Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
repeatInformation		0..1	(Complex)	Medication repeat information URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationRepeatInformation-1
statusReason		0..1	(Complex)	To record the reason the medication (plan or order) was stopped and the date this occurred URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationStatusReason-1
prescriptionType		0..1	CodeableConcept	To record the type of prescription URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-PrescriptionType-1 Binding: Care Connect Prescription Type (required): A ValueSet to identify the type of prescription.
identifier
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
assigner		0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
basedOn		0..*	Reference(CarePlan | ProcedureRequest | ReferralRequest | CareConnect-MedicationRequest-1)	What request fulfills
groupIdentifier
assigner		0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
medicationReference:medicationReference		1..1	Reference(CareConnect-Medication-1)	Medication to be taken Binding: SNOMED CT Medication Codes (example)
subject		1..1	Reference(Group | CareConnectPatient1)	Who or group medication request is for
context		0..1	Reference(EpisodeOfCare | CareConnect-Encounter-1)	Created during encounter/admission/stay
requester
agent		1..1	Reference(RelatedPerson | Device | CareConnect-Organization-1 | CareConnectPatient1 | CareConnect-Practitioner-1)	Who ordered the initial medication(s)
onBehalfOf		0..1	Reference(CareConnect-Organization-1)	Organization agent is acting for
recorder		0..1	Reference(CareConnect-Practitioner-1)	Person who entered the request
reasonReference		0..*	Reference(CareConnect-Condition-1 | CareConnect-Observation-1)	Condition or Observation that supports why the prescription is being written
note
author[x]		0..1		Individual responsible for the annotation
authorReference			Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Practitioner-1)
authorString			string
dosageInstruction
additionalInstruction
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT		0..1	Coding	Code defined by a terminology system
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
route
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT		0..1	Coding	Code defined by a terminology system Binding: Care Connect Medication Dosage Route (preferred): A code from the SNOMED Clinical Terminology UK coding system that describes the e-Prescribing route of administration.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
dispenseRequest
quantity
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
quantityText		0..1	string	Quantity representation URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationQuantityText-1
expectedSupplyDuration
value		1..1	decimal	Numerical value (with implicit precision)
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		1..1	code	Coded form of the unit Binding: UnitsOfTime (required): A unit of time (units from UCUM).
performer		0..1	Reference(CareConnect-Organization-1)	Intended dispenser
priorPrescription		0..1	Reference(CareConnect-MedicationRequest-1)	An order/prescription that is being replaced
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
MedicationRequest.medicationReference:medicationReference	example	SNOMED CT Medication Codes
MedicationRequest.dosageInstruction.route.coding:snomedCT	preferred	Care Connect Medication Dosage Route
MedicationRequest.dispenseRequest.expectedSupplyDuration.code	required	UnitsOfTime

Name	Flags	Card.	Type	Description & Constraints
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
repeatInformation		0..1	(Complex)	Medication repeat information URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationRepeatInformation-1
statusReason		0..1	(Complex)	To record the reason the medication (plan or order) was stopped and the date this occurred URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationStatusReason-1
prescriptionType		0..1	CodeableConcept	To record the type of prescription URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-PrescriptionType-1 Binding: Care Connect Prescription Type (required): A ValueSet to identify the type of prescription.
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
basedOn	Σ	0..*	Reference(CarePlan | ProcedureRequest | ReferralRequest | CareConnect-MedicationRequest-1)	What request fulfills
status	?!Σ	0..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: MedicationRequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription
intent	?!Σ	1..1	code	proposal | plan | order | instance-order Binding: MedicationRequestIntent (required): The kind of medication order
Slices for medication[x]	Σ	1..1	Reference()	Medication to be taken Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	Σ	1..1	Reference(CareConnect-Medication-1)	Medication to be taken
subject	Σ	1..1	Reference(Group | CareConnectPatient1)	Who or group medication request is for
context		0..1	Reference(EpisodeOfCare | CareConnect-Encounter-1)	Created during encounter/admission/stay
recorder		0..1	Reference(CareConnect-Practitioner-1)	Person who entered the request
reasonReference		0..*	Reference(CareConnect-Condition-1 | CareConnect-Observation-1)	Condition or Observation that supports why the prescription is being written
priorPrescription		0..1	Reference(CareConnect-MedicationRequest-1)	An order/prescription that is being replaced
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
MedicationRequest.status	required	MedicationRequestStatus
MedicationRequest.intent	required	MedicationRequestIntent

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	MedicationRequest.extension:repeatInformation, MedicationRequest.extension:statusReason, MedicationRequest.extension:prescriptionType	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	MedicationRequest.extension:repeatInformation, MedicationRequest.extension:statusReason, MedicationRequest.extension:prescriptionType	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
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: Common Languages (extensible): A human language. Additional Bindings Purpose 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
repeatInformation		0..1	(Complex)	Medication repeat information URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationRepeatInformation-1
statusReason		0..1	(Complex)	To record the reason the medication (plan or order) was stopped and the date this occurred URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationStatusReason-1
prescriptionType		0..1	CodeableConcept	To record the type of prescription URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-PrescriptionType-1 Binding: Care Connect Prescription Type (required): A ValueSet to identify the type of prescription.
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External ids for this request
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
definition	Σ	0..*	Reference(ActivityDefinition | PlanDefinition)	Protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ProcedureRequest | ReferralRequest | CareConnect-MedicationRequest-1)	What request fulfills
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
status	?!Σ	0..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: MedicationRequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription
intent	?!Σ	1..1	code	proposal | plan | order | instance-order Binding: MedicationRequestIntent (required): The kind of medication order
category		0..1	CodeableConcept	Type of medication usage Binding: MedicationRequestCategory (preferred): A coded concept identifying where the medication ordered is expected to be consumed or administered
priority	Σ	0..1	code	routine | urgent | stat | asap Binding: MedicationRequestPriority (required): Identifies the level of importance to be assigned to actioning the request
Slices for medication[x]	Σ	1..1	Reference()	Medication to be taken Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	Σ	1..1	Reference(CareConnect-Medication-1)	Medication to be taken
subject	Σ	1..1	Reference(Group | CareConnectPatient1)	Who or group medication request is for
context		0..1	Reference(EpisodeOfCare | CareConnect-Encounter-1)	Created during encounter/admission/stay
supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication
authoredOn	Σ	0..1	dateTime	When request was initially authored
requester	ΣC	0..1	BackboneElement	Who/What requested the Request
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
agent	Σ	1..1	Reference(RelatedPerson | Device | CareConnect-Organization-1 | CareConnectPatient1 | CareConnect-Practitioner-1)	Who ordered the initial medication(s)
onBehalfOf	ΣC	0..1	Reference(CareConnect-Organization-1)	Organization agent is acting for
recorder		0..1	Reference(CareConnect-Practitioner-1)	Person who entered the request
reasonCode		0..*	CodeableConcept	Reason or indication for writing the prescription Binding: Condition/Problem/Diagnosis Codes (example): A coded concept indicating why the medication was ordered.
reasonReference		0..*	Reference(CareConnect-Condition-1 | CareConnect-Observation-1)	Condition or Observation that supports why the prescription is being written
note		0..*	Annotation	Information about the prescription
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Practitioner-1)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text		1..1	string	The annotation - text content
dosageInstruction		0..*	Dosage	How the medication should be taken
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
sequence	Σ	0..1	integer	The order of the dosage instructions
text	Σ	0..1	string	Free text dosage instructions e.g. SIG
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction - e.g. "with meals" Binding: SNOMED CT Additional Dosage Instructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..1	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	Σ	0..1	Timing	When medication should be administered
asNeeded[x]	Σ	0..1		Take "as needed" (for x) Binding: SNOMED CT Medication As Needed Reason Codes (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	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMED CT Anatomical Structure for Administration Site Codes (example): A coded concept describing the site location the medicine enters into or onto the body.
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: SNOMED CT Route Codes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..1	Coding	Code defined by a terminology system Binding: Care Connect Medication Dosage Route (preferred): A code from the SNOMED Clinical Terminology UK coding system that describes the e-Prescribing route of administration.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMED CT Administration Method Codes (example): A coded concept describing the technique by which the medicine is administered.
dose[x]	Σ	0..1		Amount of medication per dose
doseRange			Range
doseQuantity			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
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
dispenseRequest		0..1	BackboneElement	Medication supply authorization
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
validityPeriod		0..1	Period	Time period supply is authorized for
numberOfRepeatsAllowed		0..1	positiveInt	Number of refills authorized
quantity		0..1	SimpleQuantity	Amount of medication to supply per dispense
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
quantityText		0..1	string	Quantity representation URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationQuantityText-1
value	Σ	0..1	decimal	Numerical value (with implicit precision)
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
expectedSupplyDuration		0..1	Duration	Number of days supply per dispense
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
value	Σ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit Binding: UnitsOfTime (required): A unit of time (units from UCUM).
performer		0..1	Reference(CareConnect-Organization-1)	Intended dispenser
substitution		0..1	BackboneElement	Any restrictions on medication substitution
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
allowed	?!	1..1	boolean	Whether substitution is allowed or not
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(CareConnect-MedicationRequest-1)	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	Conformance	ValueSet
MedicationRequest.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding
MedicationRequest.identifier.use	required	IdentifierUse
MedicationRequest.identifier.type	extensible	Identifier Type Codes
MedicationRequest.groupIdentifier.use	required	IdentifierUse
MedicationRequest.groupIdentifier.type	extensible	Identifier Type Codes
MedicationRequest.status	required	MedicationRequestStatus
MedicationRequest.intent	required	MedicationRequestIntent
MedicationRequest.category	preferred	MedicationRequestCategory
MedicationRequest.priority	required	MedicationRequestPriority
MedicationRequest.reasonCode	example	Condition/Problem/Diagnosis Codes
MedicationRequest.dosageInstruction.additionalInstruction	example	SNOMED CT Additional Dosage Instructions
MedicationRequest.dosageInstruction.asNeeded[x]	example	SNOMED CT Medication As Needed Reason Codes
MedicationRequest.dosageInstruction.site	example	SNOMED CT Anatomical Structure for Administration Site Codes
MedicationRequest.dosageInstruction.route	example	SNOMED CT Route Codes
MedicationRequest.dosageInstruction.route.coding:snomedCT	preferred	Care Connect Medication Dosage Route
MedicationRequest.dosageInstruction.method	example	SNOMED CT Administration Method Codes
MedicationRequest.dispenseRequest.expectedSupplyDuration.comparator	required	QuantityComparator
MedicationRequest.dispenseRequest.expectedSupplyDuration.code	required	UnitsOfTime
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	MedicationRequest.extension:repeatInformation, MedicationRequest.extension:statusReason, MedicationRequest.extension:prescriptionType, MedicationRequest.requester, MedicationRequest.dispenseRequest, MedicationRequest.substitution	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	MedicationRequest.extension:repeatInformation, MedicationRequest.extension:statusReason, MedicationRequest.extension:prescriptionType	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mps-1	error	MedicationRequest.requester	onBehalfOf can only be specified if agent is practitioner or device : (agent.resolve().empty()) or (agent.resolve() is Device) or (agent.resolve() is Practitioner) or onBehalfOf.exists().not()

Summary

Mandatory: 0 element (11 nested mandatory elements)
Fixed Value: 3 elements

Structures

This structure refers to these other structures:

• CareConnect-Organization-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1)
• CareConnect-MedicationRequest-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-MedicationRequest-1)
• CareConnect-Medication-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Medication-1)
• CareConnectPatient1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1)
• CareConnect-Encounter-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1)
• CareConnect-Practitioner-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1)
• CareConnect-Condition-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Condition-1)
• CareConnect-Observation-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1)

Extensions

This structure refers to these extensions:

• https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationRepeatInformation-1
• https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationStatusReason-1
• https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-PrescriptionType-1
• https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
• https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationQuantityText-1

Slices

This structure defines the following Slices:

• The element MedicationRequest.dosageInstruction.additionalInstruction.coding is sliced based on the value of value:system
• The element MedicationRequest.dosageInstruction.route.coding is sliced based on the value of value:system

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
repeatInformation		0..1	(Complex)	Medication repeat information URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationRepeatInformation-1
statusReason		0..1	(Complex)	To record the reason the medication (plan or order) was stopped and the date this occurred URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationStatusReason-1
prescriptionType		0..1	CodeableConcept	To record the type of prescription URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-PrescriptionType-1 Binding: Care Connect Prescription Type (required): A ValueSet to identify the type of prescription.
identifier
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
assigner		0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
basedOn		0..*	Reference(CarePlan | ProcedureRequest | ReferralRequest | CareConnect-MedicationRequest-1)	What request fulfills
groupIdentifier
assigner		0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
medicationReference:medicationReference		1..1	Reference(CareConnect-Medication-1)	Medication to be taken Binding: SNOMED CT Medication Codes (example)
subject		1..1	Reference(Group | CareConnectPatient1)	Who or group medication request is for
context		0..1	Reference(EpisodeOfCare | CareConnect-Encounter-1)	Created during encounter/admission/stay
requester
agent		1..1	Reference(RelatedPerson | Device | CareConnect-Organization-1 | CareConnectPatient1 | CareConnect-Practitioner-1)	Who ordered the initial medication(s)
onBehalfOf		0..1	Reference(CareConnect-Organization-1)	Organization agent is acting for
recorder		0..1	Reference(CareConnect-Practitioner-1)	Person who entered the request
reasonReference		0..*	Reference(CareConnect-Condition-1 | CareConnect-Observation-1)	Condition or Observation that supports why the prescription is being written
note
author[x]		0..1		Individual responsible for the annotation
authorReference			Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Practitioner-1)
authorString			string
dosageInstruction
additionalInstruction
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT		0..1	Coding	Code defined by a terminology system
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
route
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT		0..1	Coding	Code defined by a terminology system Binding: Care Connect Medication Dosage Route (preferred): A code from the SNOMED Clinical Terminology UK coding system that describes the e-Prescribing route of administration.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
dispenseRequest
quantity
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
quantityText		0..1	string	Quantity representation URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationQuantityText-1
expectedSupplyDuration
value		1..1	decimal	Numerical value (with implicit precision)
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		1..1	code	Coded form of the unit Binding: UnitsOfTime (required): A unit of time (units from UCUM).
performer		0..1	Reference(CareConnect-Organization-1)	Intended dispenser
priorPrescription		0..1	Reference(CareConnect-MedicationRequest-1)	An order/prescription that is being replaced
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
MedicationRequest.medicationReference:medicationReference	example	SNOMED CT Medication Codes
MedicationRequest.dosageInstruction.route.coding:snomedCT	preferred	Care Connect Medication Dosage Route
MedicationRequest.dispenseRequest.expectedSupplyDuration.code	required	UnitsOfTime

Name	Flags	Card.	Type	Description & Constraints
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
repeatInformation		0..1	(Complex)	Medication repeat information URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationRepeatInformation-1
statusReason		0..1	(Complex)	To record the reason the medication (plan or order) was stopped and the date this occurred URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationStatusReason-1
prescriptionType		0..1	CodeableConcept	To record the type of prescription URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-PrescriptionType-1 Binding: Care Connect Prescription Type (required): A ValueSet to identify the type of prescription.
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
basedOn	Σ	0..*	Reference(CarePlan | ProcedureRequest | ReferralRequest | CareConnect-MedicationRequest-1)	What request fulfills
status	?!Σ	0..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: MedicationRequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription
intent	?!Σ	1..1	code	proposal | plan | order | instance-order Binding: MedicationRequestIntent (required): The kind of medication order
Slices for medication[x]	Σ	1..1	Reference()	Medication to be taken Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	Σ	1..1	Reference(CareConnect-Medication-1)	Medication to be taken
subject	Σ	1..1	Reference(Group | CareConnectPatient1)	Who or group medication request is for
context		0..1	Reference(EpisodeOfCare | CareConnect-Encounter-1)	Created during encounter/admission/stay
recorder		0..1	Reference(CareConnect-Practitioner-1)	Person who entered the request
reasonReference		0..*	Reference(CareConnect-Condition-1 | CareConnect-Observation-1)	Condition or Observation that supports why the prescription is being written
priorPrescription		0..1	Reference(CareConnect-MedicationRequest-1)	An order/prescription that is being replaced
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
MedicationRequest.status	required	MedicationRequestStatus
MedicationRequest.intent	required	MedicationRequestIntent

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	MedicationRequest.extension:repeatInformation, MedicationRequest.extension:statusReason, MedicationRequest.extension:prescriptionType	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	MedicationRequest.extension:repeatInformation, MedicationRequest.extension:statusReason, MedicationRequest.extension:prescriptionType	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
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: Common Languages (extensible): A human language. Additional Bindings Purpose 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
repeatInformation		0..1	(Complex)	Medication repeat information URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationRepeatInformation-1
statusReason		0..1	(Complex)	To record the reason the medication (plan or order) was stopped and the date this occurred URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationStatusReason-1
prescriptionType		0..1	CodeableConcept	To record the type of prescription URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-PrescriptionType-1 Binding: Care Connect Prescription Type (required): A ValueSet to identify the type of prescription.
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External ids for this request
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
definition	Σ	0..*	Reference(ActivityDefinition | PlanDefinition)	Protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | ProcedureRequest | ReferralRequest | CareConnect-MedicationRequest-1)	What request fulfills
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
status	?!Σ	0..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: MedicationRequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription
intent	?!Σ	1..1	code	proposal | plan | order | instance-order Binding: MedicationRequestIntent (required): The kind of medication order
category		0..1	CodeableConcept	Type of medication usage Binding: MedicationRequestCategory (preferred): A coded concept identifying where the medication ordered is expected to be consumed or administered
priority	Σ	0..1	code	routine | urgent | stat | asap Binding: MedicationRequestPriority (required): Identifies the level of importance to be assigned to actioning the request
Slices for medication[x]	Σ	1..1	Reference()	Medication to be taken Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	Σ	1..1	Reference(CareConnect-Medication-1)	Medication to be taken
subject	Σ	1..1	Reference(Group | CareConnectPatient1)	Who or group medication request is for
context		0..1	Reference(EpisodeOfCare | CareConnect-Encounter-1)	Created during encounter/admission/stay
supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication
authoredOn	Σ	0..1	dateTime	When request was initially authored
requester	ΣC	0..1	BackboneElement	Who/What requested the Request
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
agent	Σ	1..1	Reference(RelatedPerson | Device | CareConnect-Organization-1 | CareConnectPatient1 | CareConnect-Practitioner-1)	Who ordered the initial medication(s)
onBehalfOf	ΣC	0..1	Reference(CareConnect-Organization-1)	Organization agent is acting for
recorder		0..1	Reference(CareConnect-Practitioner-1)	Person who entered the request
reasonCode		0..*	CodeableConcept	Reason or indication for writing the prescription Binding: Condition/Problem/Diagnosis Codes (example): A coded concept indicating why the medication was ordered.
reasonReference		0..*	Reference(CareConnect-Condition-1 | CareConnect-Observation-1)	Condition or Observation that supports why the prescription is being written
note		0..*	Annotation	Information about the prescription
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Practitioner-1)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text		1..1	string	The annotation - text content
dosageInstruction		0..*	Dosage	How the medication should be taken
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
sequence	Σ	0..1	integer	The order of the dosage instructions
text	Σ	0..1	string	Free text dosage instructions e.g. SIG
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction - e.g. "with meals" Binding: SNOMED CT Additional Dosage Instructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..1	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	Σ	0..1	Timing	When medication should be administered
asNeeded[x]	Σ	0..1		Take "as needed" (for x) Binding: SNOMED CT Medication As Needed Reason Codes (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	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMED CT Anatomical Structure for Administration Site Codes (example): A coded concept describing the site location the medicine enters into or onto the body.
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: SNOMED CT Route Codes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..1	Coding	Code defined by a terminology system Binding: Care Connect Medication Dosage Route (preferred): A code from the SNOMED Clinical Terminology UK coding system that describes the e-Prescribing route of administration.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMED CT Administration Method Codes (example): A coded concept describing the technique by which the medicine is administered.
dose[x]	Σ	0..1		Amount of medication per dose
doseRange			Range
doseQuantity			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
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
dispenseRequest		0..1	BackboneElement	Medication supply authorization
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
validityPeriod		0..1	Period	Time period supply is authorized for
numberOfRepeatsAllowed		0..1	positiveInt	Number of refills authorized
quantity		0..1	SimpleQuantity	Amount of medication to supply per dispense
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
quantityText		0..1	string	Quantity representation URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationQuantityText-1
value	Σ	0..1	decimal	Numerical value (with implicit precision)
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
expectedSupplyDuration		0..1	Duration	Number of days supply per dispense
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
value	Σ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	Σ	1..1	code	Coded form of the unit Binding: UnitsOfTime (required): A unit of time (units from UCUM).
performer		0..1	Reference(CareConnect-Organization-1)	Intended dispenser
substitution		0..1	BackboneElement	Any restrictions on medication substitution
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
allowed	?!	1..1	boolean	Whether substitution is allowed or not
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(CareConnect-MedicationRequest-1)	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	Conformance	ValueSet
MedicationRequest.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding
MedicationRequest.identifier.use	required	IdentifierUse
MedicationRequest.identifier.type	extensible	Identifier Type Codes
MedicationRequest.groupIdentifier.use	required	IdentifierUse
MedicationRequest.groupIdentifier.type	extensible	Identifier Type Codes
MedicationRequest.status	required	MedicationRequestStatus
MedicationRequest.intent	required	MedicationRequestIntent
MedicationRequest.category	preferred	MedicationRequestCategory
MedicationRequest.priority	required	MedicationRequestPriority
MedicationRequest.reasonCode	example	Condition/Problem/Diagnosis Codes
MedicationRequest.dosageInstruction.additionalInstruction	example	SNOMED CT Additional Dosage Instructions
MedicationRequest.dosageInstruction.asNeeded[x]	example	SNOMED CT Medication As Needed Reason Codes
MedicationRequest.dosageInstruction.site	example	SNOMED CT Anatomical Structure for Administration Site Codes
MedicationRequest.dosageInstruction.route	example	SNOMED CT Route Codes
MedicationRequest.dosageInstruction.route.coding:snomedCT	preferred	Care Connect Medication Dosage Route
MedicationRequest.dosageInstruction.method	example	SNOMED CT Administration Method Codes
MedicationRequest.dispenseRequest.expectedSupplyDuration.comparator	required	QuantityComparator
MedicationRequest.dispenseRequest.expectedSupplyDuration.code	required	UnitsOfTime
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	MedicationRequest.extension:repeatInformation, MedicationRequest.extension:statusReason, MedicationRequest.extension:prescriptionType, MedicationRequest.requester, MedicationRequest.dispenseRequest, MedicationRequest.substitution	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	MedicationRequest.extension:repeatInformation, MedicationRequest.extension:statusReason, MedicationRequest.extension:prescriptionType	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mps-1	error	MedicationRequest.requester	onBehalfOf can only be specified if agent is practitioner or device : (agent.resolve().empty()) or (agent.resolve() is Device) or (agent.resolve() is Practitioner) or onBehalfOf.exists().not()

Summary

Mandatory: 0 element (11 nested mandatory elements)
Fixed Value: 3 elements

Structures

This structure refers to these other structures:

• CareConnect-Organization-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1)
• CareConnect-MedicationRequest-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-MedicationRequest-1)
• CareConnect-Medication-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Medication-1)
• CareConnectPatient1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1)
• CareConnect-Encounter-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1)
• CareConnect-Practitioner-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1)
• CareConnect-Condition-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Condition-1)
• CareConnect-Observation-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1)

Extensions

This structure refers to these extensions:

• https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationRepeatInformation-1
• https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationStatusReason-1
• https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-PrescriptionType-1
• https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
• https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationQuantityText-1

Slices

This structure defines the following Slices:

• The element MedicationRequest.dosageInstruction.additionalInstruction.coding is sliced based on the value of value:system
• The element MedicationRequest.dosageInstruction.route.coding is sliced based on the value of value:system