HL7.FHIR.US.MCODE\Cancer-Related Medication Request

This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v1.16.0: STU 2 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

Resource Profile: Cancer-Related Medication Request

Defining URL:

http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request

Version:

1.16.0

Name:

CancerRelatedMedicationRequest

Title:

Cancer-Related Medication Request

Status:

Active as of 2021-04-15T12:44:45+00:00

Definition:

A record of a medication prescription or consumption associated with cancer treatment. The medication may reported by the prescriber, prescribing organization, or patient. It does not have to be directly observed.

Publisher:

HL7 International Clinical Interoperability Council

Source Resource:

XML / JSON / Turtle

The official URL for this profile is:

http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request

Conformance

MedicationRequest resources associated with an mCODE patient and associated with cancer treatment MUST conform to this profile. Beyond this requirement, a producer of resources SHOULD ensure that any resource instance associated with an mCODE patient that would reasonably be expected to conform to this profile (i.e., a prescription, administration, or medication exposure) SHOULD be published in this form.

Formal Views of Profile Content

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

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

This structure is derived from USCoreMedicationRequestProfile

Summary

Must-Support: 5 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

This structure is derived from USCoreMedicationRequestProfile

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest	I	0..*	USCoreMedicationRequestProfile	Ordering of medication for patient or group mcode-reason-required: One of reasonCode or reasonReference SHALL be present
extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-treatment-intent	S	0..1	CodeableConcept	Treatment Intent URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-intent Binding: Treatment Intent Value Set (required)
mcode-treatment-termination-reason	S	0..*	CodeableConcept	Termination Reason URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-termination-reason Binding: Treatment Termination Reason Value Set (required)
subject		1..1	Reference(Cancer Patient)	Who or group medication request is for
requester		1..1	Reference(US Core Practitioner Profile \| US Core Organization Profile \| Cancer Patient)	Who/What requested the Request
reasonCode	S	0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: Cancer Disorder Value Set (required)
reasonReference	S	0..*	Reference(Primary Cancer Condition \| Secondary Cancer Condition)	Condition or observation that supports why the prescription is being written
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest	I	0..*	USCoreMedicationRequestProfile	Ordering of medication for patient or group mcode-reason-required: One of reasonCode or reasonReference SHALL be present
id	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-treatment-intent	S	0..1	CodeableConcept	Treatment Intent URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-intent Binding: Treatment Intent Value Set (required)
mcode-treatment-termination-reason	S	0..*	CodeableConcept	Termination Reason URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-termination-reason Binding: Treatment Termination Reason Value Set (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External ids for this request
status	?!SΣ	1..1	code	active \| on-hold \| cancelled \| completed \| entered-in-error \| stopped \| draft \| unknown Binding: medicationrequest Status (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription.
statusReason		0..1	CodeableConcept	Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent	?!SΣ	1..1	code	proposal \| plan \| order \| original-order \| reflex-order \| filler-order \| instance-order \| option Binding: medicationRequest Intent (required): The kind of medication order.
category		0..*	CodeableConcept	Type of medication usage Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
priority	Σ	0..1	code	routine \| urgent \| asap \| stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
reported[x]	SΣ	0..1		Reported rather than primary record
reportedBoolean			boolean
reportedReference			Reference(US Core Patient Profile \| US Core Practitioner Profile \| PractitionerRole \| US Core Organization Profile \| RelatedPerson)
medication[x]	SΣ	1..1		Medication to be taken Binding: US Core Medication Codes (RxNorm) (extensible): Prescribable medications
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(US Core Medication Profile)
subject	SΣ	1..1	Reference(Cancer Patient)	Who or group medication request is for
encounter	S	0..1	Reference(Encounter)	Encounter created as part of encounter/admission/stay
supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication
authoredOn	SΣ	1..1	dateTime	When request was initially authored
requester	SΣ	1..1	Reference(US Core Practitioner Profile \| US Core Organization Profile \| Cancer Patient)	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	S	0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: Cancer Disorder Value Set (required)
reasonReference	S	0..*	Reference(Primary Cancer Condition \| Secondary Cancer Condition)	Condition or observation that supports why the prescription is being written
instantiatesCanonical	Σ	0..*	canonical()	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan \| MedicationRequest \| ServiceRequest \| ImmunizationRecommendation)	What request fulfills
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of
courseOfTherapyType		0..1	CodeableConcept	Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
insurance		0..*	Reference(Coverage \| ClaimResponse)	Associated insurance coverage
note		0..*	Annotation	Information about the prescription
dosageInstruction	S	0..*	Dosage	How the medication should be taken
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions
text	SΣ	0..1	string	Free text dosage instructions e.g. SIG
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	Σ	0..1	Timing	When medication should be administered
asNeeded[x]	Σ	0..1		Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	Σ	0..*	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x]	Σ	0..1		Amount of medication per dose
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	Σ	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	SimpleQuantity	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient
dispenseRequest		0..1	BackboneElement	Medication supply authorization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
initialFill		0..1	BackboneElement	First fill details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity		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
numberOfRepeatsAllowed		0..1	unsignedInt	Number of refills authorized
quantity		0..1	SimpleQuantity	Amount of medication to supply per dispense
expectedSupplyDuration		0..1	Duration	Number of days supply per dispense
performer		0..1	Reference(Organization)	Intended dispenser
substitution		0..1	BackboneElement	Any restrictions on medication substitution
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
allowed[x]		1..1		Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
reason		0..1	CodeableConcept	Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
priorPrescription		0..1	Reference(MedicationRequest)	An order/prescription that is being replaced
detectedIssue		0..*	Reference(DetectedIssue)	Clinical Issue with action
eventHistory		0..*	Reference(Provenance)	A list of events of interest in the lifecycle
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest	I	0..*	USCoreMedicationRequestProfile	Ordering of medication for patient or group mcode-reason-required: One of reasonCode or reasonReference SHALL be present
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-treatment-intent		0..1	CodeableConcept	Treatment Intent URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-intent Binding: Treatment Intent Value Set (required)
mcode-treatment-termination-reason		0..*	CodeableConcept	Termination Reason URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-termination-reason Binding: Treatment Termination Reason Value Set (required)
status	?!Σ	1..1	code	active \| on-hold \| cancelled \| completed \| entered-in-error \| stopped \| draft \| unknown Binding: medicationrequest Status (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription.
intent	?!Σ	1..1	code	proposal \| plan \| order \| original-order \| reflex-order \| filler-order \| instance-order \| option Binding: medicationRequest Intent (required): The kind of medication order.
reported[x]	Σ	0..1		Reported rather than primary record
reportedBoolean			boolean
reportedReference			Reference(US Core Patient Profile \| US Core Practitioner Profile \| PractitionerRole \| US Core Organization Profile \| RelatedPerson)
medication[x]	Σ	1..1		Medication to be taken Binding: US Core Medication Codes (RxNorm) (extensible): Prescribable medications
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(US Core Medication Profile)
subject	Σ	1..1	Reference(Cancer Patient)	Who or group medication request is for
encounter		0..1	Reference(Encounter)	Encounter created as part of encounter/admission/stay
authoredOn	Σ	1..1	dateTime	When request was initially authored
requester	Σ	1..1	Reference(US Core Practitioner Profile \| US Core Organization Profile \| Cancer Patient)	Who/What requested the Request
reasonCode		0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: Cancer Disorder Value Set (required)
reasonReference		0..*	Reference(Primary Cancer Condition \| Secondary Cancer Condition)	Condition or observation that supports why the prescription is being written
dosageInstruction		0..*	Dosage	How the medication should be taken
text	Σ	0..1	string	Free text dosage instructions e.g. SIG
Documentation for this format

This structure is derived from USCoreMedicationRequestProfile

Summary

Must-Support: 5 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Differential View

This structure is derived from USCoreMedicationRequestProfile

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest	I	0..*	USCoreMedicationRequestProfile	Ordering of medication for patient or group mcode-reason-required: One of reasonCode or reasonReference SHALL be present
extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-treatment-intent	S	0..1	CodeableConcept	Treatment Intent URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-intent Binding: Treatment Intent Value Set (required)
mcode-treatment-termination-reason	S	0..*	CodeableConcept	Termination Reason URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-termination-reason Binding: Treatment Termination Reason Value Set (required)
subject		1..1	Reference(Cancer Patient)	Who or group medication request is for
requester		1..1	Reference(US Core Practitioner Profile \| US Core Organization Profile \| Cancer Patient)	Who/What requested the Request
reasonCode	S	0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: Cancer Disorder Value Set (required)
reasonReference	S	0..*	Reference(Primary Cancer Condition \| Secondary Cancer Condition)	Condition or observation that supports why the prescription is being written
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest	I	0..*	USCoreMedicationRequestProfile	Ordering of medication for patient or group mcode-reason-required: One of reasonCode or reasonReference SHALL be present
id	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
mcode-treatment-intent	S	0..1	CodeableConcept	Treatment Intent URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-intent Binding: Treatment Intent Value Set (required)
mcode-treatment-termination-reason	S	0..*	CodeableConcept	Termination Reason URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-termination-reason Binding: Treatment Termination Reason Value Set (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External ids for this request
status	?!SΣ	1..1	code	active \| on-hold \| cancelled \| completed \| entered-in-error \| stopped \| draft \| unknown Binding: medicationrequest Status (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription.
statusReason		0..1	CodeableConcept	Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent	?!SΣ	1..1	code	proposal \| plan \| order \| original-order \| reflex-order \| filler-order \| instance-order \| option Binding: medicationRequest Intent (required): The kind of medication order.
category		0..*	CodeableConcept	Type of medication usage Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
priority	Σ	0..1	code	routine \| urgent \| asap \| stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
reported[x]	SΣ	0..1		Reported rather than primary record
reportedBoolean			boolean
reportedReference			Reference(US Core Patient Profile \| US Core Practitioner Profile \| PractitionerRole \| US Core Organization Profile \| RelatedPerson)
medication[x]	SΣ	1..1		Medication to be taken Binding: US Core Medication Codes (RxNorm) (extensible): Prescribable medications
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(US Core Medication Profile)
subject	SΣ	1..1	Reference(Cancer Patient)	Who or group medication request is for
encounter	S	0..1	Reference(Encounter)	Encounter created as part of encounter/admission/stay
supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication
authoredOn	SΣ	1..1	dateTime	When request was initially authored
requester	SΣ	1..1	Reference(US Core Practitioner Profile \| US Core Organization Profile \| Cancer Patient)	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	S	0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: Cancer Disorder Value Set (required)
reasonReference	S	0..*	Reference(Primary Cancer Condition \| Secondary Cancer Condition)	Condition or observation that supports why the prescription is being written
instantiatesCanonical	Σ	0..*	canonical()	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan \| MedicationRequest \| ServiceRequest \| ImmunizationRecommendation)	What request fulfills
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of
courseOfTherapyType		0..1	CodeableConcept	Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
insurance		0..*	Reference(Coverage \| ClaimResponse)	Associated insurance coverage
note		0..*	Annotation	Information about the prescription
dosageInstruction	S	0..*	Dosage	How the medication should be taken
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions
text	SΣ	0..1	string	Free text dosage instructions e.g. SIG
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	Σ	0..1	Timing	When medication should be administered
asNeeded[x]	Σ	0..1		Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	Σ	0..*	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
dose[x]	Σ	0..1		Amount of medication per dose
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	Σ	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	SimpleQuantity	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient
dispenseRequest		0..1	BackboneElement	Medication supply authorization
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
initialFill		0..1	BackboneElement	First fill details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity		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
numberOfRepeatsAllowed		0..1	unsignedInt	Number of refills authorized
quantity		0..1	SimpleQuantity	Amount of medication to supply per dispense
expectedSupplyDuration		0..1	Duration	Number of days supply per dispense
performer		0..1	Reference(Organization)	Intended dispenser
substitution		0..1	BackboneElement	Any restrictions on medication substitution
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
allowed[x]		1..1		Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
reason		0..1	CodeableConcept	Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
priorPrescription		0..1	Reference(MedicationRequest)	An order/prescription that is being replaced
detectedIssue		0..*	Reference(DetectedIssue)	Clinical Issue with action
eventHistory		0..*	Reference(Provenance)	A list of events of interest in the lifecycle
Documentation for this format

Other representations of profile: Schematron

Terminology Bindings

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

Constraints

Id	Path	Details	Requirements
mcode-reason-required	MedicationRequest	One of reasonCode or reasonReference SHALL be present : reasonCode.exists() or reasonReference.exists()