Finnish Base Profiles
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Resource Profile: FI Base MedicationRequest

Official URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-medication-request Version: 2.0.0-ci
Draft as of 2025-10-05 Computable Name: FiBaseMedicationRequest

This is the Finnish base profile for the MedicationRequest resource, for other than patient access use cases.

Scope and Usage

The FI Base MedicationRequest profile requires that references from the MedicationRequest resource to other resources are to resources that also conform to the Finnish Base Profiles.

This profile can be used to ensure greater compatibility, but it should not be expected that all MedicationRequests within the Finnish healthcare IT ecosystem conform to this profile.

This implementation guide does present examples of the MedicationRequest resource being used in Finnish context.

For patient access use cases, please see the FI SMART MedicationRequest profile of the Finnish SMART implementation guide.

See also the Medication Codes section on the terminology page of this guide, and the Medications Module of the main FHIR specification.

For all medication related resources (Medication, MedicationAdministration, MedicationRequest, MedicationStatement), please also see the Prescription project and the related implementation guide of the Kanta system. That project contains useful definitions, examples, and sequence descriptions (mostly in Finnish).

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... Slices for reported[x] Σ 0..1 Reported rather than primary record
Slice: Unordered, Open by type:$this
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
.... reported[x]:reportedReference Σ 0..1 Reference(FI Base Patient(2.0.0-ci) | FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci)) Reported rather than primary record
... Slices for medication[x] Σ 1..1 Medication to be taken
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference Σ 0..1 Reference(FI Base Medication(2.0.0-ci)) Medication to be taken
... subject Σ 1..1 Reference(FI Base Patient(2.0.0-ci)) Who or group medication request is for
... encounter 0..1 Reference(FI Base Encounter(2.0.0-ci)) Encounter created as part of encounter/admission/stay
... requester Σ 0..1 Reference(FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci) | FI Base Patient(2.0.0-ci)) Who/What requested the Request
... performer 0..1 Reference(FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci) | FI Base Patient(2.0.0-ci) | FI Base Organization(2.0.0-ci) | Device | RelatedPerson | CareTeam) Intended performer of administration
... recorder 0..1 Reference(FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci)) Person who entered the request
... reasonReference 0..* Reference(FI Base Condition(2.0.0-ci) | FI Base Observation(2.0.0-ci)) Condition or observation that supports why the prescription is being written
... basedOn Σ 0..* Reference(CarePlan | FI Base MedicationRequest(2.0.0-ci) | ServiceRequest | ImmunizationRecommendation) What request fulfills
... priorPrescription 0..1 Reference(FI Base MedicationRequest(2.0.0-ci)) An order/prescription that is being replaced
... eventHistory 0..* Reference(FI Base Provenance(2.0.0-ci)) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.status Base required Medicationrequest status 📍4.0.1 FHIR Std.
MedicationRequest.intent Base required Medication request intent 📍4.0.1 FHIR Std.
MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.

Constraints

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

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... Slices for reported[x] 0..1 boolean, Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Reported rather than primary record
Slice: Unordered, Open by type:$this
.... reported[x]:reportedReference 0..1 Reference(FI Base Patient(2.0.0-ci) | FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci)) Reported rather than primary record
... Slices for medication[x] 1..1 CodeableConcept, Reference(Medication) Medication to be taken
Slice: Unordered, Open by type:$this
.... medication[x]:medicationReference 0..1 Reference(FI Base Medication(2.0.0-ci)) Medication to be taken
... subject 1..1 Reference(FI Base Patient(2.0.0-ci)) Who or group medication request is for
... requester 0..1 Reference(FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci) | FI Base Patient(2.0.0-ci)) Who/What requested the Request
... performer 0..1 Reference(FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci) | FI Base Patient(2.0.0-ci) | FI Base Organization(2.0.0-ci) | Device | RelatedPerson | CareTeam) Intended performer of administration
... recorder 0..1 Reference(FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci)) Person who entered the request
... reasonReference 0..* Reference(FI Base Condition(2.0.0-ci) | FI Base Observation(2.0.0-ci)) Condition or observation that supports why the prescription is being written
... basedOn 0..* Reference(CarePlan | FI Base MedicationRequest(2.0.0-ci) | ServiceRequest | ImmunizationRecommendation) What request fulfills
... dispenseRequest
.... performer 0..1 Reference(FI Base Organization(2.0.0-ci)) Intended dispenser
... priorPrescription 0..1 Reference(FI Base MedicationRequest(2.0.0-ci)) An order/prescription that is being replaced
... eventHistory 0..* Reference(FI Base Provenance(2.0.0-ci)) A list of events of interest in the lifecycle

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: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... 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 ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External ids for this request
... status ?!Σ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
... statusReason 0..1 CodeableConcept Reason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.
... category 0..* CodeableConcept Type of medication usage
Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
... priority 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
... Slices for reported[x] Σ 0..1 Reported rather than primary record
Slice: Unordered, Open by type:$this
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
.... reported[x]:reportedReference Σ 0..1 Reference(FI Base Patient(2.0.0-ci) | FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci)) Reported rather than primary record
... Slices for medication[x] Σ 1..1 Medication to be taken
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference Σ 0..1 Reference(FI Base Medication(2.0.0-ci)) Medication to be taken
... subject Σ 1..1 Reference(FI Base Patient(2.0.0-ci)) Who or group medication request is for
... encounter 0..1 Reference(FI Base Encounter(2.0.0-ci)) Encounter created as part of 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 Σ 0..1 Reference(FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci) | FI Base Patient(2.0.0-ci)) Who/What requested the Request
... performer 0..1 Reference(FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci) | FI Base Patient(2.0.0-ci) | FI Base Organization(2.0.0-ci) | 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(FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci)) 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(FI Base Condition(2.0.0-ci) | FI Base Observation(2.0.0-ci)) 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 | FI Base MedicationRequest(2.0.0-ci) | ServiceRequest | ImmunizationRecommendation) What request fulfills
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... courseOfTherapyType 0..1 CodeableConcept Overall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... note 0..* Annotation Information about the prescription
... dosageInstruction 0..* Dosage How the medication should be taken
... dispenseRequest 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(4.0.1) 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 0..1 SimpleQuantity(4.0.1) Amount of medication to supply per dispense
.... expectedSupplyDuration 0..1 Duration Number of days supply per dispense
.... performer 0..1 Reference(FI Base Organization(2.0.0-ci)) Intended dispenser
... substitution 0..1 BackboneElement Any restrictions on medication substitution
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!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(FI Base MedicationRequest(2.0.0-ci)) An order/prescription that is being replaced
... detectedIssue 0..* Reference(DetectedIssue) Clinical Issue with action
... eventHistory 0..* Reference(FI Base Provenance(2.0.0-ci)) 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 preferred Common Languages 📍4.0.1 FHIR Std.
MedicationRequest.status Base required Medicationrequest status 📍4.0.1 FHIR Std.
MedicationRequest.statusReason Base example Medication request status reason codes 📍4.0.1 FHIR Std.
MedicationRequest.intent Base required Medication request intent 📍4.0.1 FHIR Std.
MedicationRequest.category Base example Medication request category codes 📍4.0.1 FHIR Std.
MedicationRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.performerType Base example Procedure Performer Role Codes 📍4.0.1 FHIR Std.
MedicationRequest.reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
MedicationRequest.courseOfTherapyType Base example Medication request course of therapy codes 📍4.0.1 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v6.5
MedicationRequest.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v6.5

Constraints

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

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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... Slices for reported[x] Σ 0..1 Reported rather than primary record
Slice: Unordered, Open by type:$this
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
.... reported[x]:reportedReference Σ 0..1 Reference(FI Base Patient(2.0.0-ci) | FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci)) Reported rather than primary record
... Slices for medication[x] Σ 1..1 Medication to be taken
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference Σ 0..1 Reference(FI Base Medication(2.0.0-ci)) Medication to be taken
... subject Σ 1..1 Reference(FI Base Patient(2.0.0-ci)) Who or group medication request is for
... encounter 0..1 Reference(FI Base Encounter(2.0.0-ci)) Encounter created as part of encounter/admission/stay
... requester Σ 0..1 Reference(FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci) | FI Base Patient(2.0.0-ci)) Who/What requested the Request
... performer 0..1 Reference(FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci) | FI Base Patient(2.0.0-ci) | FI Base Organization(2.0.0-ci) | Device | RelatedPerson | CareTeam) Intended performer of administration
... recorder 0..1 Reference(FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci)) Person who entered the request
... reasonReference 0..* Reference(FI Base Condition(2.0.0-ci) | FI Base Observation(2.0.0-ci)) Condition or observation that supports why the prescription is being written
... basedOn Σ 0..* Reference(CarePlan | FI Base MedicationRequest(2.0.0-ci) | ServiceRequest | ImmunizationRecommendation) What request fulfills
... priorPrescription 0..1 Reference(FI Base MedicationRequest(2.0.0-ci)) An order/prescription that is being replaced
... eventHistory 0..* Reference(FI Base Provenance(2.0.0-ci)) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.status Base required Medicationrequest status 📍4.0.1 FHIR Std.
MedicationRequest.intent Base required Medication request intent 📍4.0.1 FHIR Std.
MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.

Constraints

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

Differential View

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... Slices for reported[x] 0..1 boolean, Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) Reported rather than primary record
Slice: Unordered, Open by type:$this
.... reported[x]:reportedReference 0..1 Reference(FI Base Patient(2.0.0-ci) | FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci)) Reported rather than primary record
... Slices for medication[x] 1..1 CodeableConcept, Reference(Medication) Medication to be taken
Slice: Unordered, Open by type:$this
.... medication[x]:medicationReference 0..1 Reference(FI Base Medication(2.0.0-ci)) Medication to be taken
... subject 1..1 Reference(FI Base Patient(2.0.0-ci)) Who or group medication request is for
... requester 0..1 Reference(FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci) | FI Base Patient(2.0.0-ci)) Who/What requested the Request
... performer 0..1 Reference(FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci) | FI Base Patient(2.0.0-ci) | FI Base Organization(2.0.0-ci) | Device | RelatedPerson | CareTeam) Intended performer of administration
... recorder 0..1 Reference(FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci)) Person who entered the request
... reasonReference 0..* Reference(FI Base Condition(2.0.0-ci) | FI Base Observation(2.0.0-ci)) Condition or observation that supports why the prescription is being written
... basedOn 0..* Reference(CarePlan | FI Base MedicationRequest(2.0.0-ci) | ServiceRequest | ImmunizationRecommendation) What request fulfills
... dispenseRequest
.... performer 0..1 Reference(FI Base Organization(2.0.0-ci)) Intended dispenser
... priorPrescription 0..1 Reference(FI Base MedicationRequest(2.0.0-ci)) An order/prescription that is being replaced
... eventHistory 0..* Reference(FI Base Provenance(2.0.0-ci)) A list of events of interest in the lifecycle

doco Documentation for this format

Snapshot View

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: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... 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 ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External ids for this request
... status ?!Σ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
... statusReason 0..1 CodeableConcept Reason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.
... category 0..* CodeableConcept Type of medication usage
Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
... priority 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
... Slices for reported[x] Σ 0..1 Reported rather than primary record
Slice: Unordered, Open by type:$this
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
.... reported[x]:reportedReference Σ 0..1 Reference(FI Base Patient(2.0.0-ci) | FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci)) Reported rather than primary record
... Slices for medication[x] Σ 1..1 Medication to be taken
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference Σ 0..1 Reference(FI Base Medication(2.0.0-ci)) Medication to be taken
... subject Σ 1..1 Reference(FI Base Patient(2.0.0-ci)) Who or group medication request is for
... encounter 0..1 Reference(FI Base Encounter(2.0.0-ci)) Encounter created as part of 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 Σ 0..1 Reference(FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci) | FI Base Patient(2.0.0-ci)) Who/What requested the Request
... performer 0..1 Reference(FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci) | FI Base Patient(2.0.0-ci) | FI Base Organization(2.0.0-ci) | 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(FI Base Practitioner(2.0.0-ci) | FI Base PractitionerRole(2.0.0-ci)) 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(FI Base Condition(2.0.0-ci) | FI Base Observation(2.0.0-ci)) 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 | FI Base MedicationRequest(2.0.0-ci) | ServiceRequest | ImmunizationRecommendation) What request fulfills
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... courseOfTherapyType 0..1 CodeableConcept Overall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... note 0..* Annotation Information about the prescription
... dosageInstruction 0..* Dosage How the medication should be taken
... dispenseRequest 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(4.0.1) 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 0..1 SimpleQuantity(4.0.1) Amount of medication to supply per dispense
.... expectedSupplyDuration 0..1 Duration Number of days supply per dispense
.... performer 0..1 Reference(FI Base Organization(2.0.0-ci)) Intended dispenser
... substitution 0..1 BackboneElement Any restrictions on medication substitution
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!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(FI Base MedicationRequest(2.0.0-ci)) An order/prescription that is being replaced
... detectedIssue 0..* Reference(DetectedIssue) Clinical Issue with action
... eventHistory 0..* Reference(FI Base Provenance(2.0.0-ci)) 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 preferred Common Languages 📍4.0.1 FHIR Std.
MedicationRequest.status Base required Medicationrequest status 📍4.0.1 FHIR Std.
MedicationRequest.statusReason Base example Medication request status reason codes 📍4.0.1 FHIR Std.
MedicationRequest.intent Base required Medication request intent 📍4.0.1 FHIR Std.
MedicationRequest.category Base example Medication request category codes 📍4.0.1 FHIR Std.
MedicationRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.performerType Base example Procedure Performer Role Codes 📍4.0.1 FHIR Std.
MedicationRequest.reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
MedicationRequest.courseOfTherapyType Base example Medication request course of therapy codes 📍4.0.1 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v6.5
MedicationRequest.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v6.5

Constraints

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

 

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