TRxHub IG - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Resource Profile: TRxHub MedicationRequest
| Official URL: https://trxhub.mediservice.ch/fhir/StructureDefinition/trxhub-medication-request | Version: 0.1.0 | |||
| Draft as of 2026-10-08 | Computable Name: TRxHubMedicationRequest | |||
Represents a medication from a prescription
Usages:
- Use this Profile: TRxHub Message Bundle and TRxHub Transaction Bundle
- Examples for this Profile: MedicationRequest/TRxHubMedicationRequestExample
You can also check for usages in the FHIR IG Statistics
Formal Views of Profile Content
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  MedicationRequest |
0..* | MedicationRequest | Ordering of medication for patient or group | |
  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 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
   extension:indicationCode |
0..1 | string | Indication Code URL: https://trxhub.mediservice.ch/fhir/StructureDefinition/trxhub-indication-code | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| status |
1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Required Pattern: active | |
| intent |
1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Required Pattern: order | |
| doNotPerform |
0..1 | boolean | True if request is prohibiting action | |
 medication[x] |
1..1 | CodeableConcept | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | |
 Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Closed by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
 coding:pharmacode |
0..1 | Coding | Code defined by a terminology system | |
  system |
1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.51.1.3 | |
 code |
1..1 | code | Symbol in syntax defined by the system | |
 coding:gtin |
0..1 | Coding | Code defined by a terminology system | |
 system |
1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:1.3.160 | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
 text |
0..1 | string | Plain text representation of the concept | |
 subject |
C | 1..1 | Reference(Patient) | Who or group medication request is for Constraints: trxhub-inv-patient-ref-only |
| requester |
C | 1..1 | Reference(Practitioner) | Who/What requested the Request Constraints: trxhub-inv-practitioner-ref-only |
| basedOn |
C | 1..1 | Reference(ServiceRequest) | What request fulfills Constraints: trxhub-inv-service-request-ref-only |
| dosageInstruction |
1..1 | Dosage | How the medication should be taken | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| patientInstruction |
0..1 | string | Patient or consumer oriented instructions | |
| dispenseRequest |
1..1 | BackboneElement | Medication supply authorization | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
 quantity |
C | 1..1 | SimpleQuantity(4.0.1) | Amount of medication to supply per dispense Constraints: sqty-1 |
| value |
1..1 | decimal | Numerical value (with implicit precision) | |
| 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 | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | FHIR Std. |
| MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | FHIR Std. |
| MedicationRequest.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.substitution.allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.4 |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| sqty-1 | error | MedicationRequest.dispenseRequest.quantity | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
| trxhub-inv-patient-ref-only | error | MedicationRequest.subject | Reference must point to a Patient resource |
reference.exists() implies (reference.startsWith('Patient/') or reference.startsWith('urn:uuid:'))
|
| trxhub-inv-practitioner-ref-only | error | MedicationRequest.requester | Reference must point to a Practitioner resource |
reference.exists() implies (reference.startsWith('Practitioner/') or reference.startsWith('urn:uuid:'))
|
| trxhub-inv-service-request-ref-only | error | MedicationRequest.basedOn | Reference must point to a ServiceRequest resource |
reference.exists() implies (reference.startsWith('ServiceRequest/') or reference.startsWith('urn:uuid:'))
|
This structure is derived from MedicationRequest
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationRequest |
0..* | MedicationRequest | Ordering of medication for patient or group | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:indicationCode |
0..1 | string | Indication Code URL: https://trxhub.mediservice.ch/fhir/StructureDefinition/trxhub-indication-code | |
 status |
1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Required Pattern: active | |
| intent |
1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: order | |
| medication[x] |
1..1 | CodeableConcept | Medication to be taken | |
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Closed by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| coding:pharmacode |
0..1 | Coding | Code defined by a terminology system | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.51.1.3 | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| coding:gtin |
0..1 | Coding | Code defined by a terminology system | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:1.3.160 | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| text |
0..1 | string | Plain text representation of the concept | |
| subject |
C | 1..1 | Reference(Patient) | Who or group medication request is for Constraints: trxhub-inv-patient-ref-only |
| requester |
C | 1..1 | Reference(Practitioner) | Who/What requested the Request Constraints: trxhub-inv-practitioner-ref-only |
| basedOn |
C | 1..1 | Reference(ServiceRequest) | What request fulfills Constraints: trxhub-inv-service-request-ref-only |
| dosageInstruction |
1..1 | Dosage | How the medication should be taken | |
| patientInstruction |
0..1 | string | Patient or consumer oriented instructions | |
| dispenseRequest |
1..1 | BackboneElement | Medication supply authorization | |
| quantity |
1..1 | SimpleQuantity(4.0.1) | Amount of medication to supply per dispense | |
| value |
1..1 | decimal | Numerical value (with implicit precision) | |
| 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 | ||||
Constraints
| Id | Grade | Path(s) | Description | Expression |
| trxhub-inv-patient-ref-only | error | MedicationRequest.subject | Reference must point to a Patient resource |
reference.exists() implies (reference.startsWith('Patient/') or reference.startsWith('urn:uuid:'))
|
| trxhub-inv-practitioner-ref-only | error | MedicationRequest.requester | Reference must point to a Practitioner resource |
reference.exists() implies (reference.startsWith('Practitioner/') or reference.startsWith('urn:uuid:'))
|
| trxhub-inv-service-request-ref-only | error | MedicationRequest.basedOn | Reference must point to a ServiceRequest resource |
reference.exists() implies (reference.startsWith('ServiceRequest/') or reference.startsWith('urn:uuid:'))
|
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
0..* | MedicationRequest | Ordering of medication for patient or group | |||||
| 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 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| extension:indicationCode |
0..1 | string | Indication Code URL: https://trxhub.mediservice.ch/fhir/StructureDefinition/trxhub-indication-code | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | External ids for this request | |||||
| status |
1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Required Pattern: active | |||||
| statusReason |
0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||
| intent |
1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Required Pattern: order | |||||
| category |
0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. | |||||
| 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] |
0..1 | Reported rather than primary record | ||||||
| reportedBoolean |
boolean | |||||||
| reportedReference |
Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||||||
| medication[x] |
1..1 | CodeableConcept | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Closed by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| coding:pharmacode |
0..1 | Coding | Code defined by a terminology system | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.51.1.3 | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..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 | |||||
| coding:gtin |
0..1 | Coding | Code defined by a terminology system | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:1.3.160 | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..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 |
C | 1..1 | Reference(Patient) | Who or group medication request is for Constraints: trxhub-inv-patient-ref-only | ||||
| encounter |
0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay | |||||
| supportingInformation |
0..* | Reference(Resource) | Information to support ordering of the medication | |||||
| authoredOn |
0..1 | dateTime | When request was initially authored | |||||
| requester |
C | 1..1 | Reference(Practitioner) | Who/What requested the Request Constraints: trxhub-inv-practitioner-ref-only | ||||
| 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 | Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered. | |||||
| reasonReference |
0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written | |||||
| instantiatesCanonical |
0..* | canonical() | Instantiates FHIR protocol or definition | |||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||
| basedOn |
C | 1..1 | Reference(ServiceRequest) | What request fulfills Constraints: trxhub-inv-service-request-ref-only | ||||
| 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 |
1..1 | Dosage | 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 | 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 | 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 | 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 | Amount of medication per dose | ||||||
| doseRange |
Range | |||||||
| doseQuantity |
Quantity(SimpleQuantity) | |||||||
| 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(4.0.1) | Upper limit on medication per administration Constraints: sqty-1 | ||||
| maxDosePerLifetime |
C | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per lifetime of the patient Constraints: sqty-1 | ||||
| dispenseRequest |
1..1 | BackboneElement | 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(4.0.1) | 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 | Number of refills authorized | |||||
| quantity |
C | 1..1 | SimpleQuantity(4.0.1) | Amount of medication to supply per dispense Constraints: sqty-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
1..1 | decimal | Numerical value (with implicit precision) | |||||
| unit |
0..1 | string | Unit representation | |||||
| system |
C | 0..1 | uri | System that defines coded unit form | ||||
| code |
0..1 | code | Coded form of the unit | |||||
| 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 | ||||||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | FHIR Std. |
| MedicationRequest.statusReason | Base | example | Medication request status reason codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | FHIR Std. |
| MedicationRequest.category | Base | example | Medication request category codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| MedicationRequest.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.performerType | Base | example | Procedure Performer Role Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.courseOfTherapyType | Base | example | Medication request course of therapy codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.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.substitution.allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.4 |
| MedicationRequest.substitution.reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v7.4 |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| 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()
|
| trxhub-inv-patient-ref-only | error | MedicationRequest.subject | Reference must point to a Patient resource |
reference.exists() implies (reference.startsWith('Patient/') or reference.startsWith('urn:uuid:'))
|
| trxhub-inv-practitioner-ref-only | error | MedicationRequest.requester | Reference must point to a Practitioner resource |
reference.exists() implies (reference.startsWith('Practitioner/') or reference.startsWith('urn:uuid:'))
|
| trxhub-inv-service-request-ref-only | error | MedicationRequest.basedOn | Reference must point to a ServiceRequest resource |
reference.exists() implies (reference.startsWith('ServiceRequest/') or reference.startsWith('urn:uuid:'))
|
This structure is derived from MedicationRequest
Summary
Mandatory: 7 elements(4 nested mandatory elements)
Must-Support: 22 elements
Fixed: 2 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
- The element 1 is sliced based on the value of MedicationRequest.medication[x].coding (Closed)
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationRequest |
0..* | MedicationRequest | Ordering of medication for patient or group | |
| 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 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:indicationCode |
0..1 | string | Indication Code URL: https://trxhub.mediservice.ch/fhir/StructureDefinition/trxhub-indication-code | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| status |
1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Required Pattern: active | |
| intent |
1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Required Pattern: order | |
| doNotPerform |
0..1 | boolean | True if request is prohibiting action | |
| medication[x] |
1..1 | CodeableConcept | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | |
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Closed by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| coding:pharmacode |
0..1 | Coding | Code defined by a terminology system | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.51.1.3 | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| coding:gtin |
0..1 | Coding | Code defined by a terminology system | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:1.3.160 | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| text |
0..1 | string | Plain text representation of the concept | |
| subject |
C | 1..1 | Reference(Patient) | Who or group medication request is for Constraints: trxhub-inv-patient-ref-only |
| requester |
C | 1..1 | Reference(Practitioner) | Who/What requested the Request Constraints: trxhub-inv-practitioner-ref-only |
| basedOn |
C | 1..1 | Reference(ServiceRequest) | What request fulfills Constraints: trxhub-inv-service-request-ref-only |
| dosageInstruction |
1..1 | Dosage | How the medication should be taken | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| patientInstruction |
0..1 | string | Patient or consumer oriented instructions | |
| dispenseRequest |
1..1 | BackboneElement | Medication supply authorization | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |
| quantity |
C | 1..1 | SimpleQuantity(4.0.1) | Amount of medication to supply per dispense Constraints: sqty-1 |
| value |
1..1 | decimal | Numerical value (with implicit precision) | |
| 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 | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | FHIR Std. |
| MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | FHIR Std. |
| MedicationRequest.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.substitution.allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.4 |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| sqty-1 | error | MedicationRequest.dispenseRequest.quantity | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
| trxhub-inv-patient-ref-only | error | MedicationRequest.subject | Reference must point to a Patient resource |
reference.exists() implies (reference.startsWith('Patient/') or reference.startsWith('urn:uuid:'))
|
| trxhub-inv-practitioner-ref-only | error | MedicationRequest.requester | Reference must point to a Practitioner resource |
reference.exists() implies (reference.startsWith('Practitioner/') or reference.startsWith('urn:uuid:'))
|
| trxhub-inv-service-request-ref-only | error | MedicationRequest.basedOn | Reference must point to a ServiceRequest resource |
reference.exists() implies (reference.startsWith('ServiceRequest/') or reference.startsWith('urn:uuid:'))
|
Differential View
This structure is derived from MedicationRequest
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationRequest |
0..* | MedicationRequest | Ordering of medication for patient or group | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:indicationCode |
0..1 | string | Indication Code URL: https://trxhub.mediservice.ch/fhir/StructureDefinition/trxhub-indication-code | |
| status |
1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Required Pattern: active | |
| intent |
1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: order | |
| medication[x] |
1..1 | CodeableConcept | Medication to be taken | |
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Closed by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| coding:pharmacode |
0..1 | Coding | Code defined by a terminology system | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.51.1.3 | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| coding:gtin |
0..1 | Coding | Code defined by a terminology system | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:1.3.160 | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| text |
0..1 | string | Plain text representation of the concept | |
| subject |
C | 1..1 | Reference(Patient) | Who or group medication request is for Constraints: trxhub-inv-patient-ref-only |
| requester |
C | 1..1 | Reference(Practitioner) | Who/What requested the Request Constraints: trxhub-inv-practitioner-ref-only |
| basedOn |
C | 1..1 | Reference(ServiceRequest) | What request fulfills Constraints: trxhub-inv-service-request-ref-only |
| dosageInstruction |
1..1 | Dosage | How the medication should be taken | |
| patientInstruction |
0..1 | string | Patient or consumer oriented instructions | |
| dispenseRequest |
1..1 | BackboneElement | Medication supply authorization | |
| quantity |
1..1 | SimpleQuantity(4.0.1) | Amount of medication to supply per dispense | |
| value |
1..1 | decimal | Numerical value (with implicit precision) | |
| 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 | ||||
Constraints
| Id | Grade | Path(s) | Description | Expression |
| trxhub-inv-patient-ref-only | error | MedicationRequest.subject | Reference must point to a Patient resource |
reference.exists() implies (reference.startsWith('Patient/') or reference.startsWith('urn:uuid:'))
|
| trxhub-inv-practitioner-ref-only | error | MedicationRequest.requester | Reference must point to a Practitioner resource |
reference.exists() implies (reference.startsWith('Practitioner/') or reference.startsWith('urn:uuid:'))
|
| trxhub-inv-service-request-ref-only | error | MedicationRequest.basedOn | Reference must point to a ServiceRequest resource |
reference.exists() implies (reference.startsWith('ServiceRequest/') or reference.startsWith('urn:uuid:'))
|
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
0..* | MedicationRequest | Ordering of medication for patient or group | |||||
| 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 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| extension:indicationCode |
0..1 | string | Indication Code URL: https://trxhub.mediservice.ch/fhir/StructureDefinition/trxhub-indication-code | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | External ids for this request | |||||
| status |
1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Required Pattern: active | |||||
| statusReason |
0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||
| intent |
1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Required Pattern: order | |||||
| category |
0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. | |||||
| 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] |
0..1 | Reported rather than primary record | ||||||
| reportedBoolean |
boolean | |||||||
| reportedReference |
Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||||||
| medication[x] |
1..1 | CodeableConcept | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Closed by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| coding:pharmacode |
0..1 | Coding | Code defined by a terminology system | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:2.51.1.3 | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..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 | |||||
| coding:gtin |
0..1 | Coding | Code defined by a terminology system | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: urn:oid:1.3.160 | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..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 |
C | 1..1 | Reference(Patient) | Who or group medication request is for Constraints: trxhub-inv-patient-ref-only | ||||
| encounter |
0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay | |||||
| supportingInformation |
0..* | Reference(Resource) | Information to support ordering of the medication | |||||
| authoredOn |
0..1 | dateTime | When request was initially authored | |||||
| requester |
C | 1..1 | Reference(Practitioner) | Who/What requested the Request Constraints: trxhub-inv-practitioner-ref-only | ||||
| 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 | Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered. | |||||
| reasonReference |
0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written | |||||
| instantiatesCanonical |
0..* | canonical() | Instantiates FHIR protocol or definition | |||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||
| basedOn |
C | 1..1 | Reference(ServiceRequest) | What request fulfills Constraints: trxhub-inv-service-request-ref-only | ||||
| 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 |
1..1 | Dosage | 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 | 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 | 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 | 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 | Amount of medication per dose | ||||||
| doseRange |
Range | |||||||
| doseQuantity |
Quantity(SimpleQuantity) | |||||||
| 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(4.0.1) | Upper limit on medication per administration Constraints: sqty-1 | ||||
| maxDosePerLifetime |
C | 0..1 | SimpleQuantity(4.0.1) | Upper limit on medication per lifetime of the patient Constraints: sqty-1 | ||||
| dispenseRequest |
1..1 | BackboneElement | 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(4.0.1) | 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 | Number of refills authorized | |||||
| quantity |
C | 1..1 | SimpleQuantity(4.0.1) | Amount of medication to supply per dispense Constraints: sqty-1 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
1..1 | decimal | Numerical value (with implicit precision) | |||||
| unit |
0..1 | string | Unit representation | |||||
| system |
C | 0..1 | uri | System that defines coded unit form | ||||
| code |
0..1 | code | Coded form of the unit | |||||
| 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 | ||||||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | FHIR Std. |
| MedicationRequest.statusReason | Base | example | Medication request status reason codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | FHIR Std. |
| MedicationRequest.category | Base | example | Medication request category codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| MedicationRequest.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.performerType | Base | example | Procedure Performer Role Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.courseOfTherapyType | Base | example | Medication request course of therapy codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.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.substitution.allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.4 |
| MedicationRequest.substitution.reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v7.4 |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| 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()
|
| trxhub-inv-patient-ref-only | error | MedicationRequest.subject | Reference must point to a Patient resource |
reference.exists() implies (reference.startsWith('Patient/') or reference.startsWith('urn:uuid:'))
|
| trxhub-inv-practitioner-ref-only | error | MedicationRequest.requester | Reference must point to a Practitioner resource |
reference.exists() implies (reference.startsWith('Practitioner/') or reference.startsWith('urn:uuid:'))
|
| trxhub-inv-service-request-ref-only | error | MedicationRequest.basedOn | Reference must point to a ServiceRequest resource |
reference.exists() implies (reference.startsWith('ServiceRequest/') or reference.startsWith('urn:uuid:'))
|
This structure is derived from MedicationRequest
Summary
Mandatory: 7 elements(4 nested mandatory elements)
Must-Support: 22 elements
Fixed: 2 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
- The element 1 is sliced based on the value of MedicationRequest.medication[x].coding (Closed)
Other representations of profile: CSV, Excel, Schematron