOnlyWarning, AsNeededForRequiresAsNeededWarning, dos-1
MedicationRequest.dispenseRequest		0..1	BackboneElement	Medication supply authorization
MedicationRequest.dispenseRequest.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dispenseRequest.extension		0..*	Extension	Additional content defined by implementations
MedicationRequest.dispenseRequest.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dispenseRequest.initialFill		0..1	BackboneElement	First fill details
MedicationRequest.dispenseRequest.initialFill.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dispenseRequest.initialFill.extension		0..*	Extension	Additional content defined by implementations
MedicationRequest.dispenseRequest.initialFill.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dispenseRequest.initialFill.quantity	C	0..1	SimpleQuantity(4.0.1)	First fill quantity Constraints: sqty-1
MedicationRequest.dispenseRequest.initialFill.duration		0..1	Duration	First fill duration
MedicationRequest.dispenseRequest.dispenseInterval		0..1	Duration	Minimum period of time between dispenses
MedicationRequest.dispenseRequest.validityPeriod		0..1	Period	Time period supply is authorized for
MedicationRequest.dispenseRequest.numberOfRepeatsAllowed		0..1	unsignedInt	Number of refills authorized
MedicationRequest.dispenseRequest.quantity	C	0..1	SimpleQuantity(4.0.1)	Amount of medication to supply per dispense Constraints: sqty-1
MedicationRequest.dispenseRequest.expectedSupplyDuration		0..1	Duration	Number of days supply per dispense
MedicationRequest.dispenseRequest.performer		0..1	Reference(Organization)	Intended dispenser
MedicationRequest.substitution		0..1	BackboneElement	Any restrictions on medication substitution
MedicationRequest.substitution.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.substitution.extension		0..*	Extension	Additional content defined by implementations
MedicationRequest.substitution.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.substitution.allowed[x]		1..1		Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
MedicationRequest.substitution.allowed[x].allowedBoolean			boolean
MedicationRequest.substitution.allowed[x].allowedCodeableConcept			CodeableConcept
MedicationRequest.substitution.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.
MedicationRequest.priorPrescription		0..1	Reference(MedicationRequest)	An order/prescription that is being replaced
MedicationRequest.detectedIssue		0..*	Reference(DetectedIssue)	Clinical Issue with action
MedicationRequest.eventHistory		0..*	Reference(Provenance)	A list of events of interest in the lifecycle
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
MedicationRequest.status	Base	required	Medicationrequest status	📍4.0.1	FHIR Std.
MedicationRequest.statusReason	Base	example	Medication request status reason codes	📍4.0.1	FHIR Std.
MedicationRequest.intent	Base	required	Medication request intent	📍4.0.1	FHIR Std.
MedicationRequest.category	Base	example	Medication request category codes	📍4.0.1	FHIR Std.
MedicationRequest.priority	Base	required	Request priority	📍4.0.1	FHIR Std.
MedicationRequest.medication[x]	Base	example	SNOMED CT Medication Codes	📍4.0.1	FHIR Std.
MedicationRequest.performerType	Base	example	Procedure Performer Role Codes	📍4.0.1	FHIR Std.
MedicationRequest.reasonCode	Base	example	Condition/Problem/Diagnosis Codes	📍4.0.1	FHIR Std.
MedicationRequest.courseOfTherapyType	Base	example	Medication request course of therapy codes	📍4.0.1	FHIR Std.
MedicationRequest.substitution.​allowed[x]	Base	example	ActSubstanceAdminSubstitutionCode	📦3.0.0	THO v7.3
MedicationRequest.substitution.​reason	Base	example	SubstanceAdminSubstitutionReason	📦3.0.0	THO v7.3

Constraints

Id	Grade	Path(s)	Description	Expression
AsNeededForRequiresAsNeededWarning	warning	MedicationRequest.dosageInstruction	A reason for use (asNeededFor) should only be given together with asNeededBoolean = true.	extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() implies asNeeded.ofType(boolean) = true
DosageDoseUnitSameCodeWarning	warning	MedicationRequest.dosageInstruction	The dose unit should be the same across all dosages.	(%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).all( doseAndRate.exists() implies ( (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).doseAndRate.dose.ofType(Quantity).code | (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).doseAndRate.dose.ofType(Range).low.code | (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).doseAndRate.dose.ofType(Range).high.code ).distinct().count() = 1 )
DosageDoseValuePositiveWarning	warning	MedicationRequest.dosageInstruction	doseQuantity.value and doseRange.high.value should be greater than 0. The value 0 is additionally allowed for doseRange.low.value only.	doseAndRate.all( dose.ofType(Quantity).value.all($this > 0) and dose.ofType(Range).low.value.all($this >= 0) and dose.ofType(Range).high.value.all($this > 0) )
DosageFourSlotPatternInTextWarning	warning	MedicationRequest.dosageInstruction	A four-slot dosing schema (Viererschema, e.g. 1-1-1-1) was detected in Dosage.text. Please check whether it can be represented structurally.	text.exists() implies text.matches('.*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+\\s*[-–]\\s*\\d+.*').not()
DosageLimitsPositiveWarning	warning	MedicationRequest.dosageInstruction	The minimum interval between administrations (valueDuration.value) and maxDosePerPeriod (numerator.value, denominator.value) should be greater than 0.	modifierExtension.where( url = 'http://ig.fhir.de/igs/medication/StructureDefinition/MinimumIntervalBetweenAdministrations' ).value.ofType(Duration).value.all($this > 0) and maxDosePerPeriod.numerator.value.all($this > 0) and maxDosePerPeriod.denominator.value.all($this > 0)
DosageStructuredOrFreeTextWarning	warning	MedicationRequest.dosageInstruction	A dosage must be given either as free text only or as complete structured information only; mixing both is not allowed.	(%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).all( (text.exists() and timing.empty() and doseAndRate.empty()) or (text.empty() and (timing.exists() or doseAndRate.exists())) )
DosageStructuredRequiresBothWarning	warning	MedicationRequest.dosageInstruction	If a structured dosage is given, both timing and doseAndRate should be present. For pure as-needed dosages, doseAndRate may be given without timing.	(%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage)).all( (timing.exists() implies doseAndRate.exists()) and (doseAndRate.exists() implies ( timing.exists() or asNeeded.ofType(boolean) = true or extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').exists() )) )
FreeTextSingleDosageOnlyWarning	warning	MedicationRequest.dosageInstruction	If a dosage is given as pure free text, there should be exactly one Dosage element.	( (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage) ).exists(text.exists() and timing.empty() and doseAndRate.empty()) ) implies ( (%resource.ofType(MedicationRequest).dosageInstruction.combine(%resource.ofType(MedicationDispense).dosageInstruction).combine(%resource.ofType(MedicationStatement).dosage) ).count() = 1 )
dos-1	error	MedicationRequest.dosageInstruction	AsNeededFor can only be set if AsNeeded is empty or true	extension.where(url='http://hl7.org/fhir/5.0/StructureDefinition/extension-Dosage.asNeededFor').empty() or asNeeded.empty() or asNeeded
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.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity	The comparator is not used on a SimpleQuantity	comparator.empty()

This structure is derived from MedicationRequest

Summary

Must-Support: 2 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• Dosage DE (http://ig.fhir.de/igs/medication/StructureDefinition/DosageDE)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction
• http://ig.fhir.de/igs/medication/StructureDefinition/GeneratedDosageInstructionsMeta

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