HL7 FHIR Implementation Guide: ZM-Core Release 1 - Zambia
​0.1.0 - Zambia flag

HL7 FHIR Implementation Guide: ZM-Core Release 1 - Zambia - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: ZM-Core MedicationRequest Profile

Official URL: http://hapi.moh.gov.zm/fhir/StructureDefinition/zm-core-medication-request Version: 0.1.0
Active as of 2026-08-12 Computable Name: ZMCoreMedicationRequest

Zambia medication request profile

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots, and their representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... intent ?!SΣ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: MedicationRequestIntent (required): The kind of medication order.
... doNotPerform ?!Σ 0..1 boolean True if patient is to stop taking or not to start taking the medication
... medication SΣ 1..1 CodeableReference(ZM-Core Medication Profile) Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
... subject SΣ 1..1 Reference(ZM-Core Patient Profile | ZM-Core Recipient Group Profile) Individual or group for whom the medication has been requested
... encounter S 0..1 Reference(ZM-Core Encounter Profile) Encounter created as part of encounter/admission/stay
... authoredOn SΣ 0..1 dateTime When request was initially authored
... requester SΣ 1..1 Reference(ZM-Core Practitioner Profile | ZM-Core Practitioner Role Profile | ZM-Core Organization Profile | ZM-Core Patient Profile | ZM-Core Related Person Profile) Who/What requested the Request
... reason S 0..* CodeableReference(Condition | Observation) Reason or indication for ordering or not ordering the medication
Binding: ConditionProblemDiagnosisCodes (example): A coded concept indicating why the medication was ordered.
... dosageInstruction S 0..* Dosage Specific instructions for how the medication should be taken
... dispenseRequest S 0..1 BackboneElement Medication supply authorization
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... quantity S 0..1 SimpleQuantity(5.0.0) Amount of medication to supply per dispense
.... expectedSupplyDuration S 0..1 Duration Number of days supply per dispense

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.status Base required medicationrequest Status 📍5.0.0 FHIR Std.
MedicationRequest.intent Base required medicationRequest Intent 📍5.0.0 FHIR Std.
MedicationRequest.medication Base example SNOMED CT Medication Codes 📍5.0.0 FHIR Std.
MedicationRequest.reason Base example Condition/Problem/Diagnosis Codes 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... status S 1..1 code active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown
... intent S 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
... medication S 1..1 CodeableReference(ZM-Core Medication Profile) Medication to be taken
... encounter S 0..1 Reference(ZM-Core Encounter Profile) Encounter created as part of encounter/admission/stay
... authoredOn S 0..1 dateTime When request was initially authored
... requester S 1..1 Reference(ZM-Core Practitioner Profile | ZM-Core Practitioner Role Profile | ZM-Core Organization Profile | ZM-Core Patient Profile | ZM-Core Related Person Profile) Who/What requested the Request
... reason S 0..* CodeableReference(Condition | Observation) Reason or indication for ordering or not ordering the medication
... dosageInstruction S 0..* Dosage Specific instructions for how the medication should be taken
... dispenseRequest S 0..1 BackboneElement Medication supply authorization
.... quantity S 0..1 SimpleQuantity(5.0.0) Amount of medication to supply per dispense
.... expectedSupplyDuration S 0..1 Duration Number of days supply per dispense

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External ids for this request
... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) A plan or request that is fulfilled in whole or in part by this medication request
... priorPrescription 0..1 Reference(MedicationRequest) Reference to an order/prescription that is being replaced by this MedicationRequest
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... status ?!SΣ 1..1 code active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown
Binding: MedicationrequestStatus (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: MedicationRequestStatusReasonCodes (example): Identifies the reasons for a given status.
... statusChanged 0..1 dateTime When the status was changed
... intent ?!SΣ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: MedicationRequestIntent (required): The kind of medication order.
... category 0..* CodeableConcept Grouping or category of medication request
Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication is to be consumed or administered.
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!Σ 0..1 boolean True if patient is to stop taking or not to start taking the medication
... medication SΣ 1..1 CodeableReference(ZM-Core Medication Profile) Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
... subject SΣ 1..1 Reference(ZM-Core Patient Profile | ZM-Core Recipient Group Profile) Individual or group for whom the medication has been requested
... informationSource 0..* Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) The person or organization who provided the information about this request, if the source is someone other than the requestor
... encounter S 0..1 Reference(ZM-Core Encounter Profile) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support fulfilling of the medication
... authoredOn SΣ 0..1 dateTime When request was initially authored
... requester SΣ 1..1 Reference(ZM-Core Practitioner Profile | ZM-Core Practitioner Role Profile | ZM-Core Organization Profile | ZM-Core Patient Profile | ZM-Core Related Person Profile) Who/What requested the Request
... reported Σ 0..1 boolean Reported rather than primary record
... performerType Σ 0..1 CodeableConcept Desired kind of performer of the medication administration
Binding: MedicationIntendedPerformerRole (extensible): Identifies the type of individual that is desired to administer the medication.
... performer 0..* Reference(Practitioner | PractitionerRole | Organization | Patient | DeviceDefinition | RelatedPerson | CareTeam | HealthcareService) Intended performer of administration
... device 0..* CodeableReference(DeviceDefinition) Intended type of device for the administration
... recorder 0..1 Reference(Practitioner | PractitionerRole) Person who entered the request
... reason S 0..* CodeableReference(Condition | Observation) Reason or indication for ordering or not ordering the medication
Binding: ConditionProblemDiagnosisCodes (example): A coded concept indicating why the medication was ordered.
... courseOfTherapyType 0..1 CodeableConcept Overall pattern of medication administration
Binding: MedicationRequestCourseOfTherapyCodes (extensible): Identifies the overall pattern of medication administratio.
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... note 0..* Annotation Information about the prescription
... renderedDosageInstruction 0..1 markdown Full representation of the dosage instructions
... effectiveDosePeriod 0..1 Period Period over which the medication is to be taken
... dosageInstruction S 0..* Dosage Specific instructions for how the medication should be taken
... dispenseRequest S 0..1 BackboneElement Medication supply authorization
.... 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(5.0.0) 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(5.0.0) Amount of medication to supply per dispense
.... expectedSupplyDuration S 0..1 Duration Number of days supply per dispense
.... dispenser 0..1 Reference(Organization) Intended performer of dispense
.... dispenserInstruction 0..* Annotation Additional information for the dispenser
.... doseAdministrationAid 0..1 CodeableConcept Type of adherence packaging to use for the dispense
Binding: MedicationDoseAids (example)
... substitution 0..1 BackboneElement Any restrictions on medication substitution
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... allowed[x] 1..1 Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (preferred): Identifies the type of substitution allowed.
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example): SubstanceAdminSubstitutionReason
... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.language Base required All Languages 📍5.0.0 FHIR Std.
MedicationRequest.status Base required medicationrequest Status 📍5.0.0 FHIR Std.
MedicationRequest.statusReason Base example medicationRequest Status Reason Codes 📍5.0.0 FHIR Std.
MedicationRequest.intent Base required medicationRequest Intent 📍5.0.0 FHIR Std.
MedicationRequest.category Base example medicationRequest Administration Location Codes 📍5.0.0 FHIR Std.
MedicationRequest.priority Base required RequestPriority 📍5.0.0 FHIR Std.
MedicationRequest.medication Base example SNOMED CT Medication Codes 📍5.0.0 FHIR Std.
MedicationRequest.performerType Base extensible Medication Intended Performer Role 📍5.0.0 FHIR Std.
MedicationRequest.reason Base example Condition/Problem/Diagnosis Codes 📍5.0.0 FHIR Std.
MedicationRequest.courseOfTherapyType Base extensible medicationRequest Course of Therapy Codes 📍5.0.0 FHIR Std.
MedicationRequest.dispenseRequest.​doseAdministrationAid Base example Medication Dose Aids 📍5.0.0 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base preferred ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v7.1
MedicationRequest.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v7.1

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... intent ?!SΣ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: MedicationRequestIntent (required): The kind of medication order.
... doNotPerform ?!Σ 0..1 boolean True if patient is to stop taking or not to start taking the medication
... medication SΣ 1..1 CodeableReference(ZM-Core Medication Profile) Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
... subject SΣ 1..1 Reference(ZM-Core Patient Profile | ZM-Core Recipient Group Profile) Individual or group for whom the medication has been requested
... encounter S 0..1 Reference(ZM-Core Encounter Profile) Encounter created as part of encounter/admission/stay
... authoredOn SΣ 0..1 dateTime When request was initially authored
... requester SΣ 1..1 Reference(ZM-Core Practitioner Profile | ZM-Core Practitioner Role Profile | ZM-Core Organization Profile | ZM-Core Patient Profile | ZM-Core Related Person Profile) Who/What requested the Request
... reason S 0..* CodeableReference(Condition | Observation) Reason or indication for ordering or not ordering the medication
Binding: ConditionProblemDiagnosisCodes (example): A coded concept indicating why the medication was ordered.
... dosageInstruction S 0..* Dosage Specific instructions for how the medication should be taken
... dispenseRequest S 0..1 BackboneElement Medication supply authorization
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... quantity S 0..1 SimpleQuantity(5.0.0) Amount of medication to supply per dispense
.... expectedSupplyDuration S 0..1 Duration Number of days supply per dispense

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.status Base required medicationrequest Status 📍5.0.0 FHIR Std.
MedicationRequest.intent Base required medicationRequest Intent 📍5.0.0 FHIR Std.
MedicationRequest.medication Base example SNOMED CT Medication Codes 📍5.0.0 FHIR Std.
MedicationRequest.reason Base example Condition/Problem/Diagnosis Codes 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... status S 1..1 code active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown
... intent S 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
... medication S 1..1 CodeableReference(ZM-Core Medication Profile) Medication to be taken
... encounter S 0..1 Reference(ZM-Core Encounter Profile) Encounter created as part of encounter/admission/stay
... authoredOn S 0..1 dateTime When request was initially authored
... requester S 1..1 Reference(ZM-Core Practitioner Profile | ZM-Core Practitioner Role Profile | ZM-Core Organization Profile | ZM-Core Patient Profile | ZM-Core Related Person Profile) Who/What requested the Request
... reason S 0..* CodeableReference(Condition | Observation) Reason or indication for ordering or not ordering the medication
... dosageInstruction S 0..* Dosage Specific instructions for how the medication should be taken
... dispenseRequest S 0..1 BackboneElement Medication supply authorization
.... quantity S 0..1 SimpleQuantity(5.0.0) Amount of medication to supply per dispense
.... expectedSupplyDuration S 0..1 Duration Number of days supply per dispense

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External ids for this request
... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) A plan or request that is fulfilled in whole or in part by this medication request
... priorPrescription 0..1 Reference(MedicationRequest) Reference to an order/prescription that is being replaced by this MedicationRequest
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... status ?!SΣ 1..1 code active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown
Binding: MedicationrequestStatus (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: MedicationRequestStatusReasonCodes (example): Identifies the reasons for a given status.
... statusChanged 0..1 dateTime When the status was changed
... intent ?!SΣ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: MedicationRequestIntent (required): The kind of medication order.
... category 0..* CodeableConcept Grouping or category of medication request
Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication is to be consumed or administered.
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!Σ 0..1 boolean True if patient is to stop taking or not to start taking the medication
... medication SΣ 1..1 CodeableReference(ZM-Core Medication Profile) Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
... subject SΣ 1..1 Reference(ZM-Core Patient Profile | ZM-Core Recipient Group Profile) Individual or group for whom the medication has been requested
... informationSource 0..* Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) The person or organization who provided the information about this request, if the source is someone other than the requestor
... encounter S 0..1 Reference(ZM-Core Encounter Profile) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support fulfilling of the medication
... authoredOn SΣ 0..1 dateTime When request was initially authored
... requester SΣ 1..1 Reference(ZM-Core Practitioner Profile | ZM-Core Practitioner Role Profile | ZM-Core Organization Profile | ZM-Core Patient Profile | ZM-Core Related Person Profile) Who/What requested the Request
... reported Σ 0..1 boolean Reported rather than primary record
... performerType Σ 0..1 CodeableConcept Desired kind of performer of the medication administration
Binding: MedicationIntendedPerformerRole (extensible): Identifies the type of individual that is desired to administer the medication.
... performer 0..* Reference(Practitioner | PractitionerRole | Organization | Patient | DeviceDefinition | RelatedPerson | CareTeam | HealthcareService) Intended performer of administration
... device 0..* CodeableReference(DeviceDefinition) Intended type of device for the administration
... recorder 0..1 Reference(Practitioner | PractitionerRole) Person who entered the request
... reason S 0..* CodeableReference(Condition | Observation) Reason or indication for ordering or not ordering the medication
Binding: ConditionProblemDiagnosisCodes (example): A coded concept indicating why the medication was ordered.
... courseOfTherapyType 0..1 CodeableConcept Overall pattern of medication administration
Binding: MedicationRequestCourseOfTherapyCodes (extensible): Identifies the overall pattern of medication administratio.
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... note 0..* Annotation Information about the prescription
... renderedDosageInstruction 0..1 markdown Full representation of the dosage instructions
... effectiveDosePeriod 0..1 Period Period over which the medication is to be taken
... dosageInstruction S 0..* Dosage Specific instructions for how the medication should be taken
... dispenseRequest S 0..1 BackboneElement Medication supply authorization
.... 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(5.0.0) 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(5.0.0) Amount of medication to supply per dispense
.... expectedSupplyDuration S 0..1 Duration Number of days supply per dispense
.... dispenser 0..1 Reference(Organization) Intended performer of dispense
.... dispenserInstruction 0..* Annotation Additional information for the dispenser
.... doseAdministrationAid 0..1 CodeableConcept Type of adherence packaging to use for the dispense
Binding: MedicationDoseAids (example)
... substitution 0..1 BackboneElement Any restrictions on medication substitution
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... allowed[x] 1..1 Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (preferred): Identifies the type of substitution allowed.
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example): SubstanceAdminSubstitutionReason
... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.language Base required All Languages 📍5.0.0 FHIR Std.
MedicationRequest.status Base required medicationrequest Status 📍5.0.0 FHIR Std.
MedicationRequest.statusReason Base example medicationRequest Status Reason Codes 📍5.0.0 FHIR Std.
MedicationRequest.intent Base required medicationRequest Intent 📍5.0.0 FHIR Std.
MedicationRequest.category Base example medicationRequest Administration Location Codes 📍5.0.0 FHIR Std.
MedicationRequest.priority Base required RequestPriority 📍5.0.0 FHIR Std.
MedicationRequest.medication Base example SNOMED CT Medication Codes 📍5.0.0 FHIR Std.
MedicationRequest.performerType Base extensible Medication Intended Performer Role 📍5.0.0 FHIR Std.
MedicationRequest.reason Base example Condition/Problem/Diagnosis Codes 📍5.0.0 FHIR Std.
MedicationRequest.courseOfTherapyType Base extensible medicationRequest Course of Therapy Codes 📍5.0.0 FHIR Std.
MedicationRequest.dispenseRequest.​doseAdministrationAid Base example Medication Dose Aids 📍5.0.0 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base preferred ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v7.1
MedicationRequest.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v7.1

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron