http://hl7.org/fhir/StructureDefinition/MedicationRequest|5.0.0

An 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.
Structure JSON Dependencies FHIRSchema Other Versions Dependant (0)Elements Summary
description: An 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.
derivation: specialization
name: MedicationRequest
type: MedicationRequest
elements:
  performerType:
    isModifier: false
    short: Desired kind of performer of the medication administration
    mustSupport: false
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/medication-intended-performer-role'}
    isSummary: true
    index: 19
  category:
    isModifier: false
    short: Grouping or category of medication request
    mustSupport: false
    array: true
    binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/medicationrequest-admin-location'}
    isSummary: false
    index: 8
  insurance: {isModifier: false, short: Associated insurance coverage, mustSupport: false, array: true, isSummary: false, index: 25}
  eventHistory: {isModifier: false, short: A list of events of interest in the lifecycle, mustSupport: false, array: true, isSummary: false, index: 46}
  substitution:
    isModifier: false
    short: Any restrictions on medication substitution
    mustSupport: false
    isSummary: false
    index: 42
    elements:
      allowed:
        isModifier: false
        short: Whether substitution is allowed or not
        mustSupport: false
        choices: []
        isSummary: false
        index: 44
      reason:
        isModifier: false
        short: Why should (not) substitution be made
        mustSupport: false
        binding: {strength: example, valueSet: 'http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason'}
        isSummary: false
        index: 45
    required: [allowed]
  encounter: {isModifier: false, short: Encounter created as part of encounter/admission/stay, mustSupport: false, isSummary: false, index: 14}
  dispenseRequest:
    isModifier: false
    short: Medication supply authorization
    mustSupport: false
    isSummary: false
    index: 30
    elements:
      dispenser: {isModifier: false, short: Intended performer of dispense, mustSupport: false, isSummary: false, index: 39}
      doseAdministrationAid:
        isModifier: false
        short: Type of adherence packaging to use for the dispense
        mustSupport: false
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/medication-dose-aid'}
        isSummary: false
        index: 41
      initialFill:
        isModifier: false
        short: First fill details
        mustSupport: false
        isSummary: false
        index: 31
        elements:
          quantity: {isModifier: false, short: First fill quantity, mustSupport: false, isSummary: false, index: 32}
          duration: {isModifier: false, short: First fill duration, mustSupport: false, isSummary: false, index: 33}
      dispenserInstruction: {isModifier: false, short: Additional information for the dispenser, mustSupport: false, array: true, isSummary: false, index: 40}
      dispenseInterval: {isModifier: false, short: Minimum period of time between dispenses, mustSupport: false, isSummary: false, index: 34}
      validityPeriod: {isModifier: false, short: Time period supply is authorized for, mustSupport: false, isSummary: false, index: 35}
      numberOfRepeatsAllowed: {isModifier: false, short: Number of refills authorized, mustSupport: false, isSummary: false, index: 36}
      quantity: {isModifier: false, short: Amount of medication to supply per dispense, mustSupport: false, isSummary: false, index: 37}
      expectedSupplyDuration: {isModifier: false, short: Number of days supply per dispense, mustSupport: false, isSummary: false, index: 38}
  reported: {isModifier: false, short: Reported rather than primary record, mustSupport: false, isSummary: true, index: 18}
  statusReason:
    isModifier: false
    short: Reason for current status
    mustSupport: false
    binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/medicationrequest-status-reason'}
    isSummary: false
    index: 5
  authoredOn: {isModifier: false, short: When request was initially authored, mustSupport: false, isSummary: true, index: 16}
  effectiveDosePeriod: {isModifier: false, short: Period over which the medication is to be taken, mustSupport: false, isSummary: false, index: 28}
  note: {isModifier: false, short: Information about the prescription, mustSupport: false, array: true, isSummary: false, index: 26}
  reason:
    isModifier: false
    short: Reason or indication for ordering or not ordering the medication
    mustSupport: false
    array: true
    binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/condition-code'}
    isSummary: false
    index: 23
  statusChanged: {isModifier: false, short: When the status was changed, mustSupport: false, isSummary: false, index: 6}
  requester: {isModifier: false, short: Who/What requested the Request, mustSupport: false, isSummary: true, index: 17}
  supportingInformation: {isModifier: false, short: Information to support fulfilling of the medication, mustSupport: false, array: true, isSummary: false, index: 15}
  priority:
    isModifier: false
    short: routine | urgent | asap | stat
    mustSupport: false
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/request-priority|5.0.0'}
    isSummary: true
    index: 9
  status:
    isModifier: true
    short: active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown
    mustSupport: false
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0'}
    isModifierReason: This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
    isSummary: true
    index: 4
  dosageInstruction: {isModifier: false, short: Specific instructions for how the medication should be taken, mustSupport: false, array: true, isSummary: false, index: 29}
  groupIdentifier: {isModifier: false, short: Composite request this is part of, mustSupport: false, isSummary: true, index: 3}
  recorder: {isModifier: false, short: Person who entered the request, mustSupport: false, isSummary: false, index: 22}
  identifier: {isModifier: false, short: External ids for this request, mustSupport: false, array: true, isSummary: false, index: 0}
  doNotPerform: {isModifier: true, short: True if patient is to stop taking or not to start taking the medication, mustSupport: false, isModifierReason: 'This element is labeled as a modifier because this element negates the request to occur (ie, this is a request for the medication not to be ordered or prescribed, etc.)', isSummary: true, index: 10}
  intent:
    isModifier: true
    short: proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
    mustSupport: false
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0'}
    isModifierReason: This element changes the interpretation of all descriptive attributes. For example \"the time the request is recommended to occur\" vs. \"the time the request is authorized to occur\" or \"who is recommended to perform the request\" vs. \"who is authorized to perform the request
    isSummary: true
    index: 7
  device: {isModifier: false, short: Intended type of device for the administration, mustSupport: false, array: true, isSummary: false, index: 21}
  renderedDosageInstruction: {isModifier: false, short: Full representation of the dosage instructions, mustSupport: false, isSummary: false, index: 27}
  basedOn: {isModifier: false, short: A plan or request that is fulfilled in whole or in part by this medication request, mustSupport: false, array: true, isSummary: true, index: 1}
  priorPrescription: {isModifier: false, short: Reference to an order/prescription that is being replaced by this MedicationRequest, mustSupport: false, isSummary: false, index: 2}
  informationSource: {isModifier: false, short: 'The person or organization who provided the information about this request, if the source is someone other than the requestor', mustSupport: false, array: true, isSummary: false, index: 13}
  courseOfTherapyType:
    isModifier: false
    short: Overall pattern of medication administration
    mustSupport: false
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy'}
    isSummary: false
    index: 24
  subject: {isModifier: false, short: Individual or group for whom the medication has been requested, mustSupport: false, isSummary: true, index: 12}
  performer: {isModifier: false, short: Intended performer of administration, mustSupport: false, array: true, isSummary: false, index: 20}
  medication:
    isModifier: false
    short: Medication to be taken
    mustSupport: false
    binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/medication-codes'}
    isSummary: true
    index: 11
class: resource
kind: resource
url: http://hl7.org/fhir/StructureDefinition/MedicationRequest
base: http://hl7.org/fhir/StructureDefinition/DomainResource
version: 5.0.0
required: [status, subject, intent, medication]