NZ Shared Digital Health Record API
1.1.6 - release

NZ Shared Digital Health Record API, published by Health New Zealand. This guide is not an authorized publication; it is the continuous build for version 1.1.6 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/tewhatuora/fhir-sdhr/ and changes regularly. See the Directory of published versions

Resource Profile: SDHRMedicationRequest

Official URL: https://fhir-ig.digital.health.nz/sdhr/StructureDefinition/SDHRMedicationRequest Version: 1.1.6
Draft as of 2026-10-20 Computable Name: SDHRMedicationRequest

DRAFT PROFILE: MedicationRequest resource for Shared Digital Health Record. This profile constrains MedicationRequest to the SDHR subset of MDR medication request content.

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: doco
MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
MedicationRequest.id This element is included in summaries. 0..1 id MDR record identifier (SCID + item sequence number)
MedicationRequest.Slices for extension 0..* Extension Extension
Slice: Unordered, Closed 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:LongTermMedication 0..1 boolean NZePS Long Term Medication Indicator
URL: http://hl7.org.nz/fhir/StructureDefinition/nzeps-long-term-medication
MedicationRequest.Slices for extension.extension:InstructionsModified 0..1 boolean NZePS Patient Instructions Modification Indicator
URL: http://hl7.org.nz/fhir/StructureDefinition/nzeps-instructions-modified
MedicationRequest.Slices for extension.extension:MedicationModified 0..1 boolean NZePS Patient Medication Modification Indicator
URL: http://hl7.org.nz/fhir/StructureDefinition/nzeps-medication-modified
MedicationRequest.Slices for extension.extension:ItemStatus 0..1 code NZePS item status, including sub-status for active prescriptions
URL: http://hl7.org.nz/fhir/StructureDefinition/nzeps-item-status
MedicationRequest.identifier 0..* Identifier NZePS prescription item ID (SCID + item sequence number)
MedicationRequest.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
MedicationRequest.identifier.system This element is included in summaries. 1..1 uri The namespace for the identifier value
Required Pattern: https://standards.digital.health.nz/ns/nzeps-scid-item-id (extensions allowed)
MedicationRequest.status This element is a modifier element. This element is included in summaries. 1..1 code Status of the medication request
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. 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 Medication request usage category
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.Slices for medication[x] This element is included in summaries. 1..1 CodeableConcept Medication to be taken
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept This element is included in summaries. 1..1 CodeableConcept Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.extension 0..0 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.subject This element is included in summaries. 1..1 Reference(Patient) Patient for the medication request
MedicationRequest.subject.reference This element is included in summaries. C 1..1 string Must be an absolute URL reference to the patient on the NHI system. See constraints for details.
Constraints: nhi-url-format
MedicationRequest.subject.type This element is included in summaries. 1..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Required Pattern: Patient (extensions allowed)
MedicationRequest.supportingInformation 0..* Reference(Resource) Location or facility information supporting the request
MedicationRequest.authoredOn This element is included in summaries. 0..1 dateTime When the request was authored
MedicationRequest.requester This element is included in summaries. 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who requested the medication request
MedicationRequest.reasonCode 0..* CodeableConcept Reason for the medication request
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
MedicationRequest.reasonReference 0..* Reference(Condition | Observation) Reference supporting the medication request reason

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
MedicationRequest.status Base required Medicationrequest status 📍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.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
MedicationRequest.reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v7.4

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error **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()
nhi-url-format error MedicationRequest.subject.reference Reference must be an NHI Patient URL with format https://api.hip.digital.health.nz/fhir/nhi/v1/Patient/ZZZ1111 or ZZZ11AA matches('^https://api.hip.digital.health.nz/fhir/nhi/v1/Patient/[A-Z]{3}([0-9]{4}|[0-9]{2}[A-Z]{2})$')

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraints    Filter: doco
MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
MedicationRequest.id 0..1 id MDR record identifier (SCID + item sequence number)
MedicationRequest.meta
MedicationRequest.meta.id 0..0 Unique id for inter-element referencing
MedicationRequest.meta.extension 0..0 Extension
MedicationRequest.meta.source 0..0 Identifies where the resource comes from
MedicationRequest.meta.profile 0..0 Profiles this resource claims to conform to
MedicationRequest.meta.security 0..1 Coding Security Labels applied to this resource
MedicationRequest.meta.tag 0..0 Tags applied to this resource
MedicationRequest.implicitRules 0..0 A set of rules under which this content was created
MedicationRequest.language 0..0 Language of the resource content
MedicationRequest.text 0..0 Text summary of the resource, for human interpretation
MedicationRequest.contained 0..0 Contained, inline Resources
MedicationRequest.Slices for extension 0..* Extension Extension
Slice: Unordered, Closed 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:LongTermMedication 0..1 boolean NZePS Long Term Medication Indicator
URL: http://hl7.org.nz/fhir/StructureDefinition/nzeps-long-term-medication
MedicationRequest.Slices for extension.extension:InstructionsModified 0..1 boolean NZePS Patient Instructions Modification Indicator
URL: http://hl7.org.nz/fhir/StructureDefinition/nzeps-instructions-modified
MedicationRequest.Slices for extension.extension:MedicationModified 0..1 boolean NZePS Patient Medication Modification Indicator
URL: http://hl7.org.nz/fhir/StructureDefinition/nzeps-medication-modified
MedicationRequest.Slices for extension.extension:ItemStatus 0..1 code NZePS item status, including sub-status for active prescriptions
URL: http://hl7.org.nz/fhir/StructureDefinition/nzeps-item-status
MedicationRequest.modifierExtension 0..0 Extension
MedicationRequest.identifier 0..* Identifier NZePS prescription item ID (SCID + item sequence number)
MedicationRequest.identifier.system 1..1 uri The namespace for the identifier value
Required Pattern: https://standards.digital.health.nz/ns/nzeps-scid-item-id (extensions allowed)
MedicationRequest.status 1..1 code Status of the medication request
MedicationRequest.statusReason 0..0 Reason for current status
MedicationRequest.category 0..* CodeableConcept Medication request usage category
MedicationRequest.priority 0..0 routine | urgent | asap | stat
MedicationRequest.doNotPerform 0..0 True if request is prohibiting action
MedicationRequest.reported[x] 0..0 Reported rather than primary record
MedicationRequest.Slices for medication[x] 1..1 CodeableConcept Medication to be taken
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
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept 1..1 CodeableConcept Medication to be taken
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.id 0..0 Unique id for inter-element referencing
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.extension 0..0 Extension
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.id 0..0 Unique id for inter-element referencing
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.extension 0..0 Extension
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.version 0..0 Version of the system - if relevant
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.userSelected 0..0 If this coding was chosen directly by the user
MedicationRequest.subject 1..1 Reference(Patient) Patient for the medication request
MedicationRequest.subject.reference C 1..1 string Must be an absolute URL reference to the patient on the NHI system. See constraints for details.
Constraints: nhi-url-format
MedicationRequest.subject.type 1..1 uri Type the reference refers to (e.g. "Patient")
Required Pattern: Patient (extensions allowed)
MedicationRequest.subject.display 0..0 Text alternative for the resource
MedicationRequest.encounter 0..0 Encounter created as part of encounter/admission/stay
MedicationRequest.supportingInformation 0..* Reference(Resource) Location or facility information supporting the request
MedicationRequest.authoredOn 0..1 dateTime When the request was authored
MedicationRequest.requester 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who requested the medication request
MedicationRequest.performer 0..0 Intended performer of administration
MedicationRequest.performerType 0..0 Desired kind of performer of the medication administration
MedicationRequest.recorder 0..0 Person who entered the request
MedicationRequest.reasonCode 0..* CodeableConcept Reason for the medication request
MedicationRequest.reasonReference 0..* Reference(Condition | Observation) Reference supporting the medication request reason
MedicationRequest.instantiatesCanonical 0..0 Instantiates FHIR protocol or definition
MedicationRequest.instantiatesUri 0..0 Instantiates external protocol or definition
MedicationRequest.basedOn 0..0 What request fulfills
MedicationRequest.groupIdentifier 0..0 Composite request this is part of
MedicationRequest.courseOfTherapyType 0..0 Overall pattern of medication administration
MedicationRequest.insurance 0..0 Associated insurance coverage
MedicationRequest.note 0..0 Information about the prescription
MedicationRequest.dosageInstruction
MedicationRequest.dosageInstruction.id 0..0 Unique id for inter-element referencing
MedicationRequest.dosageInstruction.extension 0..0 Extension
MedicationRequest.dosageInstruction.modifierExtension 0..0 Extension
MedicationRequest.dosageInstruction.sequence 0..0 The order of the dosage instructions
MedicationRequest.dosageInstruction.text 0..0 Free text dosage instructions e.g. SIG
MedicationRequest.dosageInstruction.additionalInstruction 0..0 Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
MedicationRequest.dosageInstruction.patientInstruction 0..1 string Patient instructions
MedicationRequest.dosageInstruction.timing 0..0 When medication should be administered
MedicationRequest.dosageInstruction.asNeeded[x] 0..0 Take "as needed" (for x)
MedicationRequest.dosageInstruction.site 0..0 Body site to administer to
MedicationRequest.dosageInstruction.method 0..0 Technique for administering medication
MedicationRequest.dosageInstruction.doseAndRate 0..0 Amount of medication administered
MedicationRequest.dosageInstruction.maxDosePerPeriod 0..0 Upper limit on medication per unit of time
MedicationRequest.dosageInstruction.maxDosePerAdministration 0..0 Upper limit on medication per administration
MedicationRequest.dosageInstruction.maxDosePerLifetime 0..0 Upper limit on medication per lifetime of the patient
MedicationRequest.dispenseRequest
MedicationRequest.dispenseRequest.id 0..0 Unique id for inter-element referencing
MedicationRequest.dispenseRequest.extension 0..0 Extension
MedicationRequest.dispenseRequest.modifierExtension 0..0 Extension
MedicationRequest.dispenseRequest.initialFill 0..0 First fill details
MedicationRequest.dispenseRequest.dispenseInterval 0..0 Minimum period of time between dispenses
MedicationRequest.dispenseRequest.validityPeriod
MedicationRequest.dispenseRequest.validityPeriod.id 0..0 Unique id for inter-element referencing
MedicationRequest.dispenseRequest.validityPeriod.extension 0..0 Extension
MedicationRequest.dispenseRequest.validityPeriod.start 0..0 Starting time with inclusive boundary
MedicationRequest.dispenseRequest.validityPeriod.end 0..1 dateTime Prescription expiry date
MedicationRequest.dispenseRequest.numberOfRepeatsAllowed 0..1 unsignedInt Number of repeats allowed
MedicationRequest.dispenseRequest.quantity 0..1 SimpleQuantity(4.0.1) Dispense quantity
MedicationRequest.dispenseRequest.expectedSupplyDuration 0..0 Number of days supply per dispense
MedicationRequest.dispenseRequest.performer 0..0 Intended dispenser
MedicationRequest.substitution 0..0 Any restrictions on medication substitution
MedicationRequest.priorPrescription 0..0 An order/prescription that is being replaced
MedicationRequest.detectedIssue 0..0 Clinical Issue with action
MedicationRequest.eventHistory 0..0 A list of events of interest in the lifecycle

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
nhi-url-format error MedicationRequest.subject.reference Reference must be an NHI Patient URL with format https://api.hip.digital.health.nz/fhir/nhi/v1/Patient/ZZZ1111 or ZZZ11AA matches('^https://api.hip.digital.health.nz/fhir/nhi/v1/Patient/[A-Z]{3}([0-9]{4}|[0-9]{2}[A-Z]{2})$')
NameFlagsCard.TypeDescription & Constraints    Filter: doco
MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
MedicationRequest.id This element is included in summaries. 0..1 id MDR record identifier (SCID + item sequence number)
MedicationRequest.meta This element is included in summaries. 0..1 Meta Metadata about the resource
MedicationRequest.meta.extension 0..0 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.meta.versionId This element is included in summaries. 0..1 id Version specific identifier
MedicationRequest.meta.lastUpdated This element is included in summaries. 0..1 instant When the resource version last changed
MedicationRequest.meta.security This element is included in summaries. 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
MedicationRequest.Slices for extension 0..* Extension Extension
Slice: Unordered, Closed 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:LongTermMedication 0..1 boolean NZePS Long Term Medication Indicator
URL: http://hl7.org.nz/fhir/StructureDefinition/nzeps-long-term-medication
MedicationRequest.Slices for extension.extension:InstructionsModified 0..1 boolean NZePS Patient Instructions Modification Indicator
URL: http://hl7.org.nz/fhir/StructureDefinition/nzeps-instructions-modified
MedicationRequest.Slices for extension.extension:MedicationModified 0..1 boolean NZePS Patient Medication Modification Indicator
URL: http://hl7.org.nz/fhir/StructureDefinition/nzeps-medication-modified
MedicationRequest.Slices for extension.extension:ItemStatus 0..1 code NZePS item status, including sub-status for active prescriptions
URL: http://hl7.org.nz/fhir/StructureDefinition/nzeps-item-status
MedicationRequest.identifier 0..* Identifier NZePS prescription item ID (SCID + item sequence number)
MedicationRequest.identifier.id 0..1 string Unique id for inter-element referencing
MedicationRequest.identifier.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
MedicationRequest.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
MedicationRequest.identifier.type This element is included in summaries. 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
MedicationRequest.identifier.system This element is included in summaries. 1..1 uri The namespace for the identifier value
Required Pattern: https://standards.digital.health.nz/ns/nzeps-scid-item-id (extensions allowed)
MedicationRequest.identifier.value This element is included in summaries. 0..1 string The value that is unique
Example General: 123456
MedicationRequest.identifier.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
MedicationRequest.identifier.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
MedicationRequest.status This element is a modifier element. This element is included in summaries. 1..1 code Status of the medication request
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. 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 Medication request usage category
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.Slices for medication[x] This element is included in summaries. 1..1 CodeableConcept Medication to be taken
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept This element is included in summaries. 1..1 CodeableConcept Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.extension 0..0 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 medication[x].medication[x]:medicationCodeableConcept.coding This element is included in summaries. 0..* Coding Code defined by a terminology system
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.extension 0..0 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 medication[x].medication[x]:medicationCodeableConcept.coding.system This element is included in summaries. 0..1 uri Identity of the terminology system
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.code This element is included in summaries. 0..1 code Symbol in syntax defined by the system
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.display This element is included in summaries. 0..1 string Representation defined by the system
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.text This element is included in summaries. 0..1 string Plain text representation of the concept
MedicationRequest.subject This element is included in summaries. 1..1 Reference(Patient) Patient for the medication request
MedicationRequest.subject.id 0..1 string Unique id for inter-element referencing
MedicationRequest.subject.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
MedicationRequest.subject.reference This element is included in summaries. C 1..1 string Must be an absolute URL reference to the patient on the NHI system. See constraints for details.
Constraints: nhi-url-format
MedicationRequest.subject.type This element is included in summaries. 1..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Required Pattern: Patient (extensions allowed)
MedicationRequest.subject.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known
MedicationRequest.supportingInformation 0..* Reference(Resource) Location or facility information supporting the request
MedicationRequest.authoredOn This element is included in summaries. 0..1 dateTime When the request was authored
MedicationRequest.requester This element is included in summaries. 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who requested the medication request
MedicationRequest.reasonCode 0..* CodeableConcept Reason for the medication request
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
MedicationRequest.reasonReference 0..* Reference(Condition | Observation) Reference supporting the medication request reason
MedicationRequest.dosageInstruction 0..* Dosage How the medication should be taken
MedicationRequest.dosageInstruction.extension 0..0 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.dosageInstruction.patientInstruction This element is included in summaries. 0..1 string Patient instructions
MedicationRequest.dosageInstruction.route This element is included in summaries. 0..1 CodeableConcept How drug should enter body
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.
MedicationRequest.dispenseRequest 0..1 BackboneElement Medication supply authorization
MedicationRequest.dispenseRequest.validityPeriod 0..1 Period Time period supply is authorized for
MedicationRequest.dispenseRequest.validityPeriod.extension 0..0 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.dispenseRequest.validityPeriod.end This element is included in summaries. C 0..1 dateTime Prescription expiry date
MedicationRequest.dispenseRequest.numberOfRepeatsAllowed 0..1 unsignedInt Number of repeats allowed
MedicationRequest.dispenseRequest.quantity C 0..1 SimpleQuantity(4.0.1) Dispense quantity
Constraints: sqty-1

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
MedicationRequest.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
MedicationRequest.identifier.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
MedicationRequest.status Base required Medicationrequest status 📍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.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
MedicationRequest.reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​route Base example SNOMED CT Route 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.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v7.4

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error **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()
nhi-url-format error MedicationRequest.subject.reference Reference must be an NHI Patient URL with format https://api.hip.digital.health.nz/fhir/nhi/v1/Patient/ZZZ1111 or ZZZ11AA matches('^https://api.hip.digital.health.nz/fhir/nhi/v1/Patient/[A-Z]{3}([0-9]{4}|[0-9]{2}[A-Z]{2})$')
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

Mandatory: 3 elements(1 nested mandatory element)
Prohibited: 60 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of MedicationRequest.medication[x]

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
MedicationRequest.id This element is included in summaries. 0..1 id MDR record identifier (SCID + item sequence number)
MedicationRequest.Slices for extension 0..* Extension Extension
Slice: Unordered, Closed 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:LongTermMedication 0..1 boolean NZePS Long Term Medication Indicator
URL: http://hl7.org.nz/fhir/StructureDefinition/nzeps-long-term-medication
MedicationRequest.Slices for extension.extension:InstructionsModified 0..1 boolean NZePS Patient Instructions Modification Indicator
URL: http://hl7.org.nz/fhir/StructureDefinition/nzeps-instructions-modified
MedicationRequest.Slices for extension.extension:MedicationModified 0..1 boolean NZePS Patient Medication Modification Indicator
URL: http://hl7.org.nz/fhir/StructureDefinition/nzeps-medication-modified
MedicationRequest.Slices for extension.extension:ItemStatus 0..1 code NZePS item status, including sub-status for active prescriptions
URL: http://hl7.org.nz/fhir/StructureDefinition/nzeps-item-status
MedicationRequest.identifier 0..* Identifier NZePS prescription item ID (SCID + item sequence number)
MedicationRequest.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
MedicationRequest.identifier.system This element is included in summaries. 1..1 uri The namespace for the identifier value
Required Pattern: https://standards.digital.health.nz/ns/nzeps-scid-item-id (extensions allowed)
MedicationRequest.status This element is a modifier element. This element is included in summaries. 1..1 code Status of the medication request
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. 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 Medication request usage category
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.Slices for medication[x] This element is included in summaries. 1..1 CodeableConcept Medication to be taken
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept This element is included in summaries. 1..1 CodeableConcept Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.extension 0..0 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.subject This element is included in summaries. 1..1 Reference(Patient) Patient for the medication request
MedicationRequest.subject.reference This element is included in summaries. C 1..1 string Must be an absolute URL reference to the patient on the NHI system. See constraints for details.
Constraints: nhi-url-format
MedicationRequest.subject.type This element is included in summaries. 1..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Required Pattern: Patient (extensions allowed)
MedicationRequest.supportingInformation 0..* Reference(Resource) Location or facility information supporting the request
MedicationRequest.authoredOn This element is included in summaries. 0..1 dateTime When the request was authored
MedicationRequest.requester This element is included in summaries. 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who requested the medication request
MedicationRequest.reasonCode 0..* CodeableConcept Reason for the medication request
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
MedicationRequest.reasonReference 0..* Reference(Condition | Observation) Reference supporting the medication request reason

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
MedicationRequest.status Base required Medicationrequest status 📍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.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
MedicationRequest.reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v7.4

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error **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()
nhi-url-format error MedicationRequest.subject.reference Reference must be an NHI Patient URL with format https://api.hip.digital.health.nz/fhir/nhi/v1/Patient/ZZZ1111 or ZZZ11AA matches('^https://api.hip.digital.health.nz/fhir/nhi/v1/Patient/[A-Z]{3}([0-9]{4}|[0-9]{2}[A-Z]{2})$')

Differential View

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraints    Filter: doco
MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
MedicationRequest.id 0..1 id MDR record identifier (SCID + item sequence number)
MedicationRequest.meta
MedicationRequest.meta.id 0..0 Unique id for inter-element referencing
MedicationRequest.meta.extension 0..0 Extension
MedicationRequest.meta.source 0..0 Identifies where the resource comes from
MedicationRequest.meta.profile 0..0 Profiles this resource claims to conform to
MedicationRequest.meta.security 0..1 Coding Security Labels applied to this resource
MedicationRequest.meta.tag 0..0 Tags applied to this resource
MedicationRequest.implicitRules 0..0 A set of rules under which this content was created
MedicationRequest.language 0..0 Language of the resource content
MedicationRequest.text 0..0 Text summary of the resource, for human interpretation
MedicationRequest.contained 0..0 Contained, inline Resources
MedicationRequest.Slices for extension 0..* Extension Extension
Slice: Unordered, Closed 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:LongTermMedication 0..1 boolean NZePS Long Term Medication Indicator
URL: http://hl7.org.nz/fhir/StructureDefinition/nzeps-long-term-medication
MedicationRequest.Slices for extension.extension:InstructionsModified 0..1 boolean NZePS Patient Instructions Modification Indicator
URL: http://hl7.org.nz/fhir/StructureDefinition/nzeps-instructions-modified
MedicationRequest.Slices for extension.extension:MedicationModified 0..1 boolean NZePS Patient Medication Modification Indicator
URL: http://hl7.org.nz/fhir/StructureDefinition/nzeps-medication-modified
MedicationRequest.Slices for extension.extension:ItemStatus 0..1 code NZePS item status, including sub-status for active prescriptions
URL: http://hl7.org.nz/fhir/StructureDefinition/nzeps-item-status
MedicationRequest.modifierExtension 0..0 Extension
MedicationRequest.identifier 0..* Identifier NZePS prescription item ID (SCID + item sequence number)
MedicationRequest.identifier.system 1..1 uri The namespace for the identifier value
Required Pattern: https://standards.digital.health.nz/ns/nzeps-scid-item-id (extensions allowed)
MedicationRequest.status 1..1 code Status of the medication request
MedicationRequest.statusReason 0..0 Reason for current status
MedicationRequest.category 0..* CodeableConcept Medication request usage category
MedicationRequest.priority 0..0 routine | urgent | asap | stat
MedicationRequest.doNotPerform 0..0 True if request is prohibiting action
MedicationRequest.reported[x] 0..0 Reported rather than primary record
MedicationRequest.Slices for medication[x] 1..1 CodeableConcept Medication to be taken
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
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept 1..1 CodeableConcept Medication to be taken
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.id 0..0 Unique id for inter-element referencing
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.extension 0..0 Extension
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.id 0..0 Unique id for inter-element referencing
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.extension 0..0 Extension
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.version 0..0 Version of the system - if relevant
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.userSelected 0..0 If this coding was chosen directly by the user
MedicationRequest.subject 1..1 Reference(Patient) Patient for the medication request
MedicationRequest.subject.reference C 1..1 string Must be an absolute URL reference to the patient on the NHI system. See constraints for details.
Constraints: nhi-url-format
MedicationRequest.subject.type 1..1 uri Type the reference refers to (e.g. "Patient")
Required Pattern: Patient (extensions allowed)
MedicationRequest.subject.display 0..0 Text alternative for the resource
MedicationRequest.encounter 0..0 Encounter created as part of encounter/admission/stay
MedicationRequest.supportingInformation 0..* Reference(Resource) Location or facility information supporting the request
MedicationRequest.authoredOn 0..1 dateTime When the request was authored
MedicationRequest.requester 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who requested the medication request
MedicationRequest.performer 0..0 Intended performer of administration
MedicationRequest.performerType 0..0 Desired kind of performer of the medication administration
MedicationRequest.recorder 0..0 Person who entered the request
MedicationRequest.reasonCode 0..* CodeableConcept Reason for the medication request
MedicationRequest.reasonReference 0..* Reference(Condition | Observation) Reference supporting the medication request reason
MedicationRequest.instantiatesCanonical 0..0 Instantiates FHIR protocol or definition
MedicationRequest.instantiatesUri 0..0 Instantiates external protocol or definition
MedicationRequest.basedOn 0..0 What request fulfills
MedicationRequest.groupIdentifier 0..0 Composite request this is part of
MedicationRequest.courseOfTherapyType 0..0 Overall pattern of medication administration
MedicationRequest.insurance 0..0 Associated insurance coverage
MedicationRequest.note 0..0 Information about the prescription
MedicationRequest.dosageInstruction
MedicationRequest.dosageInstruction.id 0..0 Unique id for inter-element referencing
MedicationRequest.dosageInstruction.extension 0..0 Extension
MedicationRequest.dosageInstruction.modifierExtension 0..0 Extension
MedicationRequest.dosageInstruction.sequence 0..0 The order of the dosage instructions
MedicationRequest.dosageInstruction.text 0..0 Free text dosage instructions e.g. SIG
MedicationRequest.dosageInstruction.additionalInstruction 0..0 Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
MedicationRequest.dosageInstruction.patientInstruction 0..1 string Patient instructions
MedicationRequest.dosageInstruction.timing 0..0 When medication should be administered
MedicationRequest.dosageInstruction.asNeeded[x] 0..0 Take "as needed" (for x)
MedicationRequest.dosageInstruction.site 0..0 Body site to administer to
MedicationRequest.dosageInstruction.method 0..0 Technique for administering medication
MedicationRequest.dosageInstruction.doseAndRate 0..0 Amount of medication administered
MedicationRequest.dosageInstruction.maxDosePerPeriod 0..0 Upper limit on medication per unit of time
MedicationRequest.dosageInstruction.maxDosePerAdministration 0..0 Upper limit on medication per administration
MedicationRequest.dosageInstruction.maxDosePerLifetime 0..0 Upper limit on medication per lifetime of the patient
MedicationRequest.dispenseRequest
MedicationRequest.dispenseRequest.id 0..0 Unique id for inter-element referencing
MedicationRequest.dispenseRequest.extension 0..0 Extension
MedicationRequest.dispenseRequest.modifierExtension 0..0 Extension
MedicationRequest.dispenseRequest.initialFill 0..0 First fill details
MedicationRequest.dispenseRequest.dispenseInterval 0..0 Minimum period of time between dispenses
MedicationRequest.dispenseRequest.validityPeriod
MedicationRequest.dispenseRequest.validityPeriod.id 0..0 Unique id for inter-element referencing
MedicationRequest.dispenseRequest.validityPeriod.extension 0..0 Extension
MedicationRequest.dispenseRequest.validityPeriod.start 0..0 Starting time with inclusive boundary
MedicationRequest.dispenseRequest.validityPeriod.end 0..1 dateTime Prescription expiry date
MedicationRequest.dispenseRequest.numberOfRepeatsAllowed 0..1 unsignedInt Number of repeats allowed
MedicationRequest.dispenseRequest.quantity 0..1 SimpleQuantity(4.0.1) Dispense quantity
MedicationRequest.dispenseRequest.expectedSupplyDuration 0..0 Number of days supply per dispense
MedicationRequest.dispenseRequest.performer 0..0 Intended dispenser
MedicationRequest.substitution 0..0 Any restrictions on medication substitution
MedicationRequest.priorPrescription 0..0 An order/prescription that is being replaced
MedicationRequest.detectedIssue 0..0 Clinical Issue with action
MedicationRequest.eventHistory 0..0 A list of events of interest in the lifecycle

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
nhi-url-format error MedicationRequest.subject.reference Reference must be an NHI Patient URL with format https://api.hip.digital.health.nz/fhir/nhi/v1/Patient/ZZZ1111 or ZZZ11AA matches('^https://api.hip.digital.health.nz/fhir/nhi/v1/Patient/[A-Z]{3}([0-9]{4}|[0-9]{2}[A-Z]{2})$')

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
MedicationRequest.id This element is included in summaries. 0..1 id MDR record identifier (SCID + item sequence number)
MedicationRequest.meta This element is included in summaries. 0..1 Meta Metadata about the resource
MedicationRequest.meta.extension 0..0 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.meta.versionId This element is included in summaries. 0..1 id Version specific identifier
MedicationRequest.meta.lastUpdated This element is included in summaries. 0..1 instant When the resource version last changed
MedicationRequest.meta.security This element is included in summaries. 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
MedicationRequest.Slices for extension 0..* Extension Extension
Slice: Unordered, Closed 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:LongTermMedication 0..1 boolean NZePS Long Term Medication Indicator
URL: http://hl7.org.nz/fhir/StructureDefinition/nzeps-long-term-medication
MedicationRequest.Slices for extension.extension:InstructionsModified 0..1 boolean NZePS Patient Instructions Modification Indicator
URL: http://hl7.org.nz/fhir/StructureDefinition/nzeps-instructions-modified
MedicationRequest.Slices for extension.extension:MedicationModified 0..1 boolean NZePS Patient Medication Modification Indicator
URL: http://hl7.org.nz/fhir/StructureDefinition/nzeps-medication-modified
MedicationRequest.Slices for extension.extension:ItemStatus 0..1 code NZePS item status, including sub-status for active prescriptions
URL: http://hl7.org.nz/fhir/StructureDefinition/nzeps-item-status
MedicationRequest.identifier 0..* Identifier NZePS prescription item ID (SCID + item sequence number)
MedicationRequest.identifier.id 0..1 string Unique id for inter-element referencing
MedicationRequest.identifier.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
MedicationRequest.identifier.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
MedicationRequest.identifier.type This element is included in summaries. 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
MedicationRequest.identifier.system This element is included in summaries. 1..1 uri The namespace for the identifier value
Required Pattern: https://standards.digital.health.nz/ns/nzeps-scid-item-id (extensions allowed)
MedicationRequest.identifier.value This element is included in summaries. 0..1 string The value that is unique
Example General: 123456
MedicationRequest.identifier.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
MedicationRequest.identifier.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
MedicationRequest.status This element is a modifier element. This element is included in summaries. 1..1 code Status of the medication request
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. 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 Medication request usage category
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.Slices for medication[x] This element is included in summaries. 1..1 CodeableConcept Medication to be taken
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept This element is included in summaries. 1..1 CodeableConcept Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.extension 0..0 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 medication[x].medication[x]:medicationCodeableConcept.coding This element is included in summaries. 0..* Coding Code defined by a terminology system
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.extension 0..0 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 medication[x].medication[x]:medicationCodeableConcept.coding.system This element is included in summaries. 0..1 uri Identity of the terminology system
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.code This element is included in summaries. 0..1 code Symbol in syntax defined by the system
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding.display This element is included in summaries. 0..1 string Representation defined by the system
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.text This element is included in summaries. 0..1 string Plain text representation of the concept
MedicationRequest.subject This element is included in summaries. 1..1 Reference(Patient) Patient for the medication request
MedicationRequest.subject.id 0..1 string Unique id for inter-element referencing
MedicationRequest.subject.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
MedicationRequest.subject.reference This element is included in summaries. C 1..1 string Must be an absolute URL reference to the patient on the NHI system. See constraints for details.
Constraints: nhi-url-format
MedicationRequest.subject.type This element is included in summaries. 1..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
Required Pattern: Patient (extensions allowed)
MedicationRequest.subject.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known
MedicationRequest.supportingInformation 0..* Reference(Resource) Location or facility information supporting the request
MedicationRequest.authoredOn This element is included in summaries. 0..1 dateTime When the request was authored
MedicationRequest.requester This element is included in summaries. 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who requested the medication request
MedicationRequest.reasonCode 0..* CodeableConcept Reason for the medication request
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
MedicationRequest.reasonReference 0..* Reference(Condition | Observation) Reference supporting the medication request reason
MedicationRequest.dosageInstruction 0..* Dosage How the medication should be taken
MedicationRequest.dosageInstruction.extension 0..0 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.dosageInstruction.patientInstruction This element is included in summaries. 0..1 string Patient instructions
MedicationRequest.dosageInstruction.route This element is included in summaries. 0..1 CodeableConcept How drug should enter body
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.
MedicationRequest.dispenseRequest 0..1 BackboneElement Medication supply authorization
MedicationRequest.dispenseRequest.validityPeriod 0..1 Period Time period supply is authorized for
MedicationRequest.dispenseRequest.validityPeriod.extension 0..0 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.dispenseRequest.validityPeriod.end This element is included in summaries. C 0..1 dateTime Prescription expiry date
MedicationRequest.dispenseRequest.numberOfRepeatsAllowed 0..1 unsignedInt Number of repeats allowed
MedicationRequest.dispenseRequest.quantity C 0..1 SimpleQuantity(4.0.1) Dispense quantity
Constraints: sqty-1

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
MedicationRequest.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
MedicationRequest.identifier.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
MedicationRequest.status Base required Medicationrequest status 📍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.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.subject.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
MedicationRequest.reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​route Base example SNOMED CT Route 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.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v7.4

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error **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()
nhi-url-format error MedicationRequest.subject.reference Reference must be an NHI Patient URL with format https://api.hip.digital.health.nz/fhir/nhi/v1/Patient/ZZZ1111 or ZZZ11AA matches('^https://api.hip.digital.health.nz/fhir/nhi/v1/Patient/[A-Z]{3}([0-9]{4}|[0-9]{2}[A-Z]{2})$')
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

Mandatory: 3 elements(1 nested mandatory element)
Prohibited: 60 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of MedicationRequest.medication[x]

 

Other representations of profile: CSV, Excel, Schematron