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MedicationRequest

PropertyValue
Publisher
NameMedicationRequest
URLhttp://hl7.org/fhir/StructureDefinition/MedicationRequest
Statusdraft
Description
Abstractfalse

Structure

PathCardinalityTypeDescription
MedicationRequest0..*MedicationRequestAn order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "MedicationRequest" rather than "MedicationPrescription" or "MedicationOrder" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns.
MedicationRequest.id0..1http://hl7.org/fhirpath/System.StringThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
MedicationRequest.meta0..1MetaThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
MedicationRequest.implicitRules0..1uriA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
MedicationRequest.language0..1codeThe base language in which the resource is written.
MedicationRequest.text0..1NarrativeA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
MedicationRequest.contained0..*ResourceThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
MedicationRequest.extension0..*ExtensionMay be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
MedicationRequest.modifierExtension0..*ExtensionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
MedicationRequest.identifier0..*IdentifierIdentifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.
MedicationRequest.status1..1codeA code specifying the current state of the order. Generally, this will be active or completed state.
MedicationRequest.statusReason0..1CodeableConceptCaptures the reason for the current state of the MedicationRequest.
MedicationRequest.intent1..1codeWhether the request is a proposal, plan, or an original order.
MedicationRequest.category0..*CodeableConceptIndicates the type of medication request (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)).
MedicationRequest.priority0..1codeIndicates how quickly the Medication Request should be addressed with respect to other requests.
MedicationRequest.doNotPerform0..1booleanIf true indicates that the provider is asking for the medication request not to occur.
MedicationRequest.reported[x]0..1booleanIndicates if this record was captured as a secondary 'reported' record rather than as an original primary source-of-truth record. It may also indicate the source of the report.
MedicationRequest.medication[x]1..1CodeableConceptIdentifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications.
MedicationRequest.subject1..1ReferenceA link to a resource representing the person or set of individuals to whom the medication will be given.
MedicationRequest.encounter0..1ReferenceThe Encounter during which this [x] was created or to which the creation of this record is tightly associated.
MedicationRequest.supportingInformation0..*ReferenceInclude additional information (for example, patient height and weight) that supports the ordering of the medication.
MedicationRequest.authoredOn0..1dateTimeThe date (and perhaps time) when the prescription was initially written or authored on.
MedicationRequest.requester0..1ReferenceThe individual, organization, or device that initiated the request and has responsibility for its activation.
MedicationRequest.performer0..1ReferenceThe specified desired performer of the medication treatment (e.g. the performer of the medication administration).
MedicationRequest.performerType0..1CodeableConceptIndicates the type of performer of the administration of the medication.
MedicationRequest.recorder0..1ReferenceThe person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.
MedicationRequest.reasonCode0..*CodeableConceptThe reason or the indication for ordering or not ordering the medication.
MedicationRequest.reasonReference0..*ReferenceCondition or observation that supports why the medication was ordered.
MedicationRequest.instantiatesCanonical0..*canonicalThe URL pointing to a protocol, guideline, orderset, or other definition that is adhered to in whole or in part by this MedicationRequest.
MedicationRequest.instantiatesUri0..*uriThe URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this MedicationRequest.
MedicationRequest.basedOn0..*ReferenceA plan or request that is fulfilled in whole or in part by this medication request.
MedicationRequest.groupIdentifier0..1IdentifierA shared identifier common to all requests that were authorized more or less simultaneously by a single author, representing the identifier of the requisition or prescription.
MedicationRequest.courseOfTherapyType0..1CodeableConceptThe description of the overall patte3rn of the administration of the medication to the patient.
MedicationRequest.insurance0..*ReferenceInsurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service.
MedicationRequest.note0..*AnnotationExtra information about the prescription that could not be conveyed by the other attributes.
MedicationRequest.dosageInstruction0..*DosageIndicates how the medication is to be used by the patient.
MedicationRequest.dispenseRequest0..1BackboneElementIndicates the specific details for the dispense or medication supply part of a medication request (also known as a Medication Prescription or Medication Order). Note that this information is not always sent with the order. There may be in some settings (e.g. hospitals) institutional or system support for completing the dispense details in the pharmacy department.
MedicationRequest.dispenseRequest.id0..1http://hl7.org/fhirpath/System.StringUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
MedicationRequest.dispenseRequest.extension0..*ExtensionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
MedicationRequest.dispenseRequest.modifierExtension0..*ExtensionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
MedicationRequest.dispenseRequest.initialFill0..1BackboneElementIndicates the quantity or duration for the first dispense of the medication.
MedicationRequest.dispenseRequest.initialFill.id0..1http://hl7.org/fhirpath/System.StringUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
MedicationRequest.dispenseRequest.initialFill.extension0..*ExtensionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
MedicationRequest.dispenseRequest.initialFill.modifierExtension0..*ExtensionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
MedicationRequest.dispenseRequest.initialFill.quantity0..1QuantityThe amount or quantity to provide as part of the first dispense.
MedicationRequest.dispenseRequest.initialFill.duration0..1DurationThe length of time that the first dispense is expected to last.
MedicationRequest.dispenseRequest.dispenseInterval0..1DurationThe minimum period of time that must occur between dispenses of the medication.
MedicationRequest.dispenseRequest.validityPeriod0..1PeriodThis indicates the validity period of a prescription (stale dating the Prescription).
MedicationRequest.dispenseRequest.numberOfRepeatsAllowed0..1unsignedIntAn integer indicating the number of times, in addition to the original dispense, (aka refills or repeats) that the patient can receive the prescribed medication. Usage Notes: This integer does not include the original order dispense. This means that if an order indicates dispense 30 tablets plus "3 repeats", then the order can be dispensed a total of 4 times and the patient can receive a total of 120 tablets. A prescriber may explicitly say that zero refills are permitted after the initial dispense.
MedicationRequest.dispenseRequest.quantity0..1QuantityThe amount that is to be dispensed for one fill.
MedicationRequest.dispenseRequest.expectedSupplyDuration0..1DurationIdentifies the period time over which the supplied product is expected to be used, or the length of time the dispense is expected to last.
MedicationRequest.dispenseRequest.performer0..1ReferenceIndicates the intended dispensing Organization specified by the prescriber.
MedicationRequest.substitution0..1BackboneElementIndicates whether or not substitution can or should be part of the dispense. In some cases, substitution must happen, in other cases substitution must not happen. This block explains the prescriber's intent. If nothing is specified substitution may be done.
MedicationRequest.substitution.id0..1http://hl7.org/fhirpath/System.StringUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
MedicationRequest.substitution.extension0..*ExtensionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
MedicationRequest.substitution.modifierExtension0..*ExtensionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
MedicationRequest.substitution.allowed[x]1..1booleanTrue if the prescriber allows a different drug to be dispensed from what was prescribed.
MedicationRequest.substitution.reason0..1CodeableConceptIndicates the reason for the substitution, or why substitution must or must not be performed.
MedicationRequest.priorPrescription0..1ReferenceA link to a resource representing an earlier order related order or prescription.
MedicationRequest.detectedIssue0..*ReferenceIndicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, duplicate therapy, dosage alert etc.
MedicationRequest.eventHistory0..*ReferenceLinks to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource.

Search Parameters

NameTypeDescriptionExpression
_textstringSearch on the narrative of the resource
_contentstringSearch on the entire content of the resource
_filtertokenFilter search parameter which supports a more sophisticated grammar for searching. See documentation for further details
_hasstringProvides limited support for reverse chaining - that is, selecting resources based on the properties of resources that refer to them (instead of chaining where resources can be selected based on the properties of resources that they refer to). See the FHIR search page for further documentation
_idtokenLogical id of this artifactResource.id
_lastUpdateddateWhen the resource version last changedResource.meta.lastUpdated
_liststringAll resources in nominated list (by id, Type/id, url or one of the magic List types)
_profileuriProfiles this resource claims to conform toResource.meta.profile
_querytokenA custom search profile that describes a specific defined query operation
_securitytokenSecurity Labels applied to this resourceResource.meta.security
_sourceuriIdentifies where the resource comes fromResource.meta.source
_tagtokenTags applied to this resourceResource.meta.tag
_textstringSearch on the narrative text (html) of the resource
_typetokenUsed when a search is performed in a context which doesn't limit the search to indicate which types are being searched. See the FHIR search page for further discussion
codetokenMultiple Resources: * AllergyIntolerance: Code that identifies the allergy or intolerance* Condition: Code for the condition* DeviceRequest: Code for what is being requested/ordered* DiagnosticReport: The code for the report, as opposed to codes for the atomic results, which are the names on the observation resource referred to from the result* FamilyMemberHistory: A search by a condition code* List: What the purpose of this list is* Medication: Returns medications for a specific code* MedicationAdministration: Return administrations of this medication code* MedicationDispense: Returns dispenses of this medicine code* MedicationRequest: Return prescriptions of this medication code* MedicationStatement: Return statements of this medication code* Observation: The code of the observation type* Procedure: A code to identify a procedure* ServiceRequest: What is being requested/orderedAllergyIntolerance.code / AllergyIntolerance.reaction.substance / Condition.code / (DeviceRequest.code.ofType(CodeableConcept)) / DiagnosticReport.code / FamilyMemberHistory.condition.code / List.code / Medication.code / (MedicationAdministration.medication.ofType(CodeableConcept)) / (MedicationDispense.medication.ofType(CodeableConcept)) / (MedicationRequest.medication.ofType(CodeableConcept)) / (MedicationStatement.medication.ofType(CodeableConcept)) / Observation.code / Procedure.code / ServiceRequest.code
identifiertokenMultiple Resources: * AllergyIntolerance: External ids for this item* CarePlan: External Ids for this plan* CareTeam: External Ids for this team* Composition: Version-independent identifier for the Composition* Condition: A unique identifier of the condition record* Consent: Identifier for this record (external references)* DetectedIssue: Unique id for the detected issue* DeviceRequest: Business identifier for request/order* DiagnosticReport: An identifier for the report* DocumentManifest: Unique Identifier for the set of documents* DocumentReference: Master Version Specific Identifier* Encounter: Identifier(s) by which this encounter is known* EpisodeOfCare: Business Identifier(s) relevant for this EpisodeOfCare* FamilyMemberHistory: A search by a record identifier* Goal: External Ids for this goal* ImagingStudy: Identifiers for the Study, such as DICOM Study Instance UID and Accession number* Immunization: Business identifier* List: Business identifier* MedicationAdministration: Return administrations with this external identifier* MedicationDispense: Returns dispenses with this external identifier* MedicationRequest: Return prescriptions with this external identifier* MedicationStatement: Return statements with this external identifier* NutritionOrder: Return nutrition orders with this external identifier* Observation: The unique id for a particular observation* Procedure: A unique identifier for a procedure* RiskAssessment: Unique identifier for the assessment* ServiceRequest: Identifiers assigned to this order* SupplyDelivery: External identifier* SupplyRequest: Business Identifier for SupplyRequest* VisionPrescription: Return prescriptions with this external identifierAllergyIntolerance.identifier / CarePlan.identifier / CareTeam.identifier / Composition.identifier / Condition.identifier / Consent.identifier / DetectedIssue.identifier / DeviceRequest.identifier / DiagnosticReport.identifier / DocumentManifest.masterIdentifier / DocumentManifest.identifier / DocumentReference.masterIdentifier / DocumentReference.identifier / Encounter.identifier / EpisodeOfCare.identifier / FamilyMemberHistory.identifier / Goal.identifier / ImagingStudy.identifier / Immunization.identifier / List.identifier / MedicationAdministration.identifier / MedicationDispense.identifier / MedicationRequest.identifier / MedicationStatement.identifier / NutritionOrder.identifier / Observation.identifier / Procedure.identifier / RiskAssessment.identifier / ServiceRequest.identifier / SupplyDelivery.identifier / SupplyRequest.identifier / VisionPrescription.identifier
patientreferenceMultiple Resources: * AllergyIntolerance: Who the sensitivity is for* CarePlan: Who the care plan is for* CareTeam: Who care team is for* ClinicalImpression: Patient or group assessed* Composition: Who and/or what the composition is about* Condition: Who has the condition?* Consent: Who the consent applies to* DetectedIssue: Associated patient* DeviceRequest: Individual the service is ordered for* DeviceUseStatement: Search by subject - a patient* DiagnosticReport: The subject of the report if a patient* DocumentManifest: The subject of the set of documents* DocumentReference: Who/what is the subject of the document* Encounter: The patient or group present at the encounter* EpisodeOfCare: The patient who is the focus of this episode of care* FamilyMemberHistory: The identity of a subject to list family member history items for* Flag: The identity of a subject to list flags for* Goal: Who this goal is intended for* ImagingStudy: Who the study is about* Immunization: The patient for the vaccination record* List: If all resources have the same subject* MedicationAdministration: The identity of a patient to list administrations for* MedicationDispense: The identity of a patient to list dispenses for* MedicationRequest: Returns prescriptions for a specific patient* MedicationStatement: Returns statements for a specific patient.* NutritionOrder: The identity of the person who requires the diet, formula or nutritional supplement* Observation: The subject that the observation is about (if patient)* Procedure: Search by subject - a patient* RiskAssessment: Who/what does assessment apply to?* ServiceRequest: Search by subject - a patient* SupplyDelivery: Patient for whom the item is supplied* VisionPrescription: The identity of a patient to list dispenses forAllergyIntolerance.patient / CarePlan.subject.where(resolve() is Patient) / CareTeam.subject.where(resolve() is Patient) / ClinicalImpression.subject.where(resolve() is Patient) / Composition.subject.where(resolve() is Patient) / Condition.subject.where(resolve() is Patient) / Consent.patient / DetectedIssue.patient / DeviceRequest.subject.where(resolve() is Patient) / DeviceUseStatement.subject.where(resolve() is Patient) / DiagnosticReport.subject.where(resolve() is Patient) / DocumentManifest.subject.where(resolve() is Patient) / DocumentReference.subject.where(resolve() is Patient) / Encounter.subject.where(resolve() is Patient) / EpisodeOfCare.patient / FamilyMemberHistory.patient / Flag.subject.where(resolve() is Patient) / Goal.subject.where(resolve() is Patient) / ImagingStudy.subject.where(resolve() is Patient) / Immunization.patient / List.subject.where(resolve() is Patient) / MedicationAdministration.subject.where(resolve() is Patient) / MedicationDispense.subject.where(resolve() is Patient) / MedicationRequest.subject.where(resolve() is Patient) / MedicationStatement.subject.where(resolve() is Patient) / NutritionOrder.patient / Observation.subject.where(resolve() is Patient) / Procedure.subject.where(resolve() is Patient) / RiskAssessment.subject.where(resolve() is Patient) / ServiceRequest.subject.where(resolve() is Patient) / SupplyDelivery.patient / VisionPrescription.patient
medicationreferenceMultiple Resources: * MedicationAdministration: Return administrations of this medication resource* MedicationDispense: Returns dispenses of this medicine resource* MedicationRequest: Return prescriptions for this medication reference* MedicationStatement: Return statements of this medication reference(MedicationAdministration.medication.ofType(Reference)) / (MedicationDispense.medication.ofType(Reference)) / (MedicationRequest.medication.ofType(Reference)) / (MedicationStatement.medication.ofType(Reference))
statustokenMultiple Resources: * MedicationAdministration: MedicationAdministration event status (for example one of active/paused/completed/nullified)* MedicationDispense: Returns dispenses with a specified dispense status* MedicationRequest: Status of the prescription* MedicationStatement: Return statements that match the given statusMedicationAdministration.status / MedicationDispense.status / MedicationRequest.status / MedicationStatement.status
authoredondateReturn prescriptions written on this dateMedicationRequest.authoredOn
categorytokenReturns prescriptions with different categoriesMedicationRequest.category
datedateMultiple Resources: * MedicationRequest: Returns medication request to be administered on a specific dateMedicationRequest.dosageInstruction.timing.event
encounterreferenceMultiple Resources: * MedicationRequest: Return prescriptions with this encounter identifierMedicationRequest.encounter
intended-dispenserreferenceReturns prescriptions intended to be dispensed by this OrganizationMedicationRequest.dispenseRequest.performer
intended-performerreferenceReturns the intended performer of the administration of the medication requestMedicationRequest.performer
intended-performertypetokenReturns requests for a specific type of performerMedicationRequest.performerType
intenttokenReturns prescriptions with different intentsMedicationRequest.intent
prioritytokenReturns prescriptions with different prioritiesMedicationRequest.priority
requesterreferenceReturns prescriptions prescribed by this prescriberMedicationRequest.requester
subjectreferenceThe identity of a patient to list orders forMedicationRequest.subject