US Veterans Health Administration FHIR Map Set Implementation Guide - Downloaded Version 2.0.0 See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• JSON
• History

Resource Profile: MedicationRequest: Outpatient

This StructureDefinition contains the maps for VistA file PRESCRIPTION (52) to us-core-medicationrequest.

Usages:

• Refer to this Profile: MedicationDispense: Original, MedicationDispense: Partial and MedicationDispense: Refill
• CapabilityStatements using this Profile: AMPL GUI, Lighthouse Clinical Health API and Lung Cancer Screening

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.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest	C	0..*	USCoreMedicationRequestProfile(6.1.0)	Ordering of medication for patient or group This profile also complies with the profile US Core MedicationRequest Profile (7.0.0) Constraints: us-core-21
id	SΣ	0..1	id	Logical id of this artifact
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:medicationrequest-pharmacyOrderStatus	S	0..1	(Complex)	Extension URL: http://va.gov/fhir/StructureDefinition/medicationrequest-pharmacyOrderStatus
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://va.gov/fhir/StructureDefinition/medicationrequest-pharmacyOrderStatus"
value[x]		0..1	Coding	Value of extension
system	SΣC	0..1	uri	Identity of the terminology system Constraints: mro-27-1746-1 Required Pattern: http://va.gov/terminology/vistaDefinedTerms/52-100
code	SΣC	0..1	code	Symbol in syntax defined by the system Constraints: mro-27-1746
extension:medicationrequest-cancelDate	S	0..1	(Complex)	Extension URL: http://va.gov/fhir/StructureDefinition/medicationrequest-cancelDate
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://va.gov/fhir/StructureDefinition/medicationrequest-cancelDate"
value[x]	S	0..1	dateTime	Value of extension
extension:medicationrequest-includeIndicationInSig	S	0..1	(Complex)	Extension URL: http://va.gov/fhir/StructureDefinition/medicationrequest-includeIndicationInSig
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://va.gov/fhir/StructureDefinition/medicationrequest-includeIndicationInSig"
value[x]	S	0..1	boolean	Value of extension
extension:medicationrequest-remainingRefillCount	S	0..1	(Complex)	Extension URL: http://va.gov/fhir/StructureDefinition/medicationrequest-remainingRefillCount
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://va.gov/fhir/StructureDefinition/medicationrequest-remainingRefillCount"
value[x]	S	0..1	integer	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External ids for this request
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: FILL
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value	SΣ	0..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	(USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: OutMedRequestStatus FHIR (required): see mapping VF_OutMedRequestStatus
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:alternate-codes	S	0..1	(Complex)	Alternate code/original text for this code URL: http://hl7.org/fhir/StructureDefinition/alternate-codes
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/alternate-codes"
value[x]		1..1	CodeableConcept	Value of extension
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system Required Pattern: http://va.gov/terminology/vistaDefinedTerms/52-100
code	SΣC	0..1	code	Symbol in syntax defined by the system Constraints: mro-27-2252
intent	?!SΣC	1..1	code	(USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Required Pattern: order
Slices for category	S	0..*	CodeableConcept	(USCDI) Type of medication usage Slice: Unordered, Open by pattern:$this Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/medicationrequest-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: outpatient
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category:us-core	S	0..*	CodeableConcept	(USCDI) Type of medication usage Binding: medicationRequest Category Codes (required): The type of medication order. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
reported[x]	SΣ	0..1		(USCDI) Reported rather than primary record
reportedBoolean			boolean S
reportedReference			Reference S(US Core Practitioner Profile(7.0.0) S | US Core Organization Profile(7.0.0) | US Core Patient Profile(7.0.0) | US Core PractitionerRole Profile(7.0.0) | US Core RelatedPerson Profile(7.0.0))
Slices for medication[x]	SΣ	1..1		(USCDI) Medication to be taken Slice: Unordered, Open by type:$this Binding: Medication Clinical Drug (extensible)
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(US Core Medication Profile(7.0.0))
medication[x]:medicationCodeableConcept	SΣ	0..1	CodeableConcept	(USCDI) Medication to be taken Binding: Medication Clinical Drug (extensible)
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣC	0..1	uri	Identity of the terminology system Constraints: mro-27-805-1
code	SΣC	0..1	code	Symbol in syntax defined by the system Constraints: mro-27-805
text	SΣ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(VAPatient)	(USCDI) Who or group medication request is for
encounter	S	0..1	Reference(US Core Encounter Profile(7.0.0))	(USCDI) Encounter created as part of encounter/admission/stay
authoredOn	SΣ	0..1	dateTime	(USCDI) When request was initially authored
requester	SΣC	0..1	Reference(VAPractitioner)	(USCDI) Who/What requested the Request
reasonCode		0..*	CodeableConcept	(USCDI) Reason or indication for ordering or not ordering the medication Binding: US Core Condition Codes (extensible)
text	SΣ	0..1	string	Plain text representation of the concept
dosageInstruction	S	0..*	Dosage	(USCDI) How the medication should be taken
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	SΣ	0..1	string	(USCDI) Free text dosage instructions e.g. SIG
patientInstruction	SΣ	0..1	string	Patient or consumer oriented instructions
timing	SΣ	0..1	Timing	(USCDI) When medication should be administered
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.
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system Required Pattern: http://va.gov/terminology/vistaDefinedTerms/52.0113-6
code	SΣ	0..1	code	Symbol in syntax defined by the system
doseAndRate	SΣ	0..*	Element	(USCDI) Amount of medication administered
Slices for extension				Content/Rules for all slices
extension:originalText	S	0..1	(Complex)	Original Text that represents the data as seen/selected/uttered originally URL: http://hl7.org/fhir/StructureDefinition/originalText
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/originalText"
value[x]	SC	1..1		Value of extension Constraints: mro-27-841
valueString			string
valueUrl			url
Slices for dose[x]	SΣ	0..1		(USCDI) Amount of medication per dose Slice: Unordered, Open by type:$this Binding: Common UCUM units (preferred) Additional Bindings Purpose UCUMCodes Max Binding
doseQuantity			Quantity S
doseRange			Range
dose[x]:doseQuantity	SΣ	0..1	Quantity S	(USCDI) Amount of medication per dose Binding: Common UCUM units (preferred) Additional Bindings Purpose UCUMCodes Max Binding
value	SΣC	0..1	decimal	Numerical value (with implicit precision) Constraints: mro-27-811
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
dispenseRequest	S	0..1	BackboneElement	(USCDI) Medication supply authorization
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
validityPeriod		0..1	Period	Time period supply is authorized for
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
numberOfRepeatsAllowed	S	0..1	unsignedInt	(USCDI) Number of refills authorized
quantity	S	0..1	SimpleQuantity	(USCDI) Amount of medication to supply per dispense
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
expectedSupplyDuration	S	0..1	Duration	Number of days supply per dispense
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationRequest.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationRequest.status	Base	required	OutMedRequestStatus FHIR	📦2.0.0	This IG
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.category:us-core	Base	required	Medication request category codes	📦4.0.1	FHIR Std.
MedicationRequest.medication[x]	Base	extensible	Medication Clinical Drug	📦20170601	VSAC v0.18
MedicationRequest.medication[x]:medicationCodeableConcept	Base	extensible	Medication Clinical Drug	📦20170601	VSAC v0.18
MedicationRequest.reasonCode	Base	extensible	US Core Condition Codes	📦7.0.0	US Core v7.0
MedicationRequest.dosageInstruction.​route	Base	example	SNOMED CT Route Codes	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]	Base	preferred	Common UCUM units	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseQuantity	Base	preferred	Common UCUM units	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseQuantity.​comparator	Base	required	QuantityComparator	📍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()
mro-27-805	best practice	MedicationRequest.medication[x]:medicationCodeableConcept.coding.code	If .01 CODING SYSTEM = RXNORM then source value from (52-6 > 50-20 > 50.6-5 > 50.65-.02)	true
mro-27-811	best practice	MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.value	If number then source value from (52-113 > 52.0113-.01)	true
mro-27-841	best practice	MedicationRequest.dosageInstruction.doseAndRate.extension:originalText.value[x]	If not a number then source value from (52-113 > 52.0113-.01)	true
mro-27-1746	best practice	MedicationRequest.extension:medicationrequest-pharmacyOrderStatus.value[x].code	If (52-11) is P then fixed value #active-parked	true
mro-27-2252	best practice	MedicationRequest.status.extension:alternate-codes.value[x].coding.code	If (52-11) is P then fixed value http://va.gov/terminology/vistaDefinedTerms/52-11#P "active-parked"	true
mro-27-1746-1	best practice	MedicationRequest.extension:medicationrequest-pharmacyOrderStatus.value[x].system	If (52-11) is P then fixed value http://va.gov/terminology/vistaDefinedTerms/52-100	true
mro-27-805-1	best practice	MedicationRequest.medication[x]:medicationCodeableConcept.coding.system	If (52-6 > 50-20 > 50.6-5 > 50.65-.02) is .01 CODING SYSTEM = RXNORM then fixed value http://www.nlm.nih.gov/research/umls/rxnorm	true
us-core-21	error	MedicationRequest	requester SHALL be present if intent is "order"	(intent='order' or intent='original-order' or intent='reflex-order'or intent='filler-order' or intent='instance-order') implies requester.exists()

This structure is derived from USCoreMedicationRequestProfile

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	USCoreMedicationRequestProfile(6.1.0)	Ordering of medication for patient or group This profile also complies with the profile US Core MedicationRequest Profile (7.0.0)
id	S	0..1	id	Logical id of this artifact
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:medicationrequest-pharmacyOrderStatus	S	0..1	(Complex)	Extension URL: http://va.gov/fhir/StructureDefinition/medicationrequest-pharmacyOrderStatus
value[x]
system	SC	0..1	uri	Identity of the terminology system Constraints: mro-27-1746-1 Required Pattern: http://va.gov/terminology/vistaDefinedTerms/52-100
code	SC	0..1	code	Symbol in syntax defined by the system Constraints: mro-27-1746
extension:medicationrequest-cancelDate	S	0..1	(Complex)	Extension URL: http://va.gov/fhir/StructureDefinition/medicationrequest-cancelDate
value[x]	S	0..1	dateTime	Value of extension
extension:medicationrequest-includeIndicationInSig	S	0..1	(Complex)	Extension URL: http://va.gov/fhir/StructureDefinition/medicationrequest-includeIndicationInSig
value[x]	S	0..1	boolean	Value of extension
extension:medicationrequest-remainingRefillCount	S	0..1	(Complex)	Extension URL: http://va.gov/fhir/StructureDefinition/medicationrequest-remainingRefillCount
value[x]	S	0..1	integer	Value of extension
identifier
type	S	0..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: FILL
value	S	0..1	string	The value that is unique
status		1..1	code	(USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: OutMedRequestStatus FHIR (required): see mapping VF_OutMedRequestStatus
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:alternate-codes	S	0..1	(Complex)	Alternate code/original text for this code URL: http://hl7.org/fhir/StructureDefinition/alternate-codes
value[x]
coding
system	S	0..1	uri	Identity of the terminology system Required Pattern: http://va.gov/terminology/vistaDefinedTerms/52-100
code	SC	0..1	code	Symbol in syntax defined by the system Constraints: mro-27-2252
intent		1..1	code	(USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: order
category		0..*	CodeableConcept	(USCDI) Type of medication usage Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/medicationrequest-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: outpatient
Slices for medication[x]		1..1	CodeableConcept, Reference(US Core Medication Profile(7.0.0))	(USCDI) Medication to be taken Slice: Unordered, Open by type:$this
medication[x]:medicationCodeableConcept		0..1	CodeableConcept	(USCDI) Medication to be taken
coding
system	SC	0..1	uri	Identity of the terminology system Constraints: mro-27-805-1
code	SC	0..1	code	Symbol in syntax defined by the system Constraints: mro-27-805
text	S	0..1	string	Plain text representation of the concept
subject		1..1	Reference(VAPatient)	(USCDI) Who or group medication request is for
authoredOn		0..1	dateTime	(USCDI) When request was initially authored
requester		0..1	Reference(VAPractitioner)	(USCDI) Who/What requested the Request
reasonCode
text	S	0..1	string	Plain text representation of the concept
dosageInstruction
text		0..1	string	(USCDI) Free text dosage instructions e.g. SIG
patientInstruction	S	0..1	string	Patient or consumer oriented instructions
route
coding
system	S	0..1	uri	Identity of the terminology system Required Pattern: http://va.gov/terminology/vistaDefinedTerms/52.0113-6
code	S	0..1	code	Symbol in syntax defined by the system
doseAndRate
Slices for extension				Content/Rules for all slices
extension:originalText	S	0..1	(Complex)	Original Text that represents the data as seen/selected/uttered originally URL: http://hl7.org/fhir/StructureDefinition/originalText
value[x]	SC	1..1	string, url	Value of extension Constraints: mro-27-841
Slices for dose[x]		0..1	Quantity, Range	(USCDI) Amount of medication per dose Slice: Unordered, Open by type:$this
dose[x]:doseQuantity		0..1	Quantity	(USCDI) Amount of medication per dose
value	SC	0..1	decimal	Numerical value (with implicit precision) Constraints: mro-27-811
unit	S	0..1	string	Unit representation
dispenseRequest
validityPeriod
end	S	0..1	dateTime	End time with inclusive boundary, if not ongoing
numberOfRepeatsAllowed		0..1	unsignedInt	(USCDI) Number of refills authorized
quantity
value	S	0..1	decimal	Numerical value (with implicit precision)
expectedSupplyDuration	S	0..1	Duration	Number of days supply per dispense
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.status	Base	required	OutMedRequestStatus FHIR	📦2.0.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
mro-27-805	best practice	MedicationRequest.medication[x]:medicationCodeableConcept.coding.code	If .01 CODING SYSTEM = RXNORM then source value from (52-6 > 50-20 > 50.6-5 > 50.65-.02)	true
mro-27-811	best practice	MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.value	If number then source value from (52-113 > 52.0113-.01)	true
mro-27-841	best practice	MedicationRequest.dosageInstruction.doseAndRate.extension:originalText.value[x]	If not a number then source value from (52-113 > 52.0113-.01)	true
mro-27-1746	best practice	MedicationRequest.extension:medicationrequest-pharmacyOrderStatus.value[x].code	If (52-11) is P then fixed value #active-parked	true
mro-27-2252	best practice	MedicationRequest.status.extension:alternate-codes.value[x].coding.code	If (52-11) is P then fixed value http://va.gov/terminology/vistaDefinedTerms/52-11#P "active-parked"	true
mro-27-1746-1	best practice	MedicationRequest.extension:medicationrequest-pharmacyOrderStatus.value[x].system	If (52-11) is P then fixed value http://va.gov/terminology/vistaDefinedTerms/52-100	true
mro-27-805-1	best practice	MedicationRequest.medication[x]:medicationCodeableConcept.coding.system	If (52-6 > 50-20 > 50.6-5 > 50.65-.02) is .01 CODING SYSTEM = RXNORM then fixed value http://www.nlm.nih.gov/research/umls/rxnorm	true

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest	C	0..*	USCoreMedicationRequestProfile(6.1.0)	Ordering of medication for patient or group This profile also complies with the profile US Core MedicationRequest Profile (7.0.0) Constraints: us-core-21
id	SΣ	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 Bindings Purpose 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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:medicationrequest-pharmacyOrderStatus	S	0..1	(Complex)	Extension URL: http://va.gov/fhir/StructureDefinition/medicationrequest-pharmacyOrderStatus
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://va.gov/fhir/StructureDefinition/medicationrequest-pharmacyOrderStatus"
value[x]		0..1	Coding	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣC	0..1	uri	Identity of the terminology system Constraints: mro-27-1746-1 Required Pattern: http://va.gov/terminology/vistaDefinedTerms/52-100
version	Σ	0..1	string	Version of the system - if relevant
code	SΣC	0..1	code	Symbol in syntax defined by the system Constraints: mro-27-1746
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
extension:medicationrequest-cancelDate	S	0..1	(Complex)	Extension URL: http://va.gov/fhir/StructureDefinition/medicationrequest-cancelDate
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://va.gov/fhir/StructureDefinition/medicationrequest-cancelDate"
value[x]	S	0..1	dateTime	Value of extension
extension:medicationrequest-includeIndicationInSig	S	0..1	(Complex)	Extension URL: http://va.gov/fhir/StructureDefinition/medicationrequest-includeIndicationInSig
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://va.gov/fhir/StructureDefinition/medicationrequest-includeIndicationInSig"
value[x]	S	0..1	boolean	Value of extension
extension:medicationrequest-remainingRefillCount	S	0..1	(Complex)	Extension URL: http://va.gov/fhir/StructureDefinition/medicationrequest-remainingRefillCount
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://va.gov/fhir/StructureDefinition/medicationrequest-remainingRefillCount"
value[x]	S	0..1	integer	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External ids for this request
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: FILL
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	(USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: OutMedRequestStatus FHIR (required): see mapping VF_OutMedRequestStatus
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:alternate-codes	S	0..1	(Complex)	Alternate code/original text for this code URL: http://hl7.org/fhir/StructureDefinition/alternate-codes
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/alternate-codes"
value[x]		1..1	CodeableConcept	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system Required Pattern: http://va.gov/terminology/vistaDefinedTerms/52-100
version	Σ	0..1	string	Version of the system - if relevant
code	SΣC	0..1	code	Symbol in syntax defined by the system Constraints: mro-27-2252
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value		0..1	string	Primitive value for code
statusReason		0..1	CodeableConcept	Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent	?!SΣC	1..1	code	(USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Required Pattern: order
Slices for category	S	0..*	CodeableConcept	(USCDI) Type of medication usage Slice: Unordered, Open by pattern:$this Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/medicationrequest-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: outpatient
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category:us-core	S	0..*	CodeableConcept	(USCDI) Type of medication usage Binding: medicationRequest Category Codes (required): The type of medication order. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
reported[x]	SΣ	0..1		(USCDI) Reported rather than primary record
reportedBoolean			boolean S
reportedReference			Reference S(US Core Practitioner Profile(7.0.0) S | US Core Organization Profile(7.0.0) | US Core Patient Profile(7.0.0) | US Core PractitionerRole Profile(7.0.0) | US Core RelatedPerson Profile(7.0.0))
Slices for medication[x]	SΣ	1..1		(USCDI) Medication to be taken Slice: Unordered, Open by type:$this Binding: Medication Clinical Drug (extensible)
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(US Core Medication Profile(7.0.0))
medication[x]:medicationCodeableConcept	SΣ	0..1	CodeableConcept	(USCDI) Medication to be taken Binding: Medication Clinical Drug (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣC	0..1	uri	Identity of the terminology system Constraints: mro-27-805-1
version	Σ	0..1	string	Version of the system - if relevant
code	SΣC	0..1	code	Symbol in syntax defined by the system Constraints: mro-27-805
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(VAPatient)	(USCDI) Who or group medication request is for
encounter	S	0..1	Reference(US Core Encounter Profile(7.0.0))	(USCDI) Encounter created as part of encounter/admission/stay
supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication
authoredOn	SΣ	0..1	dateTime	(USCDI) When request was initially authored
requester	SΣC	0..1	Reference(VAPractitioner)	(USCDI) 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	(USCDI) Reason or indication for ordering or not ordering the medication Binding: US Core Condition Codes (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
reasonReference		0..*	Reference(Condition | Observation)	(USCDI) US Core Condition or Observation that supports the prescription
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	0..*	Dosage	(USCDI) 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	SΣ	0..1	string	(USCDI) 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	SΣ	0..1	string	Patient or consumer oriented instructions
timing	SΣ	0..1	Timing	(USCDI) 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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system Required Pattern: http://va.gov/terminology/vistaDefinedTerms/52.0113-6
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
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	SΣ	0..*	Element	(USCDI) Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:originalText	S	0..1	(Complex)	Original Text that represents the data as seen/selected/uttered originally URL: http://hl7.org/fhir/StructureDefinition/originalText
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/originalText"
value[x]	SC	1..1		Value of extension Constraints: mro-27-841
valueString			string
valueUrl			url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
Slices for dose[x]	SΣ	0..1		(USCDI) Amount of medication per dose Slice: Unordered, Open by type:$this Binding: Common UCUM units (preferred) Additional Bindings Purpose UCUMCodes Max Binding
doseQuantity			Quantity S
doseRange			Range
dose[x]:doseQuantity	SΣ	0..1	Quantity S	(USCDI) Amount of medication per dose Binding: Common UCUM units (preferred) Additional Bindings Purpose UCUMCodes Max Binding
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣC	0..1	decimal	Numerical value (with implicit precision) Constraints: mro-27-811
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
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	S	0..1	BackboneElement	(USCDI) 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	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
numberOfRepeatsAllowed	S	0..1	unsignedInt	(USCDI) Number of refills authorized
quantity	S	0..1	SimpleQuantity	(USCDI) Amount of medication to supply per dispense
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
expectedSupplyDuration	S	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

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
MedicationRequest.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationRequest.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationRequest.status	Base	required	OutMedRequestStatus FHIR	📦2.0.0	This IG
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.category:us-core	Base	required	Medication request category codes	📦4.0.1	FHIR Std.
MedicationRequest.priority	Base	required	Request priority	📍4.0.1	FHIR Std.
MedicationRequest.medication[x]	Base	extensible	Medication Clinical Drug	📦20170601	VSAC v0.18
MedicationRequest.medication[x]:medicationCodeableConcept	Base	extensible	Medication Clinical Drug	📦20170601	VSAC v0.18
MedicationRequest.performerType	Base	example	Procedure Performer Role Codes	📦4.0.1	FHIR Std.
MedicationRequest.reasonCode	Base	extensible	US Core Condition Codes	📦7.0.0	US Core v7.0
MedicationRequest.courseOfTherapyType	Base	example	Medication request course of therapy codes	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​additionalInstruction	Base	example	SNOMED CT Additional Dosage Instructions	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​site	Base	example	SNOMED CT Anatomical Structure for Administration Site Codes	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​route	Base	example	SNOMED CT Route Codes	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​method	Base	example	SNOMED CT Administration Method Codes	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.type	Base	example	DoseAndRateType	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]	Base	preferred	Common UCUM units	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseQuantity	Base	preferred	Common UCUM units	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MedicationRequest.substitution.​allowed[x]	Base	example	ActSubstanceAdminSubstitutionCode	📦3.0.0	THO v7.0
MedicationRequest.substitution.​reason	Base	example	SubstanceAdminSubstitutionReason	📦3.0.0	THO v7.0

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()
mro-27-805	best practice	MedicationRequest.medication[x]:medicationCodeableConcept.coding.code	If .01 CODING SYSTEM = RXNORM then source value from (52-6 > 50-20 > 50.6-5 > 50.65-.02)	true
mro-27-811	best practice	MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.value	If number then source value from (52-113 > 52.0113-.01)	true
mro-27-841	best practice	MedicationRequest.dosageInstruction.doseAndRate.extension:originalText.value[x]	If not a number then source value from (52-113 > 52.0113-.01)	true
mro-27-1746	best practice	MedicationRequest.extension:medicationrequest-pharmacyOrderStatus.value[x].code	If (52-11) is P then fixed value #active-parked	true
mro-27-2252	best practice	MedicationRequest.status.extension:alternate-codes.value[x].coding.code	If (52-11) is P then fixed value http://va.gov/terminology/vistaDefinedTerms/52-11#P "active-parked"	true
mro-27-1746-1	best practice	MedicationRequest.extension:medicationrequest-pharmacyOrderStatus.value[x].system	If (52-11) is P then fixed value http://va.gov/terminology/vistaDefinedTerms/52-100	true
mro-27-805-1	best practice	MedicationRequest.medication[x]:medicationCodeableConcept.coding.system	If (52-6 > 50-20 > 50.6-5 > 50.65-.02) is .01 CODING SYSTEM = RXNORM then fixed value http://www.nlm.nih.gov/research/umls/rxnorm	true
us-core-21	error	MedicationRequest	requester SHALL be present if intent is "order"	(intent='order' or intent='original-order' or intent='reflex-order'or intent='filler-order' or intent='instance-order') implies requester.exists()

This structure is derived from USCoreMedicationRequestProfile

Summary

Must-Support: 29 elements

Structures

This structure refers to these other structures:

• VAPatient (http://va.gov/fhir/StructureDefinition/VAPatient)
• VAPractitioner (http://va.gov/fhir/StructureDefinition/VAPractitioner)

Extensions

This structure refers to these extensions:

• http://va.gov/fhir/StructureDefinition/medicationrequest-pharmacyOrderStatus
• http://va.gov/fhir/StructureDefinition/medicationrequest-cancelDate
• http://va.gov/fhir/StructureDefinition/medicationrequest-includeIndicationInSig
• http://va.gov/fhir/StructureDefinition/medicationrequest-remainingRefillCount
• http://hl7.org/fhir/StructureDefinition/alternate-codes
• http://hl7.org/fhir/StructureDefinition/originalText

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationRequest.medication[x]
• The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.doseAndRate.dose[x]

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest	C	0..*	USCoreMedicationRequestProfile(6.1.0)	Ordering of medication for patient or group This profile also complies with the profile US Core MedicationRequest Profile (7.0.0) Constraints: us-core-21
id	SΣ	0..1	id	Logical id of this artifact
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:medicationrequest-pharmacyOrderStatus	S	0..1	(Complex)	Extension URL: http://va.gov/fhir/StructureDefinition/medicationrequest-pharmacyOrderStatus
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://va.gov/fhir/StructureDefinition/medicationrequest-pharmacyOrderStatus"
value[x]		0..1	Coding	Value of extension
system	SΣC	0..1	uri	Identity of the terminology system Constraints: mro-27-1746-1 Required Pattern: http://va.gov/terminology/vistaDefinedTerms/52-100
code	SΣC	0..1	code	Symbol in syntax defined by the system Constraints: mro-27-1746
extension:medicationrequest-cancelDate	S	0..1	(Complex)	Extension URL: http://va.gov/fhir/StructureDefinition/medicationrequest-cancelDate
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://va.gov/fhir/StructureDefinition/medicationrequest-cancelDate"
value[x]	S	0..1	dateTime	Value of extension
extension:medicationrequest-includeIndicationInSig	S	0..1	(Complex)	Extension URL: http://va.gov/fhir/StructureDefinition/medicationrequest-includeIndicationInSig
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://va.gov/fhir/StructureDefinition/medicationrequest-includeIndicationInSig"
value[x]	S	0..1	boolean	Value of extension
extension:medicationrequest-remainingRefillCount	S	0..1	(Complex)	Extension URL: http://va.gov/fhir/StructureDefinition/medicationrequest-remainingRefillCount
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://va.gov/fhir/StructureDefinition/medicationrequest-remainingRefillCount"
value[x]	S	0..1	integer	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External ids for this request
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: FILL
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value	SΣ	0..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	(USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: OutMedRequestStatus FHIR (required): see mapping VF_OutMedRequestStatus
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:alternate-codes	S	0..1	(Complex)	Alternate code/original text for this code URL: http://hl7.org/fhir/StructureDefinition/alternate-codes
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/alternate-codes"
value[x]		1..1	CodeableConcept	Value of extension
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system Required Pattern: http://va.gov/terminology/vistaDefinedTerms/52-100
code	SΣC	0..1	code	Symbol in syntax defined by the system Constraints: mro-27-2252
intent	?!SΣC	1..1	code	(USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Required Pattern: order
Slices for category	S	0..*	CodeableConcept	(USCDI) Type of medication usage Slice: Unordered, Open by pattern:$this Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/medicationrequest-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: outpatient
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category:us-core	S	0..*	CodeableConcept	(USCDI) Type of medication usage Binding: medicationRequest Category Codes (required): The type of medication order. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
reported[x]	SΣ	0..1		(USCDI) Reported rather than primary record
reportedBoolean			boolean S
reportedReference			Reference S(US Core Practitioner Profile(7.0.0) S | US Core Organization Profile(7.0.0) | US Core Patient Profile(7.0.0) | US Core PractitionerRole Profile(7.0.0) | US Core RelatedPerson Profile(7.0.0))
Slices for medication[x]	SΣ	1..1		(USCDI) Medication to be taken Slice: Unordered, Open by type:$this Binding: Medication Clinical Drug (extensible)
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(US Core Medication Profile(7.0.0))
medication[x]:medicationCodeableConcept	SΣ	0..1	CodeableConcept	(USCDI) Medication to be taken Binding: Medication Clinical Drug (extensible)
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣC	0..1	uri	Identity of the terminology system Constraints: mro-27-805-1
code	SΣC	0..1	code	Symbol in syntax defined by the system Constraints: mro-27-805
text	SΣ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(VAPatient)	(USCDI) Who or group medication request is for
encounter	S	0..1	Reference(US Core Encounter Profile(7.0.0))	(USCDI) Encounter created as part of encounter/admission/stay
authoredOn	SΣ	0..1	dateTime	(USCDI) When request was initially authored
requester	SΣC	0..1	Reference(VAPractitioner)	(USCDI) Who/What requested the Request
reasonCode		0..*	CodeableConcept	(USCDI) Reason or indication for ordering or not ordering the medication Binding: US Core Condition Codes (extensible)
text	SΣ	0..1	string	Plain text representation of the concept
dosageInstruction	S	0..*	Dosage	(USCDI) How the medication should be taken
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	SΣ	0..1	string	(USCDI) Free text dosage instructions e.g. SIG
patientInstruction	SΣ	0..1	string	Patient or consumer oriented instructions
timing	SΣ	0..1	Timing	(USCDI) When medication should be administered
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.
coding	Σ	0..*	Coding	Code defined by a terminology system
system	SΣ	0..1	uri	Identity of the terminology system Required Pattern: http://va.gov/terminology/vistaDefinedTerms/52.0113-6
code	SΣ	0..1	code	Symbol in syntax defined by the system
doseAndRate	SΣ	0..*	Element	(USCDI) Amount of medication administered
Slices for extension				Content/Rules for all slices
extension:originalText	S	0..1	(Complex)	Original Text that represents the data as seen/selected/uttered originally URL: http://hl7.org/fhir/StructureDefinition/originalText
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/originalText"
value[x]	SC	1..1		Value of extension Constraints: mro-27-841
valueString			string
valueUrl			url
Slices for dose[x]	SΣ	0..1		(USCDI) Amount of medication per dose Slice: Unordered, Open by type:$this Binding: Common UCUM units (preferred) Additional Bindings Purpose UCUMCodes Max Binding
doseQuantity			Quantity S
doseRange			Range
dose[x]:doseQuantity	SΣ	0..1	Quantity S	(USCDI) Amount of medication per dose Binding: Common UCUM units (preferred) Additional Bindings Purpose UCUMCodes Max Binding
value	SΣC	0..1	decimal	Numerical value (with implicit precision) Constraints: mro-27-811
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
dispenseRequest	S	0..1	BackboneElement	(USCDI) Medication supply authorization
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
validityPeriod		0..1	Period	Time period supply is authorized for
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
numberOfRepeatsAllowed	S	0..1	unsignedInt	(USCDI) Number of refills authorized
quantity	S	0..1	SimpleQuantity	(USCDI) Amount of medication to supply per dispense
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
expectedSupplyDuration	S	0..1	Duration	Number of days supply per dispense
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationRequest.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationRequest.status	Base	required	OutMedRequestStatus FHIR	📦2.0.0	This IG
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.category:us-core	Base	required	Medication request category codes	📦4.0.1	FHIR Std.
MedicationRequest.medication[x]	Base	extensible	Medication Clinical Drug	📦20170601	VSAC v0.18
MedicationRequest.medication[x]:medicationCodeableConcept	Base	extensible	Medication Clinical Drug	📦20170601	VSAC v0.18
MedicationRequest.reasonCode	Base	extensible	US Core Condition Codes	📦7.0.0	US Core v7.0
MedicationRequest.dosageInstruction.​route	Base	example	SNOMED CT Route Codes	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]	Base	preferred	Common UCUM units	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseQuantity	Base	preferred	Common UCUM units	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseQuantity.​comparator	Base	required	QuantityComparator	📍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()
mro-27-805	best practice	MedicationRequest.medication[x]:medicationCodeableConcept.coding.code	If .01 CODING SYSTEM = RXNORM then source value from (52-6 > 50-20 > 50.6-5 > 50.65-.02)	true
mro-27-811	best practice	MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.value	If number then source value from (52-113 > 52.0113-.01)	true
mro-27-841	best practice	MedicationRequest.dosageInstruction.doseAndRate.extension:originalText.value[x]	If not a number then source value from (52-113 > 52.0113-.01)	true
mro-27-1746	best practice	MedicationRequest.extension:medicationrequest-pharmacyOrderStatus.value[x].code	If (52-11) is P then fixed value #active-parked	true
mro-27-2252	best practice	MedicationRequest.status.extension:alternate-codes.value[x].coding.code	If (52-11) is P then fixed value http://va.gov/terminology/vistaDefinedTerms/52-11#P "active-parked"	true
mro-27-1746-1	best practice	MedicationRequest.extension:medicationrequest-pharmacyOrderStatus.value[x].system	If (52-11) is P then fixed value http://va.gov/terminology/vistaDefinedTerms/52-100	true
mro-27-805-1	best practice	MedicationRequest.medication[x]:medicationCodeableConcept.coding.system	If (52-6 > 50-20 > 50.6-5 > 50.65-.02) is .01 CODING SYSTEM = RXNORM then fixed value http://www.nlm.nih.gov/research/umls/rxnorm	true
us-core-21	error	MedicationRequest	requester SHALL be present if intent is "order"	(intent='order' or intent='original-order' or intent='reflex-order'or intent='filler-order' or intent='instance-order') implies requester.exists()

Differential View

This structure is derived from USCoreMedicationRequestProfile

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	USCoreMedicationRequestProfile(6.1.0)	Ordering of medication for patient or group This profile also complies with the profile US Core MedicationRequest Profile (7.0.0)
id	S	0..1	id	Logical id of this artifact
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:medicationrequest-pharmacyOrderStatus	S	0..1	(Complex)	Extension URL: http://va.gov/fhir/StructureDefinition/medicationrequest-pharmacyOrderStatus
value[x]
system	SC	0..1	uri	Identity of the terminology system Constraints: mro-27-1746-1 Required Pattern: http://va.gov/terminology/vistaDefinedTerms/52-100
code	SC	0..1	code	Symbol in syntax defined by the system Constraints: mro-27-1746
extension:medicationrequest-cancelDate	S	0..1	(Complex)	Extension URL: http://va.gov/fhir/StructureDefinition/medicationrequest-cancelDate
value[x]	S	0..1	dateTime	Value of extension
extension:medicationrequest-includeIndicationInSig	S	0..1	(Complex)	Extension URL: http://va.gov/fhir/StructureDefinition/medicationrequest-includeIndicationInSig
value[x]	S	0..1	boolean	Value of extension
extension:medicationrequest-remainingRefillCount	S	0..1	(Complex)	Extension URL: http://va.gov/fhir/StructureDefinition/medicationrequest-remainingRefillCount
value[x]	S	0..1	integer	Value of extension
identifier
type	S	0..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: FILL
value	S	0..1	string	The value that is unique
status		1..1	code	(USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: OutMedRequestStatus FHIR (required): see mapping VF_OutMedRequestStatus
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:alternate-codes	S	0..1	(Complex)	Alternate code/original text for this code URL: http://hl7.org/fhir/StructureDefinition/alternate-codes
value[x]
coding
system	S	0..1	uri	Identity of the terminology system Required Pattern: http://va.gov/terminology/vistaDefinedTerms/52-100
code	SC	0..1	code	Symbol in syntax defined by the system Constraints: mro-27-2252
intent		1..1	code	(USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: order
category		0..*	CodeableConcept	(USCDI) Type of medication usage Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/medicationrequest-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: outpatient
Slices for medication[x]		1..1	CodeableConcept, Reference(US Core Medication Profile(7.0.0))	(USCDI) Medication to be taken Slice: Unordered, Open by type:$this
medication[x]:medicationCodeableConcept		0..1	CodeableConcept	(USCDI) Medication to be taken
coding
system	SC	0..1	uri	Identity of the terminology system Constraints: mro-27-805-1
code	SC	0..1	code	Symbol in syntax defined by the system Constraints: mro-27-805
text	S	0..1	string	Plain text representation of the concept
subject		1..1	Reference(VAPatient)	(USCDI) Who or group medication request is for
authoredOn		0..1	dateTime	(USCDI) When request was initially authored
requester		0..1	Reference(VAPractitioner)	(USCDI) Who/What requested the Request
reasonCode
text	S	0..1	string	Plain text representation of the concept
dosageInstruction
text		0..1	string	(USCDI) Free text dosage instructions e.g. SIG
patientInstruction	S	0..1	string	Patient or consumer oriented instructions
route
coding
system	S	0..1	uri	Identity of the terminology system Required Pattern: http://va.gov/terminology/vistaDefinedTerms/52.0113-6
code	S	0..1	code	Symbol in syntax defined by the system
doseAndRate
Slices for extension				Content/Rules for all slices
extension:originalText	S	0..1	(Complex)	Original Text that represents the data as seen/selected/uttered originally URL: http://hl7.org/fhir/StructureDefinition/originalText
value[x]	SC	1..1	string, url	Value of extension Constraints: mro-27-841
Slices for dose[x]		0..1	Quantity, Range	(USCDI) Amount of medication per dose Slice: Unordered, Open by type:$this
dose[x]:doseQuantity		0..1	Quantity	(USCDI) Amount of medication per dose
value	SC	0..1	decimal	Numerical value (with implicit precision) Constraints: mro-27-811
unit	S	0..1	string	Unit representation
dispenseRequest
validityPeriod
end	S	0..1	dateTime	End time with inclusive boundary, if not ongoing
numberOfRepeatsAllowed		0..1	unsignedInt	(USCDI) Number of refills authorized
quantity
value	S	0..1	decimal	Numerical value (with implicit precision)
expectedSupplyDuration	S	0..1	Duration	Number of days supply per dispense
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.status	Base	required	OutMedRequestStatus FHIR	📦2.0.0	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
mro-27-805	best practice	MedicationRequest.medication[x]:medicationCodeableConcept.coding.code	If .01 CODING SYSTEM = RXNORM then source value from (52-6 > 50-20 > 50.6-5 > 50.65-.02)	true
mro-27-811	best practice	MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.value	If number then source value from (52-113 > 52.0113-.01)	true
mro-27-841	best practice	MedicationRequest.dosageInstruction.doseAndRate.extension:originalText.value[x]	If not a number then source value from (52-113 > 52.0113-.01)	true
mro-27-1746	best practice	MedicationRequest.extension:medicationrequest-pharmacyOrderStatus.value[x].code	If (52-11) is P then fixed value #active-parked	true
mro-27-2252	best practice	MedicationRequest.status.extension:alternate-codes.value[x].coding.code	If (52-11) is P then fixed value http://va.gov/terminology/vistaDefinedTerms/52-11#P "active-parked"	true
mro-27-1746-1	best practice	MedicationRequest.extension:medicationrequest-pharmacyOrderStatus.value[x].system	If (52-11) is P then fixed value http://va.gov/terminology/vistaDefinedTerms/52-100	true
mro-27-805-1	best practice	MedicationRequest.medication[x]:medicationCodeableConcept.coding.system	If (52-6 > 50-20 > 50.6-5 > 50.65-.02) is .01 CODING SYSTEM = RXNORM then fixed value http://www.nlm.nih.gov/research/umls/rxnorm	true

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest	C	0..*	USCoreMedicationRequestProfile(6.1.0)	Ordering of medication for patient or group This profile also complies with the profile US Core MedicationRequest Profile (7.0.0) Constraints: us-core-21
id	SΣ	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 Bindings Purpose 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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:medicationrequest-pharmacyOrderStatus	S	0..1	(Complex)	Extension URL: http://va.gov/fhir/StructureDefinition/medicationrequest-pharmacyOrderStatus
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://va.gov/fhir/StructureDefinition/medicationrequest-pharmacyOrderStatus"
value[x]		0..1	Coding	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣC	0..1	uri	Identity of the terminology system Constraints: mro-27-1746-1 Required Pattern: http://va.gov/terminology/vistaDefinedTerms/52-100
version	Σ	0..1	string	Version of the system - if relevant
code	SΣC	0..1	code	Symbol in syntax defined by the system Constraints: mro-27-1746
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
extension:medicationrequest-cancelDate	S	0..1	(Complex)	Extension URL: http://va.gov/fhir/StructureDefinition/medicationrequest-cancelDate
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://va.gov/fhir/StructureDefinition/medicationrequest-cancelDate"
value[x]	S	0..1	dateTime	Value of extension
extension:medicationrequest-includeIndicationInSig	S	0..1	(Complex)	Extension URL: http://va.gov/fhir/StructureDefinition/medicationrequest-includeIndicationInSig
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://va.gov/fhir/StructureDefinition/medicationrequest-includeIndicationInSig"
value[x]	S	0..1	boolean	Value of extension
extension:medicationrequest-remainingRefillCount	S	0..1	(Complex)	Extension URL: http://va.gov/fhir/StructureDefinition/medicationrequest-remainingRefillCount
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://va.gov/fhir/StructureDefinition/medicationrequest-remainingRefillCount"
value[x]	S	0..1	integer	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External ids for this request
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: FILL
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
status	?!SΣ	1..1	code	(USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: OutMedRequestStatus FHIR (required): see mapping VF_OutMedRequestStatus
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:alternate-codes	S	0..1	(Complex)	Alternate code/original text for this code URL: http://hl7.org/fhir/StructureDefinition/alternate-codes
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/alternate-codes"
value[x]		1..1	CodeableConcept	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system Required Pattern: http://va.gov/terminology/vistaDefinedTerms/52-100
version	Σ	0..1	string	Version of the system - if relevant
code	SΣC	0..1	code	Symbol in syntax defined by the system Constraints: mro-27-2252
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value		0..1	string	Primitive value for code
statusReason		0..1	CodeableConcept	Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent	?!SΣC	1..1	code	(USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. Required Pattern: order
Slices for category	S	0..*	CodeableConcept	(USCDI) Type of medication usage Slice: Unordered, Open by pattern:$this Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/medicationrequest-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: outpatient
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category:us-core	S	0..*	CodeableConcept	(USCDI) Type of medication usage Binding: medicationRequest Category Codes (required): The type of medication order. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
reported[x]	SΣ	0..1		(USCDI) Reported rather than primary record
reportedBoolean			boolean S
reportedReference			Reference S(US Core Practitioner Profile(7.0.0) S | US Core Organization Profile(7.0.0) | US Core Patient Profile(7.0.0) | US Core PractitionerRole Profile(7.0.0) | US Core RelatedPerson Profile(7.0.0))
Slices for medication[x]	SΣ	1..1		(USCDI) Medication to be taken Slice: Unordered, Open by type:$this Binding: Medication Clinical Drug (extensible)
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(US Core Medication Profile(7.0.0))
medication[x]:medicationCodeableConcept	SΣ	0..1	CodeableConcept	(USCDI) Medication to be taken Binding: Medication Clinical Drug (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣC	0..1	uri	Identity of the terminology system Constraints: mro-27-805-1
version	Σ	0..1	string	Version of the system - if relevant
code	SΣC	0..1	code	Symbol in syntax defined by the system Constraints: mro-27-805
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(VAPatient)	(USCDI) Who or group medication request is for
encounter	S	0..1	Reference(US Core Encounter Profile(7.0.0))	(USCDI) Encounter created as part of encounter/admission/stay
supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication
authoredOn	SΣ	0..1	dateTime	(USCDI) When request was initially authored
requester	SΣC	0..1	Reference(VAPractitioner)	(USCDI) 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	(USCDI) Reason or indication for ordering or not ordering the medication Binding: US Core Condition Codes (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
reasonReference		0..*	Reference(Condition | Observation)	(USCDI) US Core Condition or Observation that supports the prescription
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	0..*	Dosage	(USCDI) 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	SΣ	0..1	string	(USCDI) 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	SΣ	0..1	string	Patient or consumer oriented instructions
timing	SΣ	0..1	Timing	(USCDI) 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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system Required Pattern: http://va.gov/terminology/vistaDefinedTerms/52.0113-6
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
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	SΣ	0..*	Element	(USCDI) Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:originalText	S	0..1	(Complex)	Original Text that represents the data as seen/selected/uttered originally URL: http://hl7.org/fhir/StructureDefinition/originalText
id		0..1	id	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/originalText"
value[x]	SC	1..1		Value of extension Constraints: mro-27-841
valueString			string
valueUrl			url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
Slices for dose[x]	SΣ	0..1		(USCDI) Amount of medication per dose Slice: Unordered, Open by type:$this Binding: Common UCUM units (preferred) Additional Bindings Purpose UCUMCodes Max Binding
doseQuantity			Quantity S
doseRange			Range
dose[x]:doseQuantity	SΣ	0..1	Quantity S	(USCDI) Amount of medication per dose Binding: Common UCUM units (preferred) Additional Bindings Purpose UCUMCodes Max Binding
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣC	0..1	decimal	Numerical value (with implicit precision) Constraints: mro-27-811
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
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	S	0..1	BackboneElement	(USCDI) 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	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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
numberOfRepeatsAllowed	S	0..1	unsignedInt	(USCDI) Number of refills authorized
quantity	S	0..1	SimpleQuantity	(USCDI) Amount of medication to supply per dispense
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	0..1	decimal	Numerical value (with implicit precision)
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
expectedSupplyDuration	S	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

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
MedicationRequest.identifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
MedicationRequest.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
MedicationRequest.status	Base	required	OutMedRequestStatus FHIR	📦2.0.0	This IG
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.category:us-core	Base	required	Medication request category codes	📦4.0.1	FHIR Std.
MedicationRequest.priority	Base	required	Request priority	📍4.0.1	FHIR Std.
MedicationRequest.medication[x]	Base	extensible	Medication Clinical Drug	📦20170601	VSAC v0.18
MedicationRequest.medication[x]:medicationCodeableConcept	Base	extensible	Medication Clinical Drug	📦20170601	VSAC v0.18
MedicationRequest.performerType	Base	example	Procedure Performer Role Codes	📦4.0.1	FHIR Std.
MedicationRequest.reasonCode	Base	extensible	US Core Condition Codes	📦7.0.0	US Core v7.0
MedicationRequest.courseOfTherapyType	Base	example	Medication request course of therapy codes	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​additionalInstruction	Base	example	SNOMED CT Additional Dosage Instructions	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​site	Base	example	SNOMED CT Anatomical Structure for Administration Site Codes	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​route	Base	example	SNOMED CT Route Codes	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​method	Base	example	SNOMED CT Administration Method Codes	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.type	Base	example	DoseAndRateType	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]	Base	preferred	Common UCUM units	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseQuantity	Base	preferred	Common UCUM units	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MedicationRequest.substitution.​allowed[x]	Base	example	ActSubstanceAdminSubstitutionCode	📦3.0.0	THO v7.0
MedicationRequest.substitution.​reason	Base	example	SubstanceAdminSubstitutionReason	📦3.0.0	THO v7.0

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()
mro-27-805	best practice	MedicationRequest.medication[x]:medicationCodeableConcept.coding.code	If .01 CODING SYSTEM = RXNORM then source value from (52-6 > 50-20 > 50.6-5 > 50.65-.02)	true
mro-27-811	best practice	MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.value	If number then source value from (52-113 > 52.0113-.01)	true
mro-27-841	best practice	MedicationRequest.dosageInstruction.doseAndRate.extension:originalText.value[x]	If not a number then source value from (52-113 > 52.0113-.01)	true
mro-27-1746	best practice	MedicationRequest.extension:medicationrequest-pharmacyOrderStatus.value[x].code	If (52-11) is P then fixed value #active-parked	true
mro-27-2252	best practice	MedicationRequest.status.extension:alternate-codes.value[x].coding.code	If (52-11) is P then fixed value http://va.gov/terminology/vistaDefinedTerms/52-11#P "active-parked"	true
mro-27-1746-1	best practice	MedicationRequest.extension:medicationrequest-pharmacyOrderStatus.value[x].system	If (52-11) is P then fixed value http://va.gov/terminology/vistaDefinedTerms/52-100	true
mro-27-805-1	best practice	MedicationRequest.medication[x]:medicationCodeableConcept.coding.system	If (52-6 > 50-20 > 50.6-5 > 50.65-.02) is .01 CODING SYSTEM = RXNORM then fixed value http://www.nlm.nih.gov/research/umls/rxnorm	true
us-core-21	error	MedicationRequest	requester SHALL be present if intent is "order"	(intent='order' or intent='original-order' or intent='reflex-order'or intent='filler-order' or intent='instance-order') implies requester.exists()

This structure is derived from USCoreMedicationRequestProfile

Summary

Must-Support: 29 elements

Structures

This structure refers to these other structures:

• VAPatient (http://va.gov/fhir/StructureDefinition/VAPatient)
• VAPractitioner (http://va.gov/fhir/StructureDefinition/VAPractitioner)

Extensions

This structure refers to these extensions:

• http://va.gov/fhir/StructureDefinition/medicationrequest-pharmacyOrderStatus
• http://va.gov/fhir/StructureDefinition/medicationrequest-cancelDate
• http://va.gov/fhir/StructureDefinition/medicationrequest-includeIndicationInSig
• http://va.gov/fhir/StructureDefinition/medicationrequest-remainingRefillCount
• http://hl7.org/fhir/StructureDefinition/alternate-codes
• http://hl7.org/fhir/StructureDefinition/originalText

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationRequest.medication[x]
• The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.doseAndRate.dose[x]