Specialty Medication Enrollment
0.1.0 - STU1 Ballot

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## Resource Profile: Specialty Rx Medication Request

Defining URL: | http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-medicationrequest
Version: | 0.1.0
Name: | SpecialtyRxPrescription
Title: | Specialty Prescription Prescription
Status: | Active as of 2020-03-20
Definition: | This profile tailors the MedicationRequest resource to support specialty medication dispensing and enrollment in related programs.
Publisher: | HL7 International - Pharmacy
Source Resource: | XML / JSON / Turtle

The official URL for this profile is:

    http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-medicationrequest

This profile is used in the Specialty Rx Query and Specialty Rx Query Response - Unsolicited messages, providing information the recipient can use to identify the associated prescription. It ensures that all identifying information is present, include dosage and quantity.

### Formal Views of Profile Content

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

- Text Summary
- Differential Table
- Snapshot Table
- Snapshot Table (Must Support)
- All

This structure is derived from USCoreMedicationRequestProfile

Summary

Mandatory: 1 element (2 nested mandatory elements)
Must-Support: 3 elements

This structure is derived from USCoreMedicationRequestProfile

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group
dosageInstruction | S | 1..* | Dosage | How the medication should be taken
dispenseRequest |  |  |  |
initialFill |  |  |  |
quantity | S | 1..1 | SimpleQuantity | First fill quantity
numberOfRepeatsAllowed | S | 1..1 | unsignedInt | Number of refills authorized
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group
id | Σ | 0..1 | string | 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) Max Binding: AllLanguages: A human language.
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
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 | ?!S Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A code 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 | ?!S 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
reported[x] | S Σ | 0..1 |  | Reported rather than primary record
reportedBoolean |  |  | boolean |
reportedReference |  |  | Reference(US Core Patient Profile | US Core Practitioner Profile | PractitionerRole | US Core Organization Profile | RelatedPerson) |
medication[x] | S Σ | 1..1 |  | Medication to be taken Binding: US Core Medication Codes (RxNorm) (extensible): Prescribable medications
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(US Core Medication Profile) |
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | Who or group medication request is for
encounter | S | 0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay
supportingInformation |  | 0..* | Reference(Resource) | Information to support ordering of the medication
authoredOn | S Σ | 1..1 | dateTime | When request was initially authored
requester | S Σ | 1..1 | Reference(US Core Practitioner Profile | PractitionerRole | US Core Organization Profile | US Core Patient Profile | US Core Implantable Device Profile | RelatedPerson) | Who/What requested the Request
performer |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration
performerType | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
recorder |  | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request
reasonCode |  | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
reasonReference |  | 0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written
instantiatesCanonical | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills
groupIdentifier | Σ | 0..1 | Identifier | Composite request this is part of
courseOfTherapyType |  | 0..1 | CodeableConcept | 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 | S | 1..* | Dosage | How the medication should be taken
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence | Σ | 0..1 | integer | The order of the dosage instructions
text | S Σ | 0..1 | string | Free text dosage instructions e.g. SIG
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions
timing | Σ | 0..1 | Timing | When medication should be administered
asNeeded[x] | Σ | 0..1 |  | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate | Σ | 0..* | Element | Amount of medication administered
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x] | Σ | 0..1 |  | Amount of medication per dose
doseRange |  |  | Range |
doseQuantity |  |  | Quantity(SimpleQuantity) |
rate[x] | Σ | 0..1 |  | Amount of medication per unit of time
rateRatio |  |  | Ratio |
rateRange |  |  | Range |
rateQuantity |  |  | Quantity(SimpleQuantity) |
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient
dispenseRequest |  | 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 | S | 1..1 | SimpleQuantity | First fill quantity
duration |  | 0..1 | Duration | First fill duration
dispenseInterval |  | 0..1 | Duration | Minimum period of time between dispenses
validityPeriod |  | 0..1 | Period | Time period supply is authorized for
numberOfRepeatsAllowed | S | 1..1 | unsignedInt | Number of refills authorized
quantity |  | 0..1 | SimpleQuantity | Amount of medication to supply per dispense
expectedSupplyDuration |  | 0..1 | Duration | Number of days supply per dispense
performer |  | 0..1 | Reference(Organization) | Intended dispenser
substitution |  | 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(MedicationRequest) | An order/prescription that is being replaced
detectedIssue |  | 0..* | Reference(DetectedIssue) | Clinical Issue with action
eventHistory |  | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group
status | ?!Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription.
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.
reported[x] | Σ | 0..1 |  | Reported rather than primary record
reportedBoolean |  |  | boolean |
reportedReference |  |  | Reference(US Core Patient Profile | US Core Practitioner Profile | PractitionerRole | US Core Organization Profile | RelatedPerson) |
medication[x] | Σ | 1..1 |  | Medication to be taken Binding: US Core Medication Codes (RxNorm) (extensible): Prescribable medications
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(US Core Medication Profile) |
subject | Σ | 1..1 | Reference(US Core Patient Profile) | Who or group medication request is for
encounter |  | 0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay
authoredOn | Σ | 1..1 | dateTime | When request was initially authored
requester | Σ | 1..1 | Reference(US Core Practitioner Profile | PractitionerRole | US Core Organization Profile | US Core Patient Profile | US Core Implantable Device Profile | RelatedPerson) | Who/What requested the Request
dosageInstruction |  | 1..* | Dosage | How the medication should be taken
text | Σ | 0..1 | string | Free text dosage instructions e.g. SIG
dispenseRequest |  | 0..1 | BackboneElement | Medication supply authorization
initialFill |  | 0..1 | BackboneElement | First fill details
quantity |  | 1..1 | SimpleQuantity | First fill quantity
numberOfRepeatsAllowed |  | 1..1 | unsignedInt | Number of refills authorized
Documentation for this format

This structure is derived from USCoreMedicationRequestProfile

Summary

Mandatory: 1 element (2 nested mandatory elements)
Must-Support: 3 elements

Differential View

This structure is derived from USCoreMedicationRequestProfile

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group
dosageInstruction | S | 1..* | Dosage | How the medication should be taken
dispenseRequest |  |  |  |
initialFill |  |  |  |
quantity | S | 1..1 | SimpleQuantity | First fill quantity
numberOfRepeatsAllowed | S | 1..1 | unsignedInt | Number of refills authorized
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MedicationRequest |  | 0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group
id | Σ | 0..1 | string | 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) Max Binding: AllLanguages: A human language.
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
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 | ?!S Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A code 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 | ?!S 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
reported[x] | S Σ | 0..1 |  | Reported rather than primary record
reportedBoolean |  |  | boolean |
reportedReference |  |  | Reference(US Core Patient Profile | US Core Practitioner Profile | PractitionerRole | US Core Organization Profile | RelatedPerson) |
medication[x] | S Σ | 1..1 |  | Medication to be taken Binding: US Core Medication Codes (RxNorm) (extensible): Prescribable medications
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(US Core Medication Profile) |
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | Who or group medication request is for
encounter | S | 0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay
supportingInformation |  | 0..* | Reference(Resource) | Information to support ordering of the medication
authoredOn | S Σ | 1..1 | dateTime | When request was initially authored
requester | S Σ | 1..1 | Reference(US Core Practitioner Profile | PractitionerRole | US Core Organization Profile | US Core Patient Profile | US Core Implantable Device Profile | RelatedPerson) | Who/What requested the Request
performer |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration
performerType | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
recorder |  | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request
reasonCode |  | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
reasonReference |  | 0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written
instantiatesCanonical | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills
groupIdentifier | Σ | 0..1 | Identifier | Composite request this is part of
courseOfTherapyType |  | 0..1 | CodeableConcept | 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 | S | 1..* | Dosage | How the medication should be taken
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
sequence | Σ | 0..1 | integer | The order of the dosage instructions
text | S Σ | 0..1 | string | Free text dosage instructions e.g. SIG
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions
timing | Σ | 0..1 | Timing | When medication should be administered
asNeeded[x] | Σ | 0..1 |  | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean |  |  | boolean |
asNeededCodeableConcept |  |  | CodeableConcept |
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate | Σ | 0..* | Element | Amount of medication administered
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x] | Σ | 0..1 |  | Amount of medication per dose
doseRange |  |  | Range |
doseQuantity |  |  | Quantity(SimpleQuantity) |
rate[x] | Σ | 0..1 |  | Amount of medication per unit of time
rateRatio |  |  | Ratio |
rateRange |  |  | Range |
rateQuantity |  |  | Quantity(SimpleQuantity) |
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient
dispenseRequest |  | 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 | S | 1..1 | SimpleQuantity | First fill quantity
duration |  | 0..1 | Duration | First fill duration
dispenseInterval |  | 0..1 | Duration | Minimum period of time between dispenses
validityPeriod |  | 0..1 | Period | Time period supply is authorized for
numberOfRepeatsAllowed | S | 1..1 | unsignedInt | Number of refills authorized
quantity |  | 0..1 | SimpleQuantity | Amount of medication to supply per dispense
expectedSupplyDuration |  | 0..1 | Duration | Number of days supply per dispense
performer |  | 0..1 | Reference(Organization) | Intended dispenser
substitution |  | 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(MedicationRequest) | An order/prescription that is being replaced
detectedIssue |  | 0..* | Reference(DetectedIssue) | Clinical Issue with action
eventHistory |  | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle
Documentation for this format

Other representations of profile: Schematron

#### Terminology Bindings

Path | Conformance | ValueSet
MedicationRequest.language | preferred | CommonLanguages Max Binding: AllLanguages
MedicationRequest.status | required | medicationrequest Status
MedicationRequest.statusReason | example | medicationRequest Status Reason Codes
MedicationRequest.intent | required | medicationRequest Intent
MedicationRequest.category | example | medicationRequest Category Codes
MedicationRequest.priority | required | RequestPriority
MedicationRequest.medication[x] | extensible | USCoreMedicationCodes
MedicationRequest.performerType | example | ProcedurePerformerRoleCodes
MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodes
MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codes
MedicationRequest.dosageInstruction.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructions
MedicationRequest.dosageInstruction.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodes
MedicationRequest.dosageInstruction.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodes
MedicationRequest.dosageInstruction.route | example | SNOMEDCTRouteCodes
MedicationRequest.dosageInstruction.method | example | SNOMEDCTAdministrationMethodCodes
MedicationRequest.dosageInstruction.doseAndRate.type | example | DoseAndRateType
MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReason

#### Constraints

Id | Path | Details | Requirements
dom-2 | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | 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 | 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 | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | MedicationRequest | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | MedicationRequest.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | MedicationRequest.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | MedicationRequest.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | MedicationRequest.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | MedicationRequest.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.status | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.statusReason | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.intent | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.category | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.priority | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.doNotPerform | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.reported[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.medication[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.subject | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.encounter | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.supportingInformation | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.authoredOn | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.requester | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.performer | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.performerType | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.recorder | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.reasonCode | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.reasonReference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.instantiatesCanonical | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.instantiatesUri | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.basedOn | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.groupIdentifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.courseOfTherapyType | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.insurance | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.note | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.dosageInstruction | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.dosageInstruction.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | MedicationRequest.dosageInstruction.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | MedicationRequest.dosageInstruction.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | MedicationRequest.dosageInstruction.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | MedicationRequest.dosageInstruction.sequence | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.dosageInstruction.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.dosageInstruction.additionalInstruction | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.dosageInstruction.patientInstruction | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.dosageInstruction.timing | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.dosageInstruction.asNeeded[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.dosageInstruction.site | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.dosageInstruction.route | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.dosageInstruction.method | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.dosageInstruction.doseAndRate | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.dosageInstruction.doseAndRate.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | MedicationRequest.dosageInstruction.doseAndRate.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | MedicationRequest.dosageInstruction.doseAndRate.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.dosageInstruction.doseAndRate.dose[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.dosageInstruction.doseAndRate.rate[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.dosageInstruction.maxDosePerPeriod | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.dosageInstruction.maxDosePerAdministration | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.dosageInstruction.maxDosePerLifetime | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.dispenseRequest | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.dispenseRequest.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | MedicationRequest.dispenseRequest.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | MedicationRequest.dispenseRequest.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | MedicationRequest.dispenseRequest.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | MedicationRequest.dispenseRequest.initialFill | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.dispenseRequest.initialFill.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | MedicationRequest.dispenseRequest.initialFill.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | MedicationRequest.dispenseRequest.initialFill.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | MedicationRequest.dispenseRequest.initialFill.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | MedicationRequest.dispenseRequest.initialFill.quantity | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.dispenseRequest.initialFill.duration | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.dispenseRequest.dispenseInterval | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.dispenseRequest.validityPeriod | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.dispenseRequest.numberOfRepeatsAllowed | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.dispenseRequest.quantity | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.dispenseRequest.expectedSupplyDuration | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.dispenseRequest.performer | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.substitution | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.substitution.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | MedicationRequest.substitution.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | MedicationRequest.substitution.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | MedicationRequest.substitution.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
ele-1 | MedicationRequest.substitution.allowed[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.substitution.reason | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.priorPrescription | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.detectedIssue | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ele-1 | MedicationRequest.eventHistory | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |