This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v1.0.0: STU 1) based on FHIR R3. The current version which supercedes this version is 3.1.0. For a full list of available versions, see the Directory of published versions 
StructureDefinition-medicationrequest-deqm
The DEQM MedicationRequest Profile describes a medication prescription
Mandatory Data Elements and Terminology
The following data-elements are mandatory (i.e data MUST be present).
Each MedicationRequest must have:
- A medication code that identifies the medication being requested
- The Do Not Perform extension
Formal Views of Profile Content
Description of Profiles, Differentials, and Snapshots.
The official URL for this profile is:
http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/medicationrequest-deqm
Published on Tue Jun 19 00:00:00 UTC 2018 as active by Da Vinci Project.
This profile builds on QICore-MedicationRequest
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MedicationRequest | I | 0..* | QICore-MedicationRequest | US Core Medication Request Profile |
  id | Σ | 0..1 | id | Logical id of this artifact |
 meta | Σ | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: Common Languages (extensible) Max Binding: All Languages | |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
 extension | 0..* | Extension | Additional Content defined by implementations | |
 modifierExtension | ?! | 0..* | (Slice Definition) | Extension Slice: Unordered, Open by value:url |
 modifierExtension:doNotPerform | ?!SI | 0..1 | DoNotPerform | true if request is prohibiting action |
| identifier | 0..* | Identifier | External ids for this request | |
 definition | Σ | 0..* | Reference(ActivityDefinition | PlanDefinition) | Protocol or definition |
| basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ProcedureRequest | ReferralRequest) | What request fulfills |
| groupIdentifier | Σ | 0..1 | Identifier | Composite request this is part of |
| status | ?!SΣ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: MedicationRequestStatus (required) |
| intent | ?!Σ | 1..1 | code | proposal | plan | order | instance-order Binding: MedicationRequestIntent (required) |
| category | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationRequestCategory (preferred) | |
| priority | Σ | 0..1 | code | routine | urgent | stat | asap Binding: MedicationRequestPriority (required) |
| medication[x] | Σ | 1..1 | CodeableConcept | Medication to be taken Binding: Medication Clinical Drug (RxNorm) (preferred) |
| subject | SΣ | 1..1 | Reference(QICore-Patient) | Who or group medication request is for |
| context | S | 0..1 | Reference(QICore-Encounter | Group) | Created during encounter/admission/stay |
| supportingInformation | 0..* | Reference(Resource) | Information to support ordering of the medication | |
| authoredOn | SΣ | 1..1 | dateTime | When request was initially authored |
| requester | SΣI | 1..1 | BackboneElement | Who/What requested the Request |
 id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| agent | SΣ | 1..1 | Reference(QICore-Practitioner) | Who ordered the initial medication(s) |
 onBehalfOf | ΣI | 0..1 | Reference(QICore-Organization) | Organization agent is acting for |
| recorder | 0..1 | Reference(Practitioner) | Person who entered the request | |
| reasonCode | 0..* | CodeableConcept | Reason or indication for writing the prescription Binding: Problem Value Set (preferred) | |
| reasonReference | 0..* | Reference(Condition | Observation) | Condition or Observation that supports why the prescription is being written | |
| note | 0..* | Annotation | Information about the prescription | |
| dosageInstruction | S | 0..* | Dosage | How the medication should be taken |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| pharmacy-core-doseType | 0..1 | CodeableConcept | The type of dose, e.g., loading. URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-doseType | |
 id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/pharmacy-core-doseType" | |
 valueCodeableConcept | 0..1 | CodeableConcept | Value of extension | |
| pharmacy-core-infuseOver | 0..1 | Duration | The length of the infusion URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-infuseOver | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/pharmacy-core-infuseOver" | |
| valueDuration | 0..1 | Duration | Value of extension | |
| pharmacy-core-rateIncrement | 0..1 | Ratio | Change in dosing rate per interval URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrement | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrement" | |
| valueRatio | 0..1 | Ratio | Value of extension | |
| pharmacy-core-rateIncrementInterval | 0..1 | Duration | The period of time between rate increments URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrementInterval | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrementInterval" | |
| valueDuration | 0..1 | Duration | Value of extension | |
| pharmacy-core-rateGoal | 0..1 | Ratio | The target rate for the infusion URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateGoal | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateGoal" | |
| valueRatio | 0..1 | Ratio | Value of extension | |
| pharmacy-core-minDosePerPeriod | 0..1 | Ratio | The minimum quantity of substance per period URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-minDosePerPeriod | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/pharmacy-core-minDosePerPeriod" | |
| valueRatio | 0..1 | Ratio | Value of extension | |
| pharmacy-core-maxDeliveryRate | 0..1 | Ratio | The maximum rate of substance administration URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryRate | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryRate" | |
| valueRatio | 0..1 | Ratio | Value of extension | |
| pharmacy-core-maxDeliveryVolume | 0..1 | Quantity | The maximum amount of fluid to infuse URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryVolume | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryVolume" | |
| valueQuantity | 0..1 | Quantity | Value of extension | |
| sequence | Σ | 0..1 | integer | The order of the dosage instructions |
| text | Σ | 0..1 | string | Free text dosage instructions e.g. SIG |
| additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction - e.g. "with meals" Binding: SNOMED CT Additional Dosage Instructions (example) |
| patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions |
| timing | Σ | 0..1 | Timing | When medication should be administered |
 asNeeded[x] | Σ | 0..1 | Take "as needed" (for x) Binding: SNOMED CT Medication As Needed Reason Codes (example) | |
| asNeededBoolean | boolean | |||
| asNeededCodeableConcept | CodeableConcept | |||
| site | SΣ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMED CT Anatomical Structure for Administration Site Codes (example) |
| route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMED CT Route Codes (example) |
| method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMED CT Administration Method Codes (example) |
| dose[x] | Σ | 0..1 | Amount of medication per dose | |
| doseRange | Range | |||
| doseQuantity | 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 |
| rate[x] | Σ | 0..1 | Amount of medication per unit of time | |
 rateRatio | Ratio | |||
| rateRange | Range | |||
| rateQuantity | Quantity(SimpleQuantity) | |||
| dispenseRequest | SI | 0..1 | BackboneElement | Medication supply authorization |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| validityPeriod | 0..1 | Period | Time period supply is authorized for | |
| numberOfRepeatsAllowed | 0..1 | positiveInt | Number of refills authorized | |
| quantity | 0..1 | SimpleQuantity | Amount of medication to supply per dispense | |
| expectedSupplyDuration | 0..1 | Duration | Number of days supply per dispense | |
| performer | 0..1 | Reference(Organization) | Intended dispenser | |
| substitution | I | 0..1 | BackboneElement | Any restrictions on medication substitution |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| allowed | ?! | 1..1 | boolean | Whether substitution is allowed or not |
| reason | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example) | |
| 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 | ||||
Differential View
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationRequest | I | 0..* | QICore-MedicationRequest | US Core Medication Request Profile |
| id | Σ | 0..1 | id | Logical id of this artifact |
| meta | Σ | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: Common Languages (extensible) Max Binding: All Languages | |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?! | 0..* | (Slice Definition) | Extension Slice: Unordered, Open by value:url |
| modifierExtension:doNotPerform | ?!SI | 0..1 | DoNotPerform | true if request is prohibiting action |
| identifier | 0..* | Identifier | External ids for this request | |
| definition | Σ | 0..* | Reference(ActivityDefinition | PlanDefinition) | Protocol or definition |
| basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ProcedureRequest | ReferralRequest) | What request fulfills |
| groupIdentifier | Σ | 0..1 | Identifier | Composite request this is part of |
| status | ?!SΣ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: MedicationRequestStatus (required) |
| intent | ?!Σ | 1..1 | code | proposal | plan | order | instance-order Binding: MedicationRequestIntent (required) |
| category | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationRequestCategory (preferred) | |
| priority | Σ | 0..1 | code | routine | urgent | stat | asap Binding: MedicationRequestPriority (required) |
| medication[x] | Σ | 1..1 | CodeableConcept | Medication to be taken Binding: Medication Clinical Drug (RxNorm) (preferred) |
| subject | SΣ | 1..1 | Reference(QICore-Patient) | Who or group medication request is for |
| context | S | 0..1 | Reference(QICore-Encounter | Group) | Created during encounter/admission/stay |
| supportingInformation | 0..* | Reference(Resource) | Information to support ordering of the medication | |
| authoredOn | SΣ | 1..1 | dateTime | When request was initially authored |
| requester | SΣI | 1..1 | BackboneElement | Who/What requested the Request |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| agent | SΣ | 1..1 | Reference(QICore-Practitioner) | Who ordered the initial medication(s) |
| onBehalfOf | ΣI | 0..1 | Reference(QICore-Organization) | Organization agent is acting for |
| recorder | 0..1 | Reference(Practitioner) | Person who entered the request | |
| reasonCode | 0..* | CodeableConcept | Reason or indication for writing the prescription Binding: Problem Value Set (preferred) | |
| reasonReference | 0..* | Reference(Condition | Observation) | Condition or Observation that supports why the prescription is being written | |
| note | 0..* | Annotation | Information about the prescription | |
| dosageInstruction | S | 0..* | Dosage | How the medication should be taken |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| pharmacy-core-doseType | 0..1 | CodeableConcept | The type of dose, e.g., loading. URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-doseType | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/pharmacy-core-doseType" | |
| valueCodeableConcept | 0..1 | CodeableConcept | Value of extension | |
| pharmacy-core-infuseOver | 0..1 | Duration | The length of the infusion URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-infuseOver | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/pharmacy-core-infuseOver" | |
| valueDuration | 0..1 | Duration | Value of extension | |
| pharmacy-core-rateIncrement | 0..1 | Ratio | Change in dosing rate per interval URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrement | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrement" | |
| valueRatio | 0..1 | Ratio | Value of extension | |
| pharmacy-core-rateIncrementInterval | 0..1 | Duration | The period of time between rate increments URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrementInterval | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrementInterval" | |
| valueDuration | 0..1 | Duration | Value of extension | |
| pharmacy-core-rateGoal | 0..1 | Ratio | The target rate for the infusion URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateGoal | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateGoal" | |
| valueRatio | 0..1 | Ratio | Value of extension | |
| pharmacy-core-minDosePerPeriod | 0..1 | Ratio | The minimum quantity of substance per period URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-minDosePerPeriod | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/pharmacy-core-minDosePerPeriod" | |
| valueRatio | 0..1 | Ratio | Value of extension | |
| pharmacy-core-maxDeliveryRate | 0..1 | Ratio | The maximum rate of substance administration URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryRate | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryRate" | |
| valueRatio | 0..1 | Ratio | Value of extension | |
| pharmacy-core-maxDeliveryVolume | 0..1 | Quantity | The maximum amount of fluid to infuse URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryVolume | |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryVolume" | |
| valueQuantity | 0..1 | Quantity | Value of extension | |
| sequence | Σ | 0..1 | integer | The order of the dosage instructions |
| text | Σ | 0..1 | string | Free text dosage instructions e.g. SIG |
| additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction - e.g. "with meals" Binding: SNOMED CT Additional Dosage Instructions (example) |
| patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions |
| timing | Σ | 0..1 | Timing | When medication should be administered |
| asNeeded[x] | Σ | 0..1 | Take "as needed" (for x) Binding: SNOMED CT Medication As Needed Reason Codes (example) | |
| asNeededBoolean | boolean | |||
| asNeededCodeableConcept | CodeableConcept | |||
| site | SΣ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMED CT Anatomical Structure for Administration Site Codes (example) |
| route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMED CT Route Codes (example) |
| method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMED CT Administration Method Codes (example) |
| dose[x] | Σ | 0..1 | Amount of medication per dose | |
| doseRange | Range | |||
| doseQuantity | 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 |
| rate[x] | Σ | 0..1 | Amount of medication per unit of time | |
| rateRatio | Ratio | |||
| rateRange | Range | |||
| rateQuantity | Quantity(SimpleQuantity) | |||
| dispenseRequest | SI | 0..1 | BackboneElement | Medication supply authorization |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| validityPeriod | 0..1 | Period | Time period supply is authorized for | |
| numberOfRepeatsAllowed | 0..1 | positiveInt | Number of refills authorized | |
| quantity | 0..1 | SimpleQuantity | Amount of medication to supply per dispense | |
| expectedSupplyDuration | 0..1 | Duration | Number of days supply per dispense | |
| performer | 0..1 | Reference(Organization) | Intended dispenser | |
| substitution | I | 0..1 | BackboneElement | Any restrictions on medication substitution |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| allowed | ?! | 1..1 | boolean | Whether substitution is allowed or not |
| reason | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example) | |
| 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 | ||||
Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron
Quick Start
Below is an overview of the required set of RESTful FHIR interactions - for example, search and read operations - for this profile. See the Conformance requirements for a complete list of supported RESTful interactions for this IG.
Use cases:
- currently none defined
