Interweave Implementation Guide
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Interweave Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the STU3 profiles here.

Resource Profile: UK Core MedicationRequest

Official URL: https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationRequest Version: 2.5.0
Active as of 2023-12-12 Computable Name: UKCoreMedicationRequest

Copyright/Legal: Copyright © 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the "License"); you may not use this file except in compliance with the License. You may obtain a copy of the License at http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an "AS IS" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at https://www.hl7.org/fhir/license.html.

This profile defines the UK constraints and extensions on the International FHIR resource MedicationRequest.

An order or request for both supply of the medication and the instructions for administration of the medication to an individual.

This profile covers inpatient medication orders as well as community orders (whether filled by the prescriber or by a pharmacy). It also includes orders for over-the-counter medications (e.g. Aspirin), total parenteral nutrition and diet/ vitamin supplements, and may be used to support the order of medication-related devices.

It is not intended for use in prescribing particular diets, or for ordering non-medication-related items (eyeglasses, supplies, etc).

Usage:

Formal Views of Profile Content

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

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest MedicationRequest
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... medicationRepeatInformation 0..1 (Complex) Allows the resource to be referenced within / by other resources.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation
... identifier S 0..* Identifier Allows the resource to be referenced within / by other resources.
... status S 1..1 code A code specifying the current state of the order.
... category S 0..* CodeableConcept Provides the business context for the relevant dispensing processes.
Binding: UK Core Medication Request Category (extensible)
... medication[x] S 1..1 CodeableConcept, Reference(Medication) Identifies the medication being requested.
Binding: UK Core Medication Code (preferred)
... subject S 1..1 Reference(Patient | Group) Who the medication request is for.
... authoredOn S 0..1 dateTime The date / time that the medication request was initially authored.
... requester S 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who is requesting the medication.
... courseOfTherapyType 0..1 CodeableConcept A course of therapy for a medication request
Binding: UK Core Medication Request Course Of Therapy (extensible)
... dosageInstruction S 0..* Dosage Dosage instructions for the medication.
.... text S 0..1 string Free text dosage instructions.
.... timing S 0..1 Timing When the medication should be administered.
.... asNeeded[x] 0..1 boolean, CodeableConcept Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (preferred): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.

.... site 0..1 CodeableConcept Body site to administer to
Binding: UK Core Body Site (preferred)
.... route 0..1 CodeableConcept How drug should enter body
Binding: UK Core Substance Or Product Administration Route (preferred)
.... method 0..1 CodeableConcept Technique for administering medication
Binding: UK Core Medication Dosage Method (preferred)
.... doseAndRate S 0..* Element Dosage instructions for the requested medication.
..... dose[x] S 0..1 Range, SimpleQuantity Quantity of requested medication to be administered.
..... rate[x] S 0..1 Ratio, Range, SimpleQuantity Rate at which the requested medication is to be administered.
... dispenseRequest S 0..1 BackboneElement Specific dispensing quantity instructions.
.... quantity S 0..1 SimpleQuantity >Amount of medication to supply per dispense.
... substitution S 1..1 BackboneElement Any restrictions on medication substitution.
.... allowed[x] 1..1 boolean, CodeableConcept Whether substitution is allowed or not

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationRequest.categoryextensibleUKCoreMedicationRequestCategory
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCategory
from this IG
MedicationRequest.medication[x]preferredUKCoreMedicationCode
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationCode
from this IG
MedicationRequest.courseOfTherapyTypeextensibleUKCoreMedicationRequestCourseOfTherapy
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCourseOfTherapy
from this IG
MedicationRequest.dosageInstruction.asNeeded[x]preferredSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.sitepreferredUKCoreBodySite
https://fhir.hl7.org.uk/ValueSet/UKCore-BodySite
from this IG
MedicationRequest.dosageInstruction.routepreferredUKCoreSubstanceOrProductAdministrationRoute
https://fhir.hl7.org.uk/ValueSet/UKCore-SubstanceOrProductAdministrationRoute
from this IG
MedicationRequest.dosageInstruction.methodpreferredUKCoreMedicationDosageMethod
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationDosageMethod
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... implicitRules ?!Σ 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
.... medicationRepeatInformation 0..1 (Complex) Allows the resource to be referenced within / by other resources.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code A code specifying the current state of the order.
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.

... intent ?!SΣ 1..1 code Whether the request is a proposal, plan, or an original order.
Binding: medicationRequest Intent (required): The kind of medication order.

... category S 0..* CodeableConcept Provides the business context for the relevant dispensing processes.
Binding: UK Core Medication Request Category (extensible)
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... medication[x] SΣ 1..1 Identifies the medication being requested.
Binding: UK Core Medication Code (preferred)
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
... subject SΣ 1..1 Reference(Patient | Group) Who the medication request is for.
... authoredOn SΣ 0..1 dateTime The date / time that the medication request was initially authored.
... requester SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who is requesting the medication.
... courseOfTherapyType 0..1 CodeableConcept A course of therapy for a medication request
Binding: UK Core Medication Request Course Of Therapy (extensible)
... dosageInstruction S 0..* Dosage Dosage instructions for the medication.
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text SΣ 0..1 string Free text dosage instructions.
.... timing SΣ 0..1 Timing When the medication should be administered.
.... asNeeded[x] Σ 0..1 Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (preferred): 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 Σ 0..1 CodeableConcept Body site to administer to
Binding: UK Core Body Site (preferred)
.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: UK Core Substance Or Product Administration Route (preferred)
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: UK Core Medication Dosage Method (preferred)
.... doseAndRate SΣ 0..* Element Dosage instructions for the requested medication.
..... dose[x] SΣ 0..1 Quantity of requested medication to be administered.
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
..... rate[x] SΣ 0..1 Rate at which the requested medication is to be administered.
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
... dispenseRequest S 0..1 BackboneElement Specific dispensing quantity instructions.
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... quantity S 0..1 SimpleQuantity >Amount of medication to supply per dispense.
... substitution S 1..1 BackboneElement Any restrictions on medication substitution.
.... modifierExtension ?!Σ 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.categoryextensibleUKCoreMedicationRequestCategory
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCategory
from this IG
MedicationRequest.medication[x]preferredUKCoreMedicationCode
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationCode
from this IG
MedicationRequest.courseOfTherapyTypeextensibleUKCoreMedicationRequestCourseOfTherapy
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCourseOfTherapy
from this IG
MedicationRequest.dosageInstruction.asNeeded[x]preferredSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.sitepreferredUKCoreBodySite
https://fhir.hl7.org.uk/ValueSet/UKCore-BodySite
from this IG
MedicationRequest.dosageInstruction.routepreferredUKCoreSubstanceOrProductAdministrationRoute
https://fhir.hl7.org.uk/ValueSet/UKCore-SubstanceOrProductAdministrationRoute
from this IG
MedicationRequest.dosageInstruction.methodpreferredUKCoreMedicationDosageMethod
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationDosageMethod
from this IG
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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-4errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... medicationRepeatInformation 0..1 (Complex) Allows the resource to be referenced within / by other resources.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier S 0..* Identifier Allows the resource to be referenced within / by other resources.
... status ?!SΣ 1..1 code A code specifying the current state of the order.
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.

... statusReason 0..1 CodeableConcept Reason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

... intent ?!SΣ 1..1 code Whether the request is a proposal, plan, or an original order.
Binding: medicationRequest Intent (required): The kind of medication order.

... category S 0..* CodeableConcept Provides the business context for the relevant dispensing processes.
Binding: UK Core Medication Request Category (extensible)
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... reported[x] Σ 0..1 Reported rather than primary record
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... medication[x] SΣ 1..1 Identifies the medication being requested.
Binding: UK Core Medication Code (preferred)
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
... subject SΣ 1..1 Reference(Patient | Group) Who the medication request is for.
... 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 SΣ 0..1 dateTime The date / time that the medication request was initially authored.
... requester SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who is requesting the medication.
... performer 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) Intended performer of administration
... performerType Σ 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 Σ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) What request fulfills
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... courseOfTherapyType 0..1 CodeableConcept A course of therapy for a medication request
Binding: UK Core Medication Request Course Of Therapy (extensible)
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... note 0..* Annotation Information about the prescription
... dosageInstruction S 0..* Dosage Dosage instructions for the medication.
.... 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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence Σ 0..1 integer The order of the dosage instructions
.... text SΣ 0..1 string Free text dosage instructions.
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".


.... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
.... timing SΣ 0..1 Timing When the medication should be administered.
.... asNeeded[x] Σ 0..1 Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (preferred): 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 Σ 0..1 CodeableConcept Body site to administer to
Binding: UK Core Body Site (preferred)
.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: UK Core Substance Or Product Administration Route (preferred)
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: UK Core Medication Dosage Method (preferred)
.... doseAndRate SΣ 0..* Element Dosage instructions for the requested medication.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ 0..1 CodeableConcept The kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.

..... dose[x] SΣ 0..1 Quantity of requested medication to be administered.
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
..... rate[x] SΣ 0..1 Rate at which the requested medication is to be administered.
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
.... maxDosePerPeriod Σ 0..1 Ratio Upper limit on medication per unit of time
.... maxDosePerAdministration Σ 0..1 SimpleQuantity Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity Upper limit on medication per lifetime of the patient
... dispenseRequest S 0..1 BackboneElement Specific dispensing quantity instructions.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... initialFill 0..1 BackboneElement First fill details
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... quantity 0..1 SimpleQuantity First fill quantity
..... duration 0..1 Duration First fill duration
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... validityPeriod 0..1 Period Time period supply is authorized for
.... numberOfRepeatsAllowed 0..1 unsignedInt Number of refills authorized
.... quantity S 0..1 SimpleQuantity >Amount of medication to supply per dispense.
.... expectedSupplyDuration 0..1 Duration Number of days supply per dispense
.... performer 0..1 Reference(Organization) Intended dispenser
... substitution S 1..1 BackboneElement Any restrictions on medication substitution.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... allowed[x] 1..1 Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
from the FHIR Standard
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.categoryextensibleUKCoreMedicationRequestCategory
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCategory
from this IG
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
MedicationRequest.medication[x]preferredUKCoreMedicationCode
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationCode
from this IG
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationRequest.courseOfTherapyTypeextensibleUKCoreMedicationRequestCourseOfTherapy
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCourseOfTherapy
from this IG
MedicationRequest.dosageInstruction.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.asNeeded[x]preferredSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.sitepreferredUKCoreBodySite
https://fhir.hl7.org.uk/ValueSet/UKCore-BodySite
from this IG
MedicationRequest.dosageInstruction.routepreferredUKCoreSubstanceOrProductAdministrationRoute
https://fhir.hl7.org.uk/ValueSet/UKCore-SubstanceOrProductAdministrationRoute
from this IG
MedicationRequest.dosageInstruction.methodpreferredUKCoreMedicationDosageMethod
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationDosageMethod
from this IG
MedicationRequest.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
http://hl7.org/fhir/ValueSet/dose-rate-type
from the FHIR Standard
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

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

This structure is derived from MedicationRequest

Summary

Mandatory: 1 element
Must-Support: 17 elements

Extensions

This structure refers to these extensions:

Differential View

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest MedicationRequest
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... medicationRepeatInformation 0..1 (Complex) Allows the resource to be referenced within / by other resources.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation
... identifier S 0..* Identifier Allows the resource to be referenced within / by other resources.
... status S 1..1 code A code specifying the current state of the order.
... category S 0..* CodeableConcept Provides the business context for the relevant dispensing processes.
Binding: UK Core Medication Request Category (extensible)
... medication[x] S 1..1 CodeableConcept, Reference(Medication) Identifies the medication being requested.
Binding: UK Core Medication Code (preferred)
... subject S 1..1 Reference(Patient | Group) Who the medication request is for.
... authoredOn S 0..1 dateTime The date / time that the medication request was initially authored.
... requester S 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who is requesting the medication.
... courseOfTherapyType 0..1 CodeableConcept A course of therapy for a medication request
Binding: UK Core Medication Request Course Of Therapy (extensible)
... dosageInstruction S 0..* Dosage Dosage instructions for the medication.
.... text S 0..1 string Free text dosage instructions.
.... timing S 0..1 Timing When the medication should be administered.
.... asNeeded[x] 0..1 boolean, CodeableConcept Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (preferred): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.

.... site 0..1 CodeableConcept Body site to administer to
Binding: UK Core Body Site (preferred)
.... route 0..1 CodeableConcept How drug should enter body
Binding: UK Core Substance Or Product Administration Route (preferred)
.... method 0..1 CodeableConcept Technique for administering medication
Binding: UK Core Medication Dosage Method (preferred)
.... doseAndRate S 0..* Element Dosage instructions for the requested medication.
..... dose[x] S 0..1 Range, SimpleQuantity Quantity of requested medication to be administered.
..... rate[x] S 0..1 Ratio, Range, SimpleQuantity Rate at which the requested medication is to be administered.
... dispenseRequest S 0..1 BackboneElement Specific dispensing quantity instructions.
.... quantity S 0..1 SimpleQuantity >Amount of medication to supply per dispense.
... substitution S 1..1 BackboneElement Any restrictions on medication substitution.
.... allowed[x] 1..1 boolean, CodeableConcept Whether substitution is allowed or not

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationRequest.categoryextensibleUKCoreMedicationRequestCategory
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCategory
from this IG
MedicationRequest.medication[x]preferredUKCoreMedicationCode
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationCode
from this IG
MedicationRequest.courseOfTherapyTypeextensibleUKCoreMedicationRequestCourseOfTherapy
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCourseOfTherapy
from this IG
MedicationRequest.dosageInstruction.asNeeded[x]preferredSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.sitepreferredUKCoreBodySite
https://fhir.hl7.org.uk/ValueSet/UKCore-BodySite
from this IG
MedicationRequest.dosageInstruction.routepreferredUKCoreSubstanceOrProductAdministrationRoute
https://fhir.hl7.org.uk/ValueSet/UKCore-SubstanceOrProductAdministrationRoute
from this IG
MedicationRequest.dosageInstruction.methodpreferredUKCoreMedicationDosageMethod
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationDosageMethod
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... implicitRules ?!Σ 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
.... medicationRepeatInformation 0..1 (Complex) Allows the resource to be referenced within / by other resources.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code A code specifying the current state of the order.
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.

... intent ?!SΣ 1..1 code Whether the request is a proposal, plan, or an original order.
Binding: medicationRequest Intent (required): The kind of medication order.

... category S 0..* CodeableConcept Provides the business context for the relevant dispensing processes.
Binding: UK Core Medication Request Category (extensible)
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... medication[x] SΣ 1..1 Identifies the medication being requested.
Binding: UK Core Medication Code (preferred)
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
... subject SΣ 1..1 Reference(Patient | Group) Who the medication request is for.
... authoredOn SΣ 0..1 dateTime The date / time that the medication request was initially authored.
... requester SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who is requesting the medication.
... courseOfTherapyType 0..1 CodeableConcept A course of therapy for a medication request
Binding: UK Core Medication Request Course Of Therapy (extensible)
... dosageInstruction S 0..* Dosage Dosage instructions for the medication.
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text SΣ 0..1 string Free text dosage instructions.
.... timing SΣ 0..1 Timing When the medication should be administered.
.... asNeeded[x] Σ 0..1 Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (preferred): 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 Σ 0..1 CodeableConcept Body site to administer to
Binding: UK Core Body Site (preferred)
.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: UK Core Substance Or Product Administration Route (preferred)
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: UK Core Medication Dosage Method (preferred)
.... doseAndRate SΣ 0..* Element Dosage instructions for the requested medication.
..... dose[x] SΣ 0..1 Quantity of requested medication to be administered.
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
..... rate[x] SΣ 0..1 Rate at which the requested medication is to be administered.
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
... dispenseRequest S 0..1 BackboneElement Specific dispensing quantity instructions.
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... quantity S 0..1 SimpleQuantity >Amount of medication to supply per dispense.
... substitution S 1..1 BackboneElement Any restrictions on medication substitution.
.... modifierExtension ?!Σ 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.categoryextensibleUKCoreMedicationRequestCategory
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCategory
from this IG
MedicationRequest.medication[x]preferredUKCoreMedicationCode
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationCode
from this IG
MedicationRequest.courseOfTherapyTypeextensibleUKCoreMedicationRequestCourseOfTherapy
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCourseOfTherapy
from this IG
MedicationRequest.dosageInstruction.asNeeded[x]preferredSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.sitepreferredUKCoreBodySite
https://fhir.hl7.org.uk/ValueSet/UKCore-BodySite
from this IG
MedicationRequest.dosageInstruction.routepreferredUKCoreSubstanceOrProductAdministrationRoute
https://fhir.hl7.org.uk/ValueSet/UKCore-SubstanceOrProductAdministrationRoute
from this IG
MedicationRequest.dosageInstruction.methodpreferredUKCoreMedicationDosageMethod
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationDosageMethod
from this IG
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode

Constraints

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

Snapshot View

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

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... medicationRepeatInformation 0..1 (Complex) Allows the resource to be referenced within / by other resources.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier S 0..* Identifier Allows the resource to be referenced within / by other resources.
... status ?!SΣ 1..1 code A code specifying the current state of the order.
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.

... statusReason 0..1 CodeableConcept Reason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

... intent ?!SΣ 1..1 code Whether the request is a proposal, plan, or an original order.
Binding: medicationRequest Intent (required): The kind of medication order.

... category S 0..* CodeableConcept Provides the business context for the relevant dispensing processes.
Binding: UK Core Medication Request Category (extensible)
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... reported[x] Σ 0..1 Reported rather than primary record
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... medication[x] SΣ 1..1 Identifies the medication being requested.
Binding: UK Core Medication Code (preferred)
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
... subject SΣ 1..1 Reference(Patient | Group) Who the medication request is for.
... 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 SΣ 0..1 dateTime The date / time that the medication request was initially authored.
... requester SΣ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who is requesting the medication.
... performer 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) Intended performer of administration
... performerType Σ 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 Σ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) What request fulfills
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... courseOfTherapyType 0..1 CodeableConcept A course of therapy for a medication request
Binding: UK Core Medication Request Course Of Therapy (extensible)
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... note 0..* Annotation Information about the prescription
... dosageInstruction S 0..* Dosage Dosage instructions for the medication.
.... 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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence Σ 0..1 integer The order of the dosage instructions
.... text SΣ 0..1 string Free text dosage instructions.
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".


.... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
.... timing SΣ 0..1 Timing When the medication should be administered.
.... asNeeded[x] Σ 0..1 Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (preferred): 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 Σ 0..1 CodeableConcept Body site to administer to
Binding: UK Core Body Site (preferred)
.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: UK Core Substance Or Product Administration Route (preferred)
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: UK Core Medication Dosage Method (preferred)
.... doseAndRate SΣ 0..* Element Dosage instructions for the requested medication.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ 0..1 CodeableConcept The kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.

..... dose[x] SΣ 0..1 Quantity of requested medication to be administered.
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
..... rate[x] SΣ 0..1 Rate at which the requested medication is to be administered.
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
.... maxDosePerPeriod Σ 0..1 Ratio Upper limit on medication per unit of time
.... maxDosePerAdministration Σ 0..1 SimpleQuantity Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity Upper limit on medication per lifetime of the patient
... dispenseRequest S 0..1 BackboneElement Specific dispensing quantity instructions.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... initialFill 0..1 BackboneElement First fill details
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... quantity 0..1 SimpleQuantity First fill quantity
..... duration 0..1 Duration First fill duration
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... validityPeriod 0..1 Period Time period supply is authorized for
.... numberOfRepeatsAllowed 0..1 unsignedInt Number of refills authorized
.... quantity S 0..1 SimpleQuantity >Amount of medication to supply per dispense.
.... expectedSupplyDuration 0..1 Duration Number of days supply per dispense
.... performer 0..1 Reference(Organization) Intended dispenser
... substitution S 1..1 BackboneElement Any restrictions on medication substitution.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... allowed[x] 1..1 Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
from the FHIR Standard
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.categoryextensibleUKCoreMedicationRequestCategory
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCategory
from this IG
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
MedicationRequest.medication[x]preferredUKCoreMedicationCode
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationCode
from this IG
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationRequest.courseOfTherapyTypeextensibleUKCoreMedicationRequestCourseOfTherapy
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCourseOfTherapy
from this IG
MedicationRequest.dosageInstruction.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.asNeeded[x]preferredSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.sitepreferredUKCoreBodySite
https://fhir.hl7.org.uk/ValueSet/UKCore-BodySite
from this IG
MedicationRequest.dosageInstruction.routepreferredUKCoreSubstanceOrProductAdministrationRoute
https://fhir.hl7.org.uk/ValueSet/UKCore-SubstanceOrProductAdministrationRoute
from this IG
MedicationRequest.dosageInstruction.methodpreferredUKCoreMedicationDosageMethod
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationDosageMethod
from this IG
MedicationRequest.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
http://hl7.org/fhir/ValueSet/dose-rate-type
from the FHIR Standard
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

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

This structure is derived from MedicationRequest

Summary

Mandatory: 1 element
Must-Support: 17 elements

Extensions

This structure refers to these extensions:

 

Other representations of profile: CSV, Excel, Schematron