Medication Prescription and Dispense (MPD)
0.1.0 - ci-build International flag

Medication Prescription and Dispense (MPD), published by Integrating the Healthcare Enterprise (IHE). This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/pharm-mpd/tree/master and changes regularly. See the Directory of published versions

Resource Profile: IHE Medication Order

Official URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/IHEMedicationOrder Version: 0.1.0
Active as of 2025-04-19 Computable Name: IHEMedicationOrder

Copyright/Legal: IHE http://www.ihe.net/Governance/#Intellectual_Property

IHE Medication Order profile

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:offLabel 0..1 (Complex) Indicates that the prescriber has knowingly prescribed the medication for an indication, age group, dosage, or route of administration that is not approved by the regulatory agencies and is not mentioned in the prescribing information for the product.
URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... identifier 0..* Identifier Prescription/prescribed item ID
ele-1: All FHIR elements must have a @value or children
... groupIdentifier SΣ 0..1 Identifier Prescription this is part of. Not needed if a presciption includes only one prescribed item.
ele-1: All FHIR elements must have a @value or children
... status ?!SΣ 1..1 code Status of the order
Binding: MedicationrequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.


ele-1: All FHIR elements must have a @value or children
... statusReason S 0..1 CodeableConcept Reason for current status
Binding: MedicationRequestStatusReasonCodes (example): Identifies the reasons for a given status.


ele-1: All FHIR elements must have a @value or children
... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: MedicationRequestIntent (required): The kind of medication order.


ele-1: All FHIR elements must have a @value or children
... category S 0..* CodeableConcept Grouping or category of medication request
Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication is to be consumed or administered.


ele-1: All FHIR elements must have a @value or children
... doNotPerform ?!Σ 0..1 boolean True if patient is to stop taking or not to start taking the medication
ele-1: All FHIR elements must have a @value or children
... medication SΣ 1..1 CodeableReference(IHE Medication) Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.


ele-1: All FHIR elements must have a @value or children
... subject SΣ 1..1 Reference(Patient | Group) Individual or group for whom the medication has been requested
ele-1: All FHIR elements must have a @value or children
... authoredOn SΣ 1..1 dateTime When request was initially authored
ele-1: All FHIR elements must have a @value or children
... requester Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/What requested the Request
ele-1: All FHIR elements must have a @value or children
... recorder S 0..1 Reference(Practitioner | PractitionerRole) Person who entered the request
ele-1: All FHIR elements must have a @value or children
... reason S 0..* CodeableReference(Condition | Observation) Reason or indication for ordering or not ordering the medication
Binding: ConditionProblemDiagnosisCodes (example): A coded concept indicating why the medication was ordered.


ele-1: All FHIR elements must have a @value or children
... note S 0..* Annotation Information about the prescription
ele-1: All FHIR elements must have a @value or children
... effectiveDosePeriod S 0..1 Period Period over which the medication is to be taken
ele-1: All FHIR elements must have a @value or children
... dosageInstruction S 0..* Dosage How the medication should be taken.
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... text Σ 0..1 string Free text dosage instructions
ele-1: All FHIR elements must have a @value or children
.... patientInstruction SΣ 0..1 string Patient or consumer oriented instructions
ele-1: All FHIR elements must have a @value or children
.... timing Σ 0..1 Timing Administration schedule
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... code Σ 0..1 CodeableConcept A code for the timing schedule.
Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.


ele-1: All FHIR elements must have a @value or children
.... route Σ 0..1 CodeableConcept Route of administration
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.


ele-1: All FHIR elements must have a @value or children
... dispenseRequest 0..1 BackboneElement Medication supply authorization
ele-1: All FHIR elements must have a @value or children
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... extension:prescribedQuantity 0..1 Quantity Overall amount of product prescribed, independent from the number of repeats.
URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medicationrequest-prescribedQuantity
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... validityPeriod S 0..1 Period Time period supply is authorized for
ele-1: All FHIR elements must have a @value or children
... substitution S 0..1 BackboneElement Any restrictions on medication substitution
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... allowed[x] 1..1 Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (preferred): Identifies the type of substitution allowed.


ele-1: All FHIR elements must have a @value or children
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.statusrequiredMedicationrequestStatus
http://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0
from the FHIR Standard
MedicationRequest.statusReasonexampleMedicationRequestStatusReasonCodes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
from the FHIR Standard
MedicationRequest.intentrequiredMedicationRequestIntent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0
from the FHIR Standard
MedicationRequest.categoryexampleMedicationRequestAdministrationLocationCodes
http://hl7.org/fhir/ValueSet/medicationrequest-admin-location
from the FHIR Standard
MedicationRequest.medicationexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationRequest.reasonexampleConditionProblemDiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.codepreferredTimingAbbreviation
http://hl7.org/fhir/ValueSet/timing-abbreviation
from the FHIR Standard
MedicationRequest.dosageInstruction.routeexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationRequest.substitution.allowed[x]preferredActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorMedicationRequestIf 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-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:offLabel 0..1 (Complex) Indicates that the prescriber has knowingly prescribed the medication for an indication, age group, dosage, or route of administration that is not approved by the regulatory agencies and is not mentioned in the prescribing information for the product.
URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel
... identifier 0..* Identifier Prescription/prescribed item ID
... groupIdentifier S 0..1 Identifier Prescription this is part of. Not needed if a presciption includes only one prescribed item.
... statusReason S 0..1 CodeableConcept Reason for current status
... category S 0..* CodeableConcept Grouping or category of medication request
... medication S 1..1 CodeableReference(IHE Medication) Medication to be taken
... subject S 1..1 Reference(Patient | Group) Individual or group for whom the medication has been requested
... authoredOn S 1..1 dateTime When request was initially authored
... requester 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/What requested the Request
... recorder S 0..1 Reference(Practitioner | PractitionerRole) Person who entered the request
... reason S 0..* CodeableReference(Condition | Observation) Reason or indication for ordering or not ordering the medication
... note S 0..* Annotation Information about the prescription
... effectiveDosePeriod S 0..1 Period Period over which the medication is to be taken
... dosageInstruction S 0..* Dosage How the medication should be taken.
.... text 0..1 string Free text dosage instructions
.... patientInstruction S 0..1 string Patient or consumer oriented instructions
.... timing 0..1 Timing Administration schedule
..... repeat
...... duration 0..1 decimal Duration of the treatment
...... frequency 0..1 positiveInt Frequency times per period
...... period 0..1 decimal Duration of time over which repetitions are to occur
...... periodUnit 0..1 code Unit of the period (e.g. day)
..... code 0..1 CodeableConcept A code for the timing schedule.
.... route 0..1 CodeableConcept Route of administration
.... doseAndRate
..... Slices for dose[x] 0..1 Range, SimpleQuantity Amount of medication per dose
Slice: Unordered, Open by type:$this
...... dose[x]:doseQuantity 0..1 SimpleQuantity Amount of medication per dose
... dispenseRequest
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:prescribedQuantity 0..1 Quantity Overall amount of product prescribed, independent from the number of repeats.
URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medicationrequest-prescribedQuantity
.... validityPeriod S 0..1 Period Time period supply is authorized for
... substitution S 0..1 BackboneElement Any restrictions on medication substitution

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language

Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:offLabel 0..1 (Complex) Indicates that the prescriber has knowingly prescribed the medication for an indication, age group, dosage, or route of administration that is not approved by the regulatory agencies and is not mentioned in the prescribing information for the product.
URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier Prescription/prescribed item ID
... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) A plan or request that is fulfilled in whole or in part by this medication request
... priorPrescription 0..1 Reference(MedicationRequest) Reference to an order/prescription that is being replaced by this MedicationRequest
... groupIdentifier SΣ 0..1 Identifier Prescription this is part of. Not needed if a presciption includes only one prescribed item.
... status ?!SΣ 1..1 code Status of the order
Binding: MedicationrequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.

... statusReason S 0..1 CodeableConcept Reason for current status
Binding: MedicationRequestStatusReasonCodes (example): Identifies the reasons for a given status.

... statusChanged 0..1 dateTime When the status was changed
... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: MedicationRequestIntent (required): The kind of medication order.

... category S 0..* CodeableConcept Grouping or category of medication request
Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication is to be consumed or administered.


... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ 0..1 boolean True if patient is to stop taking or not to start taking the medication
... medication SΣ 1..1 CodeableReference(IHE Medication) Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.

... subject SΣ 1..1 Reference(Patient | Group) Individual or group for whom the medication has been requested
... informationSource 0..* Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) The person or organization who provided the information about this request, if the source is someone other than the requestor
... encounter 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support fulfilling of the medication
... authoredOn SΣ 1..1 dateTime When request was initially authored
... requester Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/What requested the Request
... reported Σ 0..1 boolean Reported rather than primary record
... performerType Σ 0..1 CodeableConcept Desired kind of performer of the medication administration
Binding: MedicationIntendedPerformerRole (extensible): Identifies the type of individual that is desired to administer the medication.

... performer 0..* Reference(Practitioner | PractitionerRole | Organization | Patient | DeviceDefinition | RelatedPerson | CareTeam | HealthcareService) Intended performer of administration
... device 0..* CodeableReference(DeviceDefinition) Intended type of device for the administration
... recorder S 0..1 Reference(Practitioner | PractitionerRole) Person who entered the request
... reason S 0..* CodeableReference(Condition | Observation) Reason or indication for ordering or not ordering the medication
Binding: ConditionProblemDiagnosisCodes (example): A coded concept indicating why the medication was ordered.


... courseOfTherapyType 0..1 CodeableConcept Overall pattern of medication administration
Binding: MedicationRequestCourseOfTherapyCodes (extensible): Identifies the overall pattern of medication administratio.

... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... note S 0..* Annotation Information about the prescription
... renderedDosageInstruction 0..1 markdown Full representation of the dosage instructions
... effectiveDosePeriod S 0..1 Period Period over which the medication is to be taken
... dosageInstruction S 0..* Dosage How the medication should be taken.
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence Σ 0..1 integer The order of the dosage instructions
.... text Σ 0..1 string Free text dosage instructions
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".


.... patientInstruction SΣ 0..1 string Patient or consumer oriented instructions
.... timing Σ 0..1 Timing Administration schedule
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... event Σ 0..* dateTime When the event occurs
..... repeat ΣC 0..1 Element When the event is to occur
tim-1: if there's a duration, there needs to be duration units
tim-2: if there's a period, there needs to be period units
tim-4: duration SHALL be a non-negative value
tim-5: period SHALL be a non-negative value
tim-6: If there's a periodMax, there must be a period
tim-7: If there's a durationMax, there must be a duration
tim-8: If there's a countMax, there must be a count
tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV)
tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... bounds[x] Σ 0..1 Length/Range of lengths, or (Start and/or end) limits
....... boundsDuration Duration
....... boundsRange Range
....... boundsPeriod Period
...... count ΣC 0..1 positiveInt Number of times to repeat
...... countMax ΣC 0..1 positiveInt Maximum number of times to repeat
...... duration ΣC 0..1 decimal Duration of the treatment
...... durationMax ΣC 0..1 decimal How long when it happens (Max)
...... durationUnit ΣC 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).

...... frequency Σ 0..1 positiveInt Frequency times per period
...... frequencyMax Σ 0..1 positiveInt Event occurs up to frequencyMax times per period
...... period ΣC 0..1 decimal Duration of time over which repetitions are to occur
...... periodMax ΣC 0..1 decimal Upper limit of period (3-4 hours)
...... periodUnit ΣC 0..1 code Unit of the period (e.g. day)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).

...... dayOfWeek Σ 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
...... timeOfDay ΣC 0..* time Time of day for action
...... when ΣC 0..* code Code for time period of occurrence
Binding: EventTiming (required): Real-world event relating to the schedule.


...... offset ΣC 0..1 unsignedInt Minutes from event (before or after)
..... code Σ 0..1 CodeableConcept A code for the timing schedule.
Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.

.... asNeeded ΣC 0..1 boolean Take "as needed"
.... asNeededFor ΣC 0..* CodeableConcept Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.


.... site Σ 0..1 CodeableConcept Body site to administer to
Binding: SNOMEDCTAnatomicalStructureAdministrationSites (example): A coded concept describing the site location the medicine enters into or onto the body.

.... route Σ 0..1 CodeableConcept Route of administration
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

.... doseAndRate Σ 0..* Element Amount of medication administered, to be administered or typical amount to be administered
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ 0..1 CodeableConcept The kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.

..... Slices for dose[x] Σ 0..1 Amount of medication per dose
Slice: Unordered, Open by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseQuantity Σ 0..1 SimpleQuantity Amount of medication per dose
..... rate[x] Σ 0..1 Amount of medication per unit of time
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
.... maxDosePerPeriod Σ 0..* Ratio Upper limit on medication per unit of time
.... maxDosePerAdministration Σ 0..1 SimpleQuantity Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity Upper limit on medication per lifetime of the patient
... dispenseRequest 0..1 BackboneElement Medication supply authorization
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:prescribedQuantity 0..1 Quantity Overall amount of product prescribed, independent from the number of repeats.
URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medicationrequest-prescribedQuantity
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... initialFill 0..1 BackboneElement First fill details
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... quantity 0..1 SimpleQuantity First fill quantity
..... duration 0..1 Duration First fill duration
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... validityPeriod S 0..1 Period Time period supply is authorized for
.... numberOfRepeatsAllowed 0..1 unsignedInt Number of refills authorized
.... quantity 0..1 SimpleQuantity Amount of medication to supply per dispense
.... expectedSupplyDuration 0..1 Duration Number of days supply per dispense
.... dispenser 0..1 Reference(Organization) Intended performer of dispense
.... dispenserInstruction 0..* Annotation Additional information for the dispenser
.... doseAdministrationAid 0..1 CodeableConcept Type of adherence packaging to use for the dispense
Binding: MedicationDoseAids (example)
... substitution S 0..1 BackboneElement Any restrictions on medication substitution
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... allowed[x] 1..1 Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (preferred): Identifies the type of substitution allowed.

..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example): SubstanceAdminSubstitutionReason

... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
MedicationRequest.statusrequiredMedicationrequestStatus
http://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0
from the FHIR Standard
MedicationRequest.statusReasonexampleMedicationRequestStatusReasonCodes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
from the FHIR Standard
MedicationRequest.intentrequiredMedicationRequestIntent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0
from the FHIR Standard
MedicationRequest.categoryexampleMedicationRequestAdministrationLocationCodes
http://hl7.org/fhir/ValueSet/medicationrequest-admin-location
from the FHIR Standard
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|5.0.0
from the FHIR Standard
MedicationRequest.medicationexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationRequest.performerTypeextensibleMedicationIntendedPerformerRole
http://hl7.org/fhir/ValueSet/medication-intended-performer-role
from the FHIR Standard
MedicationRequest.reasonexampleConditionProblemDiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationRequest.courseOfTherapyTypeextensibleMedicationRequestCourseOfTherapyCodes
http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
from the FHIR Standard
MedicationRequest.dosageInstruction.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.durationUnitrequiredUnitsOfTime
http://hl7.org/fhir/ValueSet/units-of-time|5.0.0
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.periodUnitrequiredUnitsOfTime
http://hl7.org/fhir/ValueSet/units-of-time|5.0.0
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeekrequiredDaysOfWeek
http://hl7.org/fhir/ValueSet/days-of-week|5.0.0
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.whenrequiredEventTiming
http://hl7.org/fhir/ValueSet/event-timing|5.0.0
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.codepreferredTimingAbbreviation
http://hl7.org/fhir/ValueSet/timing-abbreviation
from the FHIR Standard
MedicationRequest.dosageInstruction.asNeededForexampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureAdministrationSites
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.routeexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
http://terminology.hl7.org/ValueSet/dose-rate-type
MedicationRequest.dispenseRequest.doseAdministrationAidexampleMedicationDoseAids
http://hl7.org/fhir/ValueSet/medication-dose-aid
from the FHIR Standard
MedicationRequest.substitution.allowed[x]preferredActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorMedicationRequestIf 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-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
tim-1errorMedicationRequest.dosageInstruction.timing.repeatif there's a duration, there needs to be duration units
: duration.empty() or durationUnit.exists()
tim-2errorMedicationRequest.dosageInstruction.timing.repeatif there's a period, there needs to be period units
: period.empty() or periodUnit.exists()
tim-4errorMedicationRequest.dosageInstruction.timing.repeatduration SHALL be a non-negative value
: duration.exists() implies duration >= 0
tim-5errorMedicationRequest.dosageInstruction.timing.repeatperiod SHALL be a non-negative value
: period.exists() implies period >= 0
tim-6errorMedicationRequest.dosageInstruction.timing.repeatIf there's a periodMax, there must be a period
: periodMax.empty() or period.exists()
tim-7errorMedicationRequest.dosageInstruction.timing.repeatIf there's a durationMax, there must be a duration
: durationMax.empty() or duration.exists()
tim-8errorMedicationRequest.dosageInstruction.timing.repeatIf there's a countMax, there must be a count
: countMax.empty() or count.exists()
tim-9errorMedicationRequest.dosageInstruction.timing.repeatIf there's an offset, there must be a when (and not C, CM, CD, CV)
: offset.empty() or (when.exists() and when.select($this in ('C' | 'CM' | 'CD' | 'CV')).allFalse())
tim-10errorMedicationRequest.dosageInstruction.timing.repeatIf there's a timeOfDay, there cannot be a when, or vice versa
: timeOfDay.empty() or when.empty()

This structure is derived from MedicationRequest

Summary

Mandatory: 2 elements
Must-Support: 15 elements

Structures

This structure refers to these other structures:

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.dosageInstruction.doseAndRate.dose[x]

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:offLabel 0..1 (Complex) Indicates that the prescriber has knowingly prescribed the medication for an indication, age group, dosage, or route of administration that is not approved by the regulatory agencies and is not mentioned in the prescribing information for the product.
URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... identifier 0..* Identifier Prescription/prescribed item ID
ele-1: All FHIR elements must have a @value or children
... groupIdentifier SΣ 0..1 Identifier Prescription this is part of. Not needed if a presciption includes only one prescribed item.
ele-1: All FHIR elements must have a @value or children
... status ?!SΣ 1..1 code Status of the order
Binding: MedicationrequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.


ele-1: All FHIR elements must have a @value or children
... statusReason S 0..1 CodeableConcept Reason for current status
Binding: MedicationRequestStatusReasonCodes (example): Identifies the reasons for a given status.


ele-1: All FHIR elements must have a @value or children
... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: MedicationRequestIntent (required): The kind of medication order.


ele-1: All FHIR elements must have a @value or children
... category S 0..* CodeableConcept Grouping or category of medication request
Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication is to be consumed or administered.


ele-1: All FHIR elements must have a @value or children
... doNotPerform ?!Σ 0..1 boolean True if patient is to stop taking or not to start taking the medication
ele-1: All FHIR elements must have a @value or children
... medication SΣ 1..1 CodeableReference(IHE Medication) Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.


ele-1: All FHIR elements must have a @value or children
... subject SΣ 1..1 Reference(Patient | Group) Individual or group for whom the medication has been requested
ele-1: All FHIR elements must have a @value or children
... authoredOn SΣ 1..1 dateTime When request was initially authored
ele-1: All FHIR elements must have a @value or children
... requester Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/What requested the Request
ele-1: All FHIR elements must have a @value or children
... recorder S 0..1 Reference(Practitioner | PractitionerRole) Person who entered the request
ele-1: All FHIR elements must have a @value or children
... reason S 0..* CodeableReference(Condition | Observation) Reason or indication for ordering or not ordering the medication
Binding: ConditionProblemDiagnosisCodes (example): A coded concept indicating why the medication was ordered.


ele-1: All FHIR elements must have a @value or children
... note S 0..* Annotation Information about the prescription
ele-1: All FHIR elements must have a @value or children
... effectiveDosePeriod S 0..1 Period Period over which the medication is to be taken
ele-1: All FHIR elements must have a @value or children
... dosageInstruction S 0..* Dosage How the medication should be taken.
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... text Σ 0..1 string Free text dosage instructions
ele-1: All FHIR elements must have a @value or children
.... patientInstruction SΣ 0..1 string Patient or consumer oriented instructions
ele-1: All FHIR elements must have a @value or children
.... timing Σ 0..1 Timing Administration schedule
ele-1: All FHIR elements must have a @value or children
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... code Σ 0..1 CodeableConcept A code for the timing schedule.
Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.


ele-1: All FHIR elements must have a @value or children
.... route Σ 0..1 CodeableConcept Route of administration
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.


ele-1: All FHIR elements must have a @value or children
... dispenseRequest 0..1 BackboneElement Medication supply authorization
ele-1: All FHIR elements must have a @value or children
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... extension:prescribedQuantity 0..1 Quantity Overall amount of product prescribed, independent from the number of repeats.
URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medicationrequest-prescribedQuantity
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... validityPeriod S 0..1 Period Time period supply is authorized for
ele-1: All FHIR elements must have a @value or children
... substitution S 0..1 BackboneElement Any restrictions on medication substitution
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... allowed[x] 1..1 Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (preferred): Identifies the type of substitution allowed.


ele-1: All FHIR elements must have a @value or children
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.statusrequiredMedicationrequestStatus
http://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0
from the FHIR Standard
MedicationRequest.statusReasonexampleMedicationRequestStatusReasonCodes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
from the FHIR Standard
MedicationRequest.intentrequiredMedicationRequestIntent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0
from the FHIR Standard
MedicationRequest.categoryexampleMedicationRequestAdministrationLocationCodes
http://hl7.org/fhir/ValueSet/medicationrequest-admin-location
from the FHIR Standard
MedicationRequest.medicationexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationRequest.reasonexampleConditionProblemDiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.codepreferredTimingAbbreviation
http://hl7.org/fhir/ValueSet/timing-abbreviation
from the FHIR Standard
MedicationRequest.dosageInstruction.routeexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationRequest.substitution.allowed[x]preferredActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorMedicationRequestIf 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-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:offLabel 0..1 (Complex) Indicates that the prescriber has knowingly prescribed the medication for an indication, age group, dosage, or route of administration that is not approved by the regulatory agencies and is not mentioned in the prescribing information for the product.
URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel
... identifier 0..* Identifier Prescription/prescribed item ID
... groupIdentifier S 0..1 Identifier Prescription this is part of. Not needed if a presciption includes only one prescribed item.
... statusReason S 0..1 CodeableConcept Reason for current status
... category S 0..* CodeableConcept Grouping or category of medication request
... medication S 1..1 CodeableReference(IHE Medication) Medication to be taken
... subject S 1..1 Reference(Patient | Group) Individual or group for whom the medication has been requested
... authoredOn S 1..1 dateTime When request was initially authored
... requester 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/What requested the Request
... recorder S 0..1 Reference(Practitioner | PractitionerRole) Person who entered the request
... reason S 0..* CodeableReference(Condition | Observation) Reason or indication for ordering or not ordering the medication
... note S 0..* Annotation Information about the prescription
... effectiveDosePeriod S 0..1 Period Period over which the medication is to be taken
... dosageInstruction S 0..* Dosage How the medication should be taken.
.... text 0..1 string Free text dosage instructions
.... patientInstruction S 0..1 string Patient or consumer oriented instructions
.... timing 0..1 Timing Administration schedule
..... repeat
...... duration 0..1 decimal Duration of the treatment
...... frequency 0..1 positiveInt Frequency times per period
...... period 0..1 decimal Duration of time over which repetitions are to occur
...... periodUnit 0..1 code Unit of the period (e.g. day)
..... code 0..1 CodeableConcept A code for the timing schedule.
.... route 0..1 CodeableConcept Route of administration
.... doseAndRate
..... Slices for dose[x] 0..1 Range, SimpleQuantity Amount of medication per dose
Slice: Unordered, Open by type:$this
...... dose[x]:doseQuantity 0..1 SimpleQuantity Amount of medication per dose
... dispenseRequest
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:prescribedQuantity 0..1 Quantity Overall amount of product prescribed, independent from the number of repeats.
URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medicationrequest-prescribedQuantity
.... validityPeriod S 0..1 Period Time period supply is authorized for
... substitution S 0..1 BackboneElement Any restrictions on medication substitution

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language

Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:offLabel 0..1 (Complex) Indicates that the prescriber has knowingly prescribed the medication for an indication, age group, dosage, or route of administration that is not approved by the regulatory agencies and is not mentioned in the prescribing information for the product.
URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier Prescription/prescribed item ID
... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) A plan or request that is fulfilled in whole or in part by this medication request
... priorPrescription 0..1 Reference(MedicationRequest) Reference to an order/prescription that is being replaced by this MedicationRequest
... groupIdentifier SΣ 0..1 Identifier Prescription this is part of. Not needed if a presciption includes only one prescribed item.
... status ?!SΣ 1..1 code Status of the order
Binding: MedicationrequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.

... statusReason S 0..1 CodeableConcept Reason for current status
Binding: MedicationRequestStatusReasonCodes (example): Identifies the reasons for a given status.

... statusChanged 0..1 dateTime When the status was changed
... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: MedicationRequestIntent (required): The kind of medication order.

... category S 0..* CodeableConcept Grouping or category of medication request
Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication is to be consumed or administered.


... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ 0..1 boolean True if patient is to stop taking or not to start taking the medication
... medication SΣ 1..1 CodeableReference(IHE Medication) Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.

... subject SΣ 1..1 Reference(Patient | Group) Individual or group for whom the medication has been requested
... informationSource 0..* Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) The person or organization who provided the information about this request, if the source is someone other than the requestor
... encounter 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support fulfilling of the medication
... authoredOn SΣ 1..1 dateTime When request was initially authored
... requester Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/What requested the Request
... reported Σ 0..1 boolean Reported rather than primary record
... performerType Σ 0..1 CodeableConcept Desired kind of performer of the medication administration
Binding: MedicationIntendedPerformerRole (extensible): Identifies the type of individual that is desired to administer the medication.

... performer 0..* Reference(Practitioner | PractitionerRole | Organization | Patient | DeviceDefinition | RelatedPerson | CareTeam | HealthcareService) Intended performer of administration
... device 0..* CodeableReference(DeviceDefinition) Intended type of device for the administration
... recorder S 0..1 Reference(Practitioner | PractitionerRole) Person who entered the request
... reason S 0..* CodeableReference(Condition | Observation) Reason or indication for ordering or not ordering the medication
Binding: ConditionProblemDiagnosisCodes (example): A coded concept indicating why the medication was ordered.


... courseOfTherapyType 0..1 CodeableConcept Overall pattern of medication administration
Binding: MedicationRequestCourseOfTherapyCodes (extensible): Identifies the overall pattern of medication administratio.

... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... note S 0..* Annotation Information about the prescription
... renderedDosageInstruction 0..1 markdown Full representation of the dosage instructions
... effectiveDosePeriod S 0..1 Period Period over which the medication is to be taken
... dosageInstruction S 0..* Dosage How the medication should be taken.
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence Σ 0..1 integer The order of the dosage instructions
.... text Σ 0..1 string Free text dosage instructions
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".


.... patientInstruction SΣ 0..1 string Patient or consumer oriented instructions
.... timing Σ 0..1 Timing Administration schedule
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... event Σ 0..* dateTime When the event occurs
..... repeat ΣC 0..1 Element When the event is to occur
tim-1: if there's a duration, there needs to be duration units
tim-2: if there's a period, there needs to be period units
tim-4: duration SHALL be a non-negative value
tim-5: period SHALL be a non-negative value
tim-6: If there's a periodMax, there must be a period
tim-7: If there's a durationMax, there must be a duration
tim-8: If there's a countMax, there must be a count
tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV)
tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... bounds[x] Σ 0..1 Length/Range of lengths, or (Start and/or end) limits
....... boundsDuration Duration
....... boundsRange Range
....... boundsPeriod Period
...... count ΣC 0..1 positiveInt Number of times to repeat
...... countMax ΣC 0..1 positiveInt Maximum number of times to repeat
...... duration ΣC 0..1 decimal Duration of the treatment
...... durationMax ΣC 0..1 decimal How long when it happens (Max)
...... durationUnit ΣC 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).

...... frequency Σ 0..1 positiveInt Frequency times per period
...... frequencyMax Σ 0..1 positiveInt Event occurs up to frequencyMax times per period
...... period ΣC 0..1 decimal Duration of time over which repetitions are to occur
...... periodMax ΣC 0..1 decimal Upper limit of period (3-4 hours)
...... periodUnit ΣC 0..1 code Unit of the period (e.g. day)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).

...... dayOfWeek Σ 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
...... timeOfDay ΣC 0..* time Time of day for action
...... when ΣC 0..* code Code for time period of occurrence
Binding: EventTiming (required): Real-world event relating to the schedule.


...... offset ΣC 0..1 unsignedInt Minutes from event (before or after)
..... code Σ 0..1 CodeableConcept A code for the timing schedule.
Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.

.... asNeeded ΣC 0..1 boolean Take "as needed"
.... asNeededFor ΣC 0..* CodeableConcept Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.


.... site Σ 0..1 CodeableConcept Body site to administer to
Binding: SNOMEDCTAnatomicalStructureAdministrationSites (example): A coded concept describing the site location the medicine enters into or onto the body.

.... route Σ 0..1 CodeableConcept Route of administration
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

.... doseAndRate Σ 0..* Element Amount of medication administered, to be administered or typical amount to be administered
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ 0..1 CodeableConcept The kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.

..... Slices for dose[x] Σ 0..1 Amount of medication per dose
Slice: Unordered, Open by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseQuantity Σ 0..1 SimpleQuantity Amount of medication per dose
..... rate[x] Σ 0..1 Amount of medication per unit of time
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
.... maxDosePerPeriod Σ 0..* Ratio Upper limit on medication per unit of time
.... maxDosePerAdministration Σ 0..1 SimpleQuantity Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity Upper limit on medication per lifetime of the patient
... dispenseRequest 0..1 BackboneElement Medication supply authorization
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:prescribedQuantity 0..1 Quantity Overall amount of product prescribed, independent from the number of repeats.
URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medicationrequest-prescribedQuantity
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... initialFill 0..1 BackboneElement First fill details
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... quantity 0..1 SimpleQuantity First fill quantity
..... duration 0..1 Duration First fill duration
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... validityPeriod S 0..1 Period Time period supply is authorized for
.... numberOfRepeatsAllowed 0..1 unsignedInt Number of refills authorized
.... quantity 0..1 SimpleQuantity Amount of medication to supply per dispense
.... expectedSupplyDuration 0..1 Duration Number of days supply per dispense
.... dispenser 0..1 Reference(Organization) Intended performer of dispense
.... dispenserInstruction 0..* Annotation Additional information for the dispenser
.... doseAdministrationAid 0..1 CodeableConcept Type of adherence packaging to use for the dispense
Binding: MedicationDoseAids (example)
... substitution S 0..1 BackboneElement Any restrictions on medication substitution
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... allowed[x] 1..1 Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (preferred): Identifies the type of substitution allowed.

..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example): SubstanceAdminSubstitutionReason

... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
MedicationRequest.statusrequiredMedicationrequestStatus
http://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0
from the FHIR Standard
MedicationRequest.statusReasonexampleMedicationRequestStatusReasonCodes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
from the FHIR Standard
MedicationRequest.intentrequiredMedicationRequestIntent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0
from the FHIR Standard
MedicationRequest.categoryexampleMedicationRequestAdministrationLocationCodes
http://hl7.org/fhir/ValueSet/medicationrequest-admin-location
from the FHIR Standard
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|5.0.0
from the FHIR Standard
MedicationRequest.medicationexampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationRequest.performerTypeextensibleMedicationIntendedPerformerRole
http://hl7.org/fhir/ValueSet/medication-intended-performer-role
from the FHIR Standard
MedicationRequest.reasonexampleConditionProblemDiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationRequest.courseOfTherapyTypeextensibleMedicationRequestCourseOfTherapyCodes
http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
from the FHIR Standard
MedicationRequest.dosageInstruction.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.durationUnitrequiredUnitsOfTime
http://hl7.org/fhir/ValueSet/units-of-time|5.0.0
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.periodUnitrequiredUnitsOfTime
http://hl7.org/fhir/ValueSet/units-of-time|5.0.0
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeekrequiredDaysOfWeek
http://hl7.org/fhir/ValueSet/days-of-week|5.0.0
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.whenrequiredEventTiming
http://hl7.org/fhir/ValueSet/event-timing|5.0.0
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.codepreferredTimingAbbreviation
http://hl7.org/fhir/ValueSet/timing-abbreviation
from the FHIR Standard
MedicationRequest.dosageInstruction.asNeededForexampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureAdministrationSites
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.routeexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
http://terminology.hl7.org/ValueSet/dose-rate-type
MedicationRequest.dispenseRequest.doseAdministrationAidexampleMedicationDoseAids
http://hl7.org/fhir/ValueSet/medication-dose-aid
from the FHIR Standard
MedicationRequest.substitution.allowed[x]preferredActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorMedicationRequestIf 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-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
tim-1errorMedicationRequest.dosageInstruction.timing.repeatif there's a duration, there needs to be duration units
: duration.empty() or durationUnit.exists()
tim-2errorMedicationRequest.dosageInstruction.timing.repeatif there's a period, there needs to be period units
: period.empty() or periodUnit.exists()
tim-4errorMedicationRequest.dosageInstruction.timing.repeatduration SHALL be a non-negative value
: duration.exists() implies duration >= 0
tim-5errorMedicationRequest.dosageInstruction.timing.repeatperiod SHALL be a non-negative value
: period.exists() implies period >= 0
tim-6errorMedicationRequest.dosageInstruction.timing.repeatIf there's a periodMax, there must be a period
: periodMax.empty() or period.exists()
tim-7errorMedicationRequest.dosageInstruction.timing.repeatIf there's a durationMax, there must be a duration
: durationMax.empty() or duration.exists()
tim-8errorMedicationRequest.dosageInstruction.timing.repeatIf there's a countMax, there must be a count
: countMax.empty() or count.exists()
tim-9errorMedicationRequest.dosageInstruction.timing.repeatIf there's an offset, there must be a when (and not C, CM, CD, CV)
: offset.empty() or (when.exists() and when.select($this in ('C' | 'CM' | 'CD' | 'CV')).allFalse())
tim-10errorMedicationRequest.dosageInstruction.timing.repeatIf there's a timeOfDay, there cannot be a when, or vice versa
: timeOfDay.empty() or when.empty()

This structure is derived from MedicationRequest

Summary

Mandatory: 2 elements
Must-Support: 15 elements

Structures

This structure refers to these other structures:

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.dosageInstruction.doseAndRate.dose[x]

 

Other representations of profile: CSV, Excel, Schematron