haau3 FHIR Implementation Guide (HFIG)
1.0.0 - ci-build
haau3 FHIR Implementation Guide (HFIG)
1.0.0 - ci-build
haau3 FHIR Implementation Guide (HFIG) - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://haau3.com/fhir/StructureDefinition/haau3-reconciled-medication-request | Version: 1.0.0 | |||
| Draft as of 2026-11-12 | Computable Name: Haau3ReconciledMedicationRequest | |||
One entry in a reconciled medication list: one clinical drug (its ingredients, strengths and dose form) for one patient, computed by software from that patient's medication records rather than curated by a person. Two strengths of the same medication are two entries. Every coding a source stated is kept, the RxNorm clinical-drug coding is added and marked when no source carried it, and any evidence codes it carries say why it has its status. The source records behind the entry are named in its Provenance, and anything haau3 added to it in a second, additions Provenance.
What one entry is
One entry in a reconciled medication list: one clinical drug, or one pack, for one patient. A clinical drug is one set of ingredients, strengths and dose form, and a pack is one set of clinical drugs supplied together, so metformin 500 mg tablets and metformin 1000 mg tablets are two entries, while a branded product and its generic equivalent are one. Where a source order says the branded product must be dispensed as written and a source shows its generic was dispensed, the entry names the medication as it was dispensed and carries the generic-dispensed evidence code. Software computes the list from the patient's medication records, and no person curates it. The reconcile-medications operation returns it.
Every medication on the list is a MedicationRequest, reported ones included, as US Core's medication list guidance asks:
intent is order when at least one order backs the entry, and plan otherwise, as for an entry that rests only on reported use.reported[x] is always present. It is false when an order backs the entry, and otherwise names who reported the medication, or is true when no source said who.How to read an entry's status
status is the status haau3 concluded from the source records' own statuses and dates. An entry may carry MedList Evidence codes that say why, and never a numeric confidence score. When the records support no conclusion, the status is unknown.
What is kept from the sources
medicationCodeableConcept.text, a source's own name for the medication.dosageInstruction.text, a source's own dosage text, verbatim. haau3 does not derive structured timing, dose or route from free text.authoredOn, requester, substitution, reasonCode, category, dispenseRequest and note, where a source order stated them. substitution.allowed set to false is how a source says a branded product must be dispensed as written. When an order backs the entry and no source order names a requester, requester carries only a data-absent-reason extension with the value unknown: US Core requires a requester on an order, and haau3 never invents one.What haau3 adds
At most one coding: the RxNorm clinical drug the entry was reconciled to, from the RxNorm release named in the entry's Provenance. It is marked with the MedList Added Coding extension, and it is added only when no source coding already carries it. A coding a source stated is never marked, so any coding without the mark came from a source. When no source names the medication in words, the RxNorm release's name for it is the entry's text.
Everything haau3 adds is also named by a haau3 Reconciled Medication Additions Provenance for the entry: one target per added element, by the element's id (the added coding's is haau3-added-coding) or by its path.
What haau3 never does
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:  | ||||
|---|---|---|---|---|---|---|---|---|
  MedicationRequest |
C | 0..* | USCoreMedicationRequestProfile(6.1.0) | Ordering of medication for patient or group Constraints: us-core-21 | ||||
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
   extension:evidence |
0..* | Coding | Why the entry has its status, and how its medication was coded URL: https://haau3.com/fhir/StructureDefinition/medlist-evidence Binding: MedList Evidence (required) | |||||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| status |
1..1 | code | (USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: MedList Reconciled Status (required) | |||||
| intent |
C | 1..1 | code | (USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: MedList Reconciled Intent (required) | ||||
 Slices for category |
0..* | CodeableConcept | (USCDI) Type of medication usage Slice: Unordered, Open by pattern:$this 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. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| category:us-core |
0..* | CodeableConcept | (USCDI) Type of medication usage Binding: medicationRequest Category Codes (required): The type of medication order. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets | |||||
| doNotPerform |
0..1 | boolean | True if request is prohibiting action | |||||
 reported[x] |
1..1 | (USCDI) Reported rather than primary record | ||||||
| reportedBoolean |
boolean | |||||||
  reportedReference |
Reference (US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile) | |||||||
 medication[x] |
1..1 | CodeableConcept | (USCDI) Medication to be taken Binding: Medication Clinical Drug  (extensible) | |||||
| coding |
0..* | Coding | Code defined by a terminology system | |||||
 Slices for extension |
Content/Rules for all slices | |||||||
 extension:addedCoding |
0..1 | code | MedList Added Coding URL: https://haau3.com/fhir/StructureDefinition/medlist-added-coding Binding: MedList Added Coding Kind (required) | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| subject |
1..1 | Reference(US Core Patient Profile) | (USCDI) Who or group medication request is for | |||||
| encounter |
0..1 | Reference(US Core Encounter Profile) | (USCDI) Encounter created as part of encounter/admission/stay | |||||
| authoredOn |
0..1 | dateTime | (USCDI) When request was initially authored | |||||
| requester |
C | 0..1 | Reference(US Core Practitioner Profile | US Core Patient Profile | US Core Organization Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile | Device) | (USCDI) Who/What requested the Request | ||||
| dosageInstruction |
0..* | Dosage | (USCDI) How the medication should be taken | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| text |
0..1 | string | (USCDI) Free text dosage instructions e.g. SIG | |||||
| timing |
0..1 | Timing | (USCDI) When medication should be administered | |||||
| doseAndRate |
0..* | Element | (USCDI) Amount of medication administered | |||||
| dose[x] |
0..1 | (USCDI) Amount of medication per dose Binding: Common UCUM units (preferred)
| ||||||
| doseQuantity |
Quantity | |||||||
| doseRange |
Range | |||||||
| dispenseRequest |
0..1 | BackboneElement | (USCDI) Medication supply authorization | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| numberOfRepeatsAllowed |
0..1 | unsignedInt | (USCDI) Number of refills authorized | |||||
| quantity |
C | 0..1 | SimpleQuantity | (USCDI) Amount of medication to supply per dispense Constraints: sqty-1 | ||||
| substitution |
0..1 | BackboneElement | Any restrictions on medication substitution | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| allowed[x] |
1..1 | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||||||
| allowedBoolean |
boolean | |||||||
| allowedCodeableConcept |
CodeableConcept | |||||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.status | Base | required | MedList Reconciled Status | 📦1.0.0 | This IG |
| MedicationRequest.intent | Base | required | MedList Reconciled Intent | 📦1.0.0 | This IG |
| MedicationRequest.category | Base | example | Medication request category codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.category:us-core | Base | required | Medication request category codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.medication[x] | Base | extensible |
Medication Clinical Drug
|
📦20170601 | VSAC v0.11 |
| MedicationRequest.dosageInstruction.doseAndRate.dose[x] | Base | preferred | Common UCUM units | 📦4.0.1 | FHIR Std. |
| MedicationRequest.substitution.allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.5 |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| sqty-1 | error | MedicationRequest.dispenseRequest.quantity | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
| us-core-21 | error | MedicationRequest | requester SHALL be present if intent is "order" |
(intent='order' or intent='original-order' or intent='reflex-order'or intent='filler-order' or intent='instance-order') implies requester.exists()
|
This structure is derived from USCoreMedicationRequestProfile
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationRequest |
USCoreMedicationRequestProfile(6.1.0) | |||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:evidence |
0..* | Coding | Why the entry has its status, and how its medication was coded URL: https://haau3.com/fhir/StructureDefinition/medlist-evidence Binding: MedList Evidence (required) | |
 status |
1..1 | code | (USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: MedList Reconciled Status (required) | |
| intent |
1..1 | code | (USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: MedList Reconciled Intent (required) | |
| reported[x] |
1..1 | boolean, Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile) | (USCDI) Reported rather than primary record | |
| medication[x] |
1..1 | CodeableConcept | (USCDI) Medication to be taken | |
| coding |
0..* | Coding | Code defined by a terminology system | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:addedCoding |
0..1 | code | MedList Added Coding URL: https://haau3.com/fhir/StructureDefinition/medlist-added-coding Binding: MedList Added Coding Kind (required) | |
| text |
0..1 | string | Plain text representation of the concept | |
| subject |
1..1 | Reference(US Core Patient Profile) | (USCDI) Who or group medication request is for | |
| authoredOn |
0..1 | dateTime | (USCDI) When request was initially authored | |
| requester |
0..1 | Reference(US Core Practitioner Profile | US Core Patient Profile | US Core Organization Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile | Device) | (USCDI) Who/What requested the Request | |
| dosageInstruction |
||||
| text |
0..1 | string | (USCDI) Free text dosage instructions e.g. SIG | |
| substitution |
0..1 | BackboneElement | Any restrictions on medication substitution | |
| allowed[x] |
1..1 | boolean, CodeableConcept | Whether substitution is allowed or not | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.status | Base | required | MedList Reconciled Status | 📦1.0.0 | This IG |
| MedicationRequest.intent | Base | required | MedList Reconciled Intent | 📦1.0.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
C | 0..* | USCoreMedicationRequestProfile(6.1.0) | Ordering of medication for patient or group Constraints: us-core-21 | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:evidence |
0..* | Coding | Why the entry has its status, and how its medication was coded URL: https://haau3.com/fhir/StructureDefinition/medlist-evidence Binding: MedList Evidence (required) | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | External ids for this request | |||||
| status |
1..1 | code | (USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: MedList Reconciled Status (required) | |||||
| statusReason |
0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||
| intent |
C | 1..1 | code | (USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: MedList Reconciled Intent (required) | ||||
| Slices for category |
0..* | CodeableConcept | (USCDI) Type of medication usage Slice: Unordered, Open by pattern:$this 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. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| category:us-core |
0..* | CodeableConcept | (USCDI) Type of medication usage Binding: medicationRequest Category Codes (required): The type of medication order. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets | |||||
| priority |
0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | |||||
| doNotPerform |
0..1 | boolean | True if request is prohibiting action | |||||
| reported[x] |
1..1 | (USCDI) Reported rather than primary record | ||||||
| reportedBoolean |
boolean | |||||||
| reportedReference |
Reference (US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile) | |||||||
| medication[x] |
1..1 | CodeableConcept | (USCDI) Medication to be taken Binding: Medication Clinical Drug (extensible) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
0..* | Coding | Code defined by a terminology system | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:addedCoding |
0..1 | code | MedList Added Coding URL: https://haau3.com/fhir/StructureDefinition/medlist-added-coding Binding: MedList Added Coding Kind (required) | |||||
| system |
0..1 | uri | Identity of the terminology system | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
0..1 | code | Symbol in syntax defined by the system | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| subject |
1..1 | Reference(US Core Patient Profile) | (USCDI) Who or group medication request is for | |||||
| encounter |
0..1 | Reference(US Core Encounter Profile) | (USCDI) Encounter created as part of encounter/admission/stay | |||||
| supportingInformation |
0..* | Reference(Resource) | Information to support ordering of the medication | |||||
| authoredOn |
0..1 | dateTime | (USCDI) When request was initially authored | |||||
| requester |
C | 0..1 | Reference(US Core Practitioner Profile | US Core Patient Profile | US Core Organization Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile | Device) | (USCDI) Who/What requested the Request | ||||
| performer |
0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||
| performerType |
0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication. | |||||
| recorder |
0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||
| reasonCode |
0..* | CodeableConcept | (USCDI) Reason or indication for ordering or not ordering the medication Binding: US Core Condition Codes (extensible) | |||||
| reasonReference |
0..* | Reference(Condition | Observation) | (USCDI) US Core Condition or Observation that supports the prescription | |||||
| instantiatesCanonical |
0..* | canonical() | Instantiates FHIR protocol or definition | |||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||
| basedOn |
0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | |||||
| groupIdentifier |
0..1 | Identifier | Composite request this is part of | |||||
| courseOfTherapyType |
0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |||||
| insurance |
0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
| note |
0..* | Annotation | Information about the prescription | |||||
| dosageInstruction |
0..* | Dosage | (USCDI) How the medication should be taken | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| sequence |
0..1 | integer | The order of the dosage instructions | |||||
| text |
0..1 | string | (USCDI) Free text dosage instructions e.g. SIG | |||||
| additionalInstruction |
0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | |||||
| patientInstruction |
0..1 | string | Patient or consumer oriented instructions | |||||
| timing |
0..1 | Timing | (USCDI) When medication should be administered | |||||
| asNeeded[x] |
0..1 | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | ||||||
| asNeededBoolean |
boolean | |||||||
| asNeededCodeableConcept |
CodeableConcept | |||||||
| site |
0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | |||||
| route |
0..1 | CodeableConcept | 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. | |||||
| method |
0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | |||||
| doseAndRate |
0..* | Element | (USCDI) Amount of medication administered | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| type |
0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | |||||
| dose[x] |
0..1 | (USCDI) Amount of medication per dose Binding: Common UCUM units (preferred)
| ||||||
| doseQuantity |
Quantity | |||||||
| doseRange |
Range | |||||||
| rate[x] |
0..1 | Amount of medication per unit of time | ||||||
| rateRatio |
Ratio | |||||||
| rateRange |
Range | |||||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||
| maxDosePerPeriod |
0..1 | Ratio | Upper limit on medication per unit of time | |||||
| maxDosePerAdministration |
C | 0..1 | SimpleQuantity | Upper limit on medication per administration Constraints: sqty-1 | ||||
| maxDosePerLifetime |
C | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient Constraints: sqty-1 | ||||
| dispenseRequest |
0..1 | BackboneElement | (USCDI) Medication supply authorization | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| initialFill |
0..1 | BackboneElement | First fill details | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| quantity |
C | 0..1 | SimpleQuantity | First fill quantity Constraints: sqty-1 | ||||
| duration |
0..1 | Duration | First fill duration | |||||
| dispenseInterval |
0..1 | Duration | Minimum period of time between dispenses | |||||
| validityPeriod |
0..1 | Period | Time period supply is authorized for | |||||
| numberOfRepeatsAllowed |
0..1 | unsignedInt | (USCDI) Number of refills authorized | |||||
| quantity |
C | 0..1 | SimpleQuantity | (USCDI) Amount of medication to supply per dispense Constraints: sqty-1 | ||||
| expectedSupplyDuration |
0..1 | Duration | Number of days supply per dispense | |||||
| performer |
0..1 | Reference(Organization) | Intended dispenser | |||||
| substitution |
0..1 | BackboneElement | Any restrictions on medication substitution | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| allowed[x] |
1..1 | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||||||
| allowedBoolean |
boolean | |||||||
| allowedCodeableConcept |
CodeableConcept | |||||||
| reason |
0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | |||||
| priorPrescription |
0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced | |||||
| detectedIssue |
0..* | Reference(DetectedIssue) | Clinical Issue with action | |||||
| eventHistory |
0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| MedicationRequest.status | Base | required | MedList Reconciled Status | 📦1.0.0 | This IG |
| MedicationRequest.statusReason | Base | example | Medication request status reason codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.intent | Base | required | MedList Reconciled Intent | 📦1.0.0 | This IG |
| MedicationRequest.category | Base | example | Medication request category codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.category:us-core | Base | required | Medication request category codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| MedicationRequest.medication[x] | Base | extensible |
Medication Clinical Drug
|
📦20170601 | VSAC v0.11 |
| MedicationRequest.performerType | Base | example | Procedure Performer Role Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.reasonCode | Base | extensible | US Core Condition Codes | 📦6.1.0 | US Core v6.1 |
| MedicationRequest.courseOfTherapyType | Base | example | Medication request course of therapy codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.additionalInstruction | Base | example | SNOMED CT Additional Dosage Instructions | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.route | Base | example | SNOMED CT Route Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.method | Base | example | SNOMED CT Administration Method Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.doseAndRate.type | Base | example | DoseAndRateType | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.doseAndRate.dose[x] | Base | preferred | Common UCUM units | 📦4.0.1 | FHIR Std. |
| MedicationRequest.substitution.allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.5 |
| MedicationRequest.substitution.reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v7.5 |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| sqty-1 | error | MedicationRequest.dosageInstruction.maxDosePerAdministration, MedicationRequest.dosageInstruction.maxDosePerLifetime, MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
| us-core-21 | error | MedicationRequest | requester SHALL be present if intent is "order" |
(intent='order' or intent='original-order' or intent='reflex-order'or intent='filler-order' or intent='instance-order') implies requester.exists()
|
This structure is derived from USCoreMedicationRequestProfile
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
C | 0..* | USCoreMedicationRequestProfile(6.1.0) | Ordering of medication for patient or group Constraints: us-core-21 | ||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:evidence |
0..* | Coding | Why the entry has its status, and how its medication was coded URL: https://haau3.com/fhir/StructureDefinition/medlist-evidence Binding: MedList Evidence (required) | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| status |
1..1 | code | (USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: MedList Reconciled Status (required) | |||||
| intent |
C | 1..1 | code | (USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: MedList Reconciled Intent (required) | ||||
| Slices for category |
0..* | CodeableConcept | (USCDI) Type of medication usage Slice: Unordered, Open by pattern:$this 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. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| category:us-core |
0..* | CodeableConcept | (USCDI) Type of medication usage Binding: medicationRequest Category Codes (required): The type of medication order. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets | |||||
| doNotPerform |
0..1 | boolean | True if request is prohibiting action | |||||
| reported[x] |
1..1 | (USCDI) Reported rather than primary record | ||||||
| reportedBoolean |
boolean | |||||||
| reportedReference |
Reference (US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile) | |||||||
| medication[x] |
1..1 | CodeableConcept | (USCDI) Medication to be taken Binding: Medication Clinical Drug (extensible) | |||||
| coding |
0..* | Coding | Code defined by a terminology system | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:addedCoding |
0..1 | code | MedList Added Coding URL: https://haau3.com/fhir/StructureDefinition/medlist-added-coding Binding: MedList Added Coding Kind (required) | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| subject |
1..1 | Reference(US Core Patient Profile) | (USCDI) Who or group medication request is for | |||||
| encounter |
0..1 | Reference(US Core Encounter Profile) | (USCDI) Encounter created as part of encounter/admission/stay | |||||
| authoredOn |
0..1 | dateTime | (USCDI) When request was initially authored | |||||
| requester |
C | 0..1 | Reference(US Core Practitioner Profile | US Core Patient Profile | US Core Organization Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile | Device) | (USCDI) Who/What requested the Request | ||||
| dosageInstruction |
0..* | Dosage | (USCDI) How the medication should be taken | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| text |
0..1 | string | (USCDI) Free text dosage instructions e.g. SIG | |||||
| timing |
0..1 | Timing | (USCDI) When medication should be administered | |||||
| doseAndRate |
0..* | Element | (USCDI) Amount of medication administered | |||||
| dose[x] |
0..1 | (USCDI) Amount of medication per dose Binding: Common UCUM units (preferred)
| ||||||
| doseQuantity |
Quantity | |||||||
| doseRange |
Range | |||||||
| dispenseRequest |
0..1 | BackboneElement | (USCDI) Medication supply authorization | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| numberOfRepeatsAllowed |
0..1 | unsignedInt | (USCDI) Number of refills authorized | |||||
| quantity |
C | 0..1 | SimpleQuantity | (USCDI) Amount of medication to supply per dispense Constraints: sqty-1 | ||||
| substitution |
0..1 | BackboneElement | Any restrictions on medication substitution | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| allowed[x] |
1..1 | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||||||
| allowedBoolean |
boolean | |||||||
| allowedCodeableConcept |
CodeableConcept | |||||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.status | Base | required | MedList Reconciled Status | 📦1.0.0 | This IG |
| MedicationRequest.intent | Base | required | MedList Reconciled Intent | 📦1.0.0 | This IG |
| MedicationRequest.category | Base | example | Medication request category codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.category:us-core | Base | required | Medication request category codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.medication[x] | Base | extensible |
Medication Clinical Drug
|
📦20170601 | VSAC v0.11 |
| MedicationRequest.dosageInstruction.doseAndRate.dose[x] | Base | preferred | Common UCUM units | 📦4.0.1 | FHIR Std. |
| MedicationRequest.substitution.allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.5 |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| sqty-1 | error | MedicationRequest.dispenseRequest.quantity | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
| us-core-21 | error | MedicationRequest | requester SHALL be present if intent is "order" |
(intent='order' or intent='original-order' or intent='reflex-order'or intent='filler-order' or intent='instance-order') implies requester.exists()
|
Differential View
This structure is derived from USCoreMedicationRequestProfile
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationRequest |
USCoreMedicationRequestProfile(6.1.0) | |||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:evidence |
0..* | Coding | Why the entry has its status, and how its medication was coded URL: https://haau3.com/fhir/StructureDefinition/medlist-evidence Binding: MedList Evidence (required) | |
| status |
1..1 | code | (USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: MedList Reconciled Status (required) | |
| intent |
1..1 | code | (USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: MedList Reconciled Intent (required) | |
| reported[x] |
1..1 | boolean, Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile) | (USCDI) Reported rather than primary record | |
| medication[x] |
1..1 | CodeableConcept | (USCDI) Medication to be taken | |
| coding |
0..* | Coding | Code defined by a terminology system | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:addedCoding |
0..1 | code | MedList Added Coding URL: https://haau3.com/fhir/StructureDefinition/medlist-added-coding Binding: MedList Added Coding Kind (required) | |
| text |
0..1 | string | Plain text representation of the concept | |
| subject |
1..1 | Reference(US Core Patient Profile) | (USCDI) Who or group medication request is for | |
| authoredOn |
0..1 | dateTime | (USCDI) When request was initially authored | |
| requester |
0..1 | Reference(US Core Practitioner Profile | US Core Patient Profile | US Core Organization Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile | Device) | (USCDI) Who/What requested the Request | |
| dosageInstruction |
||||
| text |
0..1 | string | (USCDI) Free text dosage instructions e.g. SIG | |
| substitution |
0..1 | BackboneElement | Any restrictions on medication substitution | |
| allowed[x] |
1..1 | boolean, CodeableConcept | Whether substitution is allowed or not | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.status | Base | required | MedList Reconciled Status | 📦1.0.0 | This IG |
| MedicationRequest.intent | Base | required | MedList Reconciled Intent | 📦1.0.0 | This IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
C | 0..* | USCoreMedicationRequestProfile(6.1.0) | Ordering of medication for patient or group Constraints: us-core-21 | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:evidence |
0..* | Coding | Why the entry has its status, and how its medication was coded URL: https://haau3.com/fhir/StructureDefinition/medlist-evidence Binding: MedList Evidence (required) | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | External ids for this request | |||||
| status |
1..1 | code | (USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: MedList Reconciled Status (required) | |||||
| statusReason |
0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||
| intent |
C | 1..1 | code | (USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: MedList Reconciled Intent (required) | ||||
| Slices for category |
0..* | CodeableConcept | (USCDI) Type of medication usage Slice: Unordered, Open by pattern:$this 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. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| category:us-core |
0..* | CodeableConcept | (USCDI) Type of medication usage Binding: medicationRequest Category Codes (required): The type of medication order. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets | |||||
| priority |
0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | |||||
| doNotPerform |
0..1 | boolean | True if request is prohibiting action | |||||
| reported[x] |
1..1 | (USCDI) Reported rather than primary record | ||||||
| reportedBoolean |
boolean | |||||||
| reportedReference |
Reference (US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile) | |||||||
| medication[x] |
1..1 | CodeableConcept | (USCDI) Medication to be taken Binding: Medication Clinical Drug (extensible) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
0..* | Coding | Code defined by a terminology system | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:addedCoding |
0..1 | code | MedList Added Coding URL: https://haau3.com/fhir/StructureDefinition/medlist-added-coding Binding: MedList Added Coding Kind (required) | |||||
| system |
0..1 | uri | Identity of the terminology system | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
0..1 | code | Symbol in syntax defined by the system | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| subject |
1..1 | Reference(US Core Patient Profile) | (USCDI) Who or group medication request is for | |||||
| encounter |
0..1 | Reference(US Core Encounter Profile) | (USCDI) Encounter created as part of encounter/admission/stay | |||||
| supportingInformation |
0..* | Reference(Resource) | Information to support ordering of the medication | |||||
| authoredOn |
0..1 | dateTime | (USCDI) When request was initially authored | |||||
| requester |
C | 0..1 | Reference(US Core Practitioner Profile | US Core Patient Profile | US Core Organization Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile | Device) | (USCDI) Who/What requested the Request | ||||
| performer |
0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||
| performerType |
0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication. | |||||
| recorder |
0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||
| reasonCode |
0..* | CodeableConcept | (USCDI) Reason or indication for ordering or not ordering the medication Binding: US Core Condition Codes (extensible) | |||||
| reasonReference |
0..* | Reference(Condition | Observation) | (USCDI) US Core Condition or Observation that supports the prescription | |||||
| instantiatesCanonical |
0..* | canonical() | Instantiates FHIR protocol or definition | |||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||
| basedOn |
0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | |||||
| groupIdentifier |
0..1 | Identifier | Composite request this is part of | |||||
| courseOfTherapyType |
0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |||||
| insurance |
0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
| note |
0..* | Annotation | Information about the prescription | |||||
| dosageInstruction |
0..* | Dosage | (USCDI) How the medication should be taken | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| sequence |
0..1 | integer | The order of the dosage instructions | |||||
| text |
0..1 | string | (USCDI) Free text dosage instructions e.g. SIG | |||||
| additionalInstruction |
0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | |||||
| patientInstruction |
0..1 | string | Patient or consumer oriented instructions | |||||
| timing |
0..1 | Timing | (USCDI) When medication should be administered | |||||
| asNeeded[x] |
0..1 | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | ||||||
| asNeededBoolean |
boolean | |||||||
| asNeededCodeableConcept |
CodeableConcept | |||||||
| site |
0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | |||||
| route |
0..1 | CodeableConcept | 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. | |||||
| method |
0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | |||||
| doseAndRate |
0..* | Element | (USCDI) Amount of medication administered | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| type |
0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | |||||
| dose[x] |
0..1 | (USCDI) Amount of medication per dose Binding: Common UCUM units (preferred)
| ||||||
| doseQuantity |
Quantity | |||||||
| doseRange |
Range | |||||||
| rate[x] |
0..1 | Amount of medication per unit of time | ||||||
| rateRatio |
Ratio | |||||||
| rateRange |
Range | |||||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||
| maxDosePerPeriod |
0..1 | Ratio | Upper limit on medication per unit of time | |||||
| maxDosePerAdministration |
C | 0..1 | SimpleQuantity | Upper limit on medication per administration Constraints: sqty-1 | ||||
| maxDosePerLifetime |
C | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient Constraints: sqty-1 | ||||
| dispenseRequest |
0..1 | BackboneElement | (USCDI) Medication supply authorization | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| initialFill |
0..1 | BackboneElement | First fill details | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| quantity |
C | 0..1 | SimpleQuantity | First fill quantity Constraints: sqty-1 | ||||
| duration |
0..1 | Duration | First fill duration | |||||
| dispenseInterval |
0..1 | Duration | Minimum period of time between dispenses | |||||
| validityPeriod |
0..1 | Period | Time period supply is authorized for | |||||
| numberOfRepeatsAllowed |
0..1 | unsignedInt | (USCDI) Number of refills authorized | |||||
| quantity |
C | 0..1 | SimpleQuantity | (USCDI) Amount of medication to supply per dispense Constraints: sqty-1 | ||||
| expectedSupplyDuration |
0..1 | Duration | Number of days supply per dispense | |||||
| performer |
0..1 | Reference(Organization) | Intended dispenser | |||||
| substitution |
0..1 | BackboneElement | Any restrictions on medication substitution | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| allowed[x] |
1..1 | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||||||
| allowedBoolean |
boolean | |||||||
| allowedCodeableConcept |
CodeableConcept | |||||||
| reason |
0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | |||||
| priorPrescription |
0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced | |||||
| detectedIssue |
0..* | Reference(DetectedIssue) | Clinical Issue with action | |||||
| eventHistory |
0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| MedicationRequest.status | Base | required | MedList Reconciled Status | 📦1.0.0 | This IG |
| MedicationRequest.statusReason | Base | example | Medication request status reason codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.intent | Base | required | MedList Reconciled Intent | 📦1.0.0 | This IG |
| MedicationRequest.category | Base | example | Medication request category codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.category:us-core | Base | required | Medication request category codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| MedicationRequest.medication[x] | Base | extensible |
Medication Clinical Drug
|
📦20170601 | VSAC v0.11 |
| MedicationRequest.performerType | Base | example | Procedure Performer Role Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.reasonCode | Base | extensible | US Core Condition Codes | 📦6.1.0 | US Core v6.1 |
| MedicationRequest.courseOfTherapyType | Base | example | Medication request course of therapy codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.additionalInstruction | Base | example | SNOMED CT Additional Dosage Instructions | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.route | Base | example | SNOMED CT Route Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.method | Base | example | SNOMED CT Administration Method Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.doseAndRate.type | Base | example | DoseAndRateType | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.doseAndRate.dose[x] | Base | preferred | Common UCUM units | 📦4.0.1 | FHIR Std. |
| MedicationRequest.substitution.allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.5 |
| MedicationRequest.substitution.reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v7.5 |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| sqty-1 | error | MedicationRequest.dosageInstruction.maxDosePerAdministration, MedicationRequest.dosageInstruction.maxDosePerLifetime, MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
| us-core-21 | error | MedicationRequest | requester SHALL be present if intent is "order" |
(intent='order' or intent='original-order' or intent='reflex-order'or intent='filler-order' or intent='instance-order') implies requester.exists()
|
This structure is derived from USCoreMedicationRequestProfile
Other representations of profile: CSV, Excel, Schematron