Extensions for Using Data Elements from FHIR R5 in FHIR R4B
0.1.0 - STU International flag

Extensions for Using Data Elements from FHIR R5 in FHIR R4B - Downloaded Version null See the Directory of published versions

Resource Profile: Profile_R5_MedicationRequest_R4B

Official URL: http://hl7.org/fhir/5.0/StructureDefinition/profile-MedicationRequest Version: 0.1.0
Standards status: Trial-use Maturity Level: 0 Computable Name: Profile_R5_MedicationRequest_R4B

This cross-version profile allows R5 MedicationRequest content to be represented via FHIR R4B MedicationRequest resources.

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest(4.3.0) Ordering of medication for patient or group
... 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
Constraints: ext-1
.... extension:statusChanged 0..1 dateTime R5: When the status was changed (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.statusChanged
Constraints: ext-1
.... extension:informationSource 0..* Reference(Cross-version Profile for R5.Patient for use in FHIR R4B(0.1.0) | Patient | Cross-version Profile for R5.Practitioner for use in FHIR R4B(0.1.0) | Practitioner | Cross-version Profile for R5.PractitionerRole for use in FHIR R4B(0.1.0) | PractitionerRole | Cross-version Profile for R5.RelatedPerson for use in FHIR R4B(0.1.0) | RelatedPerson | Cross-version Profile for R5.Organization for use in FHIR R4B(0.1.0) | Organization) R5: The person or organization who provided the information about this request, if the source is someone other than the requestor (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.informationSource
Constraints: ext-1
.... extension:device 0..* CodeableReference(Cross-version Profile for R5.DeviceDefinition for use in FHIR R4B(0.1.0) | DeviceDefinition) R5: Intended type of device for the administration (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.device
Constraints: ext-1
.... extension:renderedDosageInstruction 0..1 markdown R5: Full representation of the dosage instructions (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction
Constraints: ext-1
.... extension:effectiveDosePeriod 0..1 Period R5: Period over which the medication is to be taken (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:status 0..1 code R5: active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown additional codes
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.status
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
Constraints: ext-1
... 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.
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... medication[x] Σ 1..1 Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
... subject Σ 1..1 Reference(Patient | Group) Who or group medication request is for

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.status Base required medicationrequest Status 📍4.3.0 FHIR Std.
MedicationRequest.intent Base required medicationRequest Intent 📍4.3.0 FHIR Std.
MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.3.0 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.exists() and ('#'+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(uri) = '#').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 MedicationRequest.implicitRules, MedicationRequest.extension, MedicationRequest.extension:statusChanged, MedicationRequest.extension:informationSource, MedicationRequest.extension:device, MedicationRequest.extension:renderedDosageInstruction, MedicationRequest.extension:effectiveDosePeriod, MedicationRequest.modifierExtension, MedicationRequest.status, MedicationRequest.status.extension, MedicationRequest.status.extension:status, MedicationRequest.intent, MedicationRequest.doNotPerform, MedicationRequest.medication[x], MedicationRequest.subject All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error MedicationRequest.extension, MedicationRequest.extension:statusChanged, MedicationRequest.extension:informationSource, MedicationRequest.extension:device, MedicationRequest.extension:renderedDosageInstruction, MedicationRequest.extension:effectiveDosePeriod, MedicationRequest.modifierExtension, MedicationRequest.status.extension, MedicationRequest.status.extension:status Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest(4.3.0) Ordering of medication for patient or group
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:statusChanged 0..1 dateTime R5: When the status was changed (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.statusChanged
.... extension:informationSource 0..* Reference(Cross-version Profile for R5.Patient for use in FHIR R4B(0.1.0) | Patient | Cross-version Profile for R5.Practitioner for use in FHIR R4B(0.1.0) | Practitioner | Cross-version Profile for R5.PractitionerRole for use in FHIR R4B(0.1.0) | PractitionerRole | Cross-version Profile for R5.RelatedPerson for use in FHIR R4B(0.1.0) | RelatedPerson | Cross-version Profile for R5.Organization for use in FHIR R4B(0.1.0) | Organization) R5: The person or organization who provided the information about this request, if the source is someone other than the requestor (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.informationSource
.... extension:device 0..* CodeableReference(Cross-version Profile for R5.DeviceDefinition for use in FHIR R4B(0.1.0) | DeviceDefinition) R5: Intended type of device for the administration (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.device
.... extension:renderedDosageInstruction 0..1 markdown R5: Full representation of the dosage instructions (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction
.... extension:effectiveDosePeriod 0..1 Period R5: Period over which the medication is to be taken (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod
... status
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:status 0..1 code R5: active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown additional codes
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.status
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
... performer
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:performer 0..* Reference(Resource) R5: performer
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:dispenserInstruction 0..* Annotation R5: Additional information for the dispenser (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenserInstruction
..... extension:doseAdministrationAid 0..1 CodeableConcept R5: Type of adherence packaging to use for the dispense (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.doseAdministrationAid
Binding: R5MedicationDoseAidForR4B (0.1.0) (example)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest(4.3.0) Ordering of medication for patient or group
... 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: CommonLanguages (preferred): IETF language tag
Additional BindingsPurpose
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
Constraints: dom-r4b
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:statusChanged 0..1 dateTime R5: When the status was changed (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.statusChanged
Constraints: ext-1
.... extension:informationSource 0..* Reference(Cross-version Profile for R5.Patient for use in FHIR R4B(0.1.0) | Patient | Cross-version Profile for R5.Practitioner for use in FHIR R4B(0.1.0) | Practitioner | Cross-version Profile for R5.PractitionerRole for use in FHIR R4B(0.1.0) | PractitionerRole | Cross-version Profile for R5.RelatedPerson for use in FHIR R4B(0.1.0) | RelatedPerson | Cross-version Profile for R5.Organization for use in FHIR R4B(0.1.0) | Organization) R5: The person or organization who provided the information about this request, if the source is someone other than the requestor (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.informationSource
Constraints: ext-1
.... extension:device 0..* CodeableReference(Cross-version Profile for R5.DeviceDefinition for use in FHIR R4B(0.1.0) | DeviceDefinition) R5: Intended type of device for the administration (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.device
Constraints: ext-1
.... extension:renderedDosageInstruction 0..1 markdown R5: Full representation of the dosage instructions (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction
Constraints: ext-1
.... extension:effectiveDosePeriod 0..1 Period R5: Period over which the medication is to be taken (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier 0..* Identifier External ids for this request
... status ?!Σ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:status 0..1 code R5: active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown additional codes
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.status
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
Constraints: ext-1
.... value 0..1 code 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 ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.
... category 0..* CodeableConcept Type of medication usage
Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... reported[x] Σ 0..1 Reported rather than primary record
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... medication[x] Σ 1..1 Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
... subject Σ 1..1 Reference(Patient | Group) Who or group medication request is for
... encounter 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
... authoredOn Σ 0..1 dateTime When request was initially authored
... requester Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/What requested the Request
... performer 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) Intended performer of administration
.... id 0..1 id Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:performer 0..1 Reference(Resource) R5: performer
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
Constraints: ext-1
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... performerType Σ 0..1 CodeableConcept Desired kind of performer of the medication administration
Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
... recorder 0..1 Reference(Practitioner | PractitionerRole) Person who entered the request
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
... reasonReference 0..* Reference(Condition | Observation) Condition or observation that supports why the prescription is being written
... instantiatesCanonical Σ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) What request fulfills
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... courseOfTherapyType 0..1 CodeableConcept Overall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... note 0..* Annotation Information about the prescription
... dosageInstruction 0..* Dosage How the medication should be taken
... dispenseRequest 0..1 BackboneElement Medication supply authorization
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:dispenserInstruction 0..* Annotation R5: Additional information for the dispenser (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenserInstruction
Constraints: ext-1
..... extension:doseAdministrationAid 0..1 CodeableConcept R5: Type of adherence packaging to use for the dispense (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.doseAdministrationAid
Binding: R5MedicationDoseAidForR4B (0.1.0) (example)
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... quantity 0..1 SimpleQuantity(4.3.0) 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(4.3.0) 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... allowed[x] 1..1 Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): Identifies the type of substitution allowed.
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): SubstanceAdminSubstitutionReason
... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.language Base preferred Common Languages 📍4.3.0 FHIR Std.
MedicationRequest.status Base required medicationrequest Status 📍4.3.0 FHIR Std.
MedicationRequest.statusReason Base example medicationRequest Status Reason Codes 📍4.3.0 FHIR Std.
MedicationRequest.intent Base required medicationRequest Intent 📍4.3.0 FHIR Std.
MedicationRequest.category Base example medicationRequest Category Codes 📍4.3.0 FHIR Std.
MedicationRequest.priority Base required RequestPriority 📍4.3.0 FHIR Std.
MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.3.0 FHIR Std.
MedicationRequest.performer.​type Base extensible ResourceType 📍4.3.0 FHIR Std.
MedicationRequest.performerType Base example Procedure Performer Role Codes 📍4.3.0 FHIR Std.
MedicationRequest.reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.3.0 FHIR Std.
MedicationRequest.courseOfTherapyType Base example medicationRequest Course of Therapy Codes 📍4.3.0 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base example ActSubstanceAdminSubstitutionCode 📍3.0.0 THO v7.1
MedicationRequest.substitution.​reason Base example SubstanceAdminSubstitutionReason 📍3.0.0 THO v7.1

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.exists() and ('#'+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(uri) = '#').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()
dom-r4b warning MedicationRequest.contained Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems ($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
ele-1 error MedicationRequest.meta, MedicationRequest.implicitRules, MedicationRequest.language, MedicationRequest.text, MedicationRequest.extension, MedicationRequest.extension:statusChanged, MedicationRequest.extension:informationSource, MedicationRequest.extension:device, MedicationRequest.extension:renderedDosageInstruction, MedicationRequest.extension:effectiveDosePeriod, MedicationRequest.modifierExtension, MedicationRequest.identifier, MedicationRequest.status, MedicationRequest.status.extension, MedicationRequest.status.extension:status, MedicationRequest.statusReason, MedicationRequest.intent, MedicationRequest.category, MedicationRequest.priority, MedicationRequest.doNotPerform, MedicationRequest.reported[x], MedicationRequest.medication[x], MedicationRequest.subject, MedicationRequest.encounter, MedicationRequest.supportingInformation, MedicationRequest.authoredOn, MedicationRequest.requester, MedicationRequest.performer, MedicationRequest.performer.extension, MedicationRequest.performer.extension:performer, MedicationRequest.performer.reference, MedicationRequest.performer.type, MedicationRequest.performer.identifier, MedicationRequest.performer.display, MedicationRequest.performerType, MedicationRequest.recorder, MedicationRequest.reasonCode, MedicationRequest.reasonReference, MedicationRequest.instantiatesCanonical, MedicationRequest.instantiatesUri, MedicationRequest.basedOn, MedicationRequest.groupIdentifier, MedicationRequest.courseOfTherapyType, MedicationRequest.insurance, MedicationRequest.note, MedicationRequest.dosageInstruction, MedicationRequest.dispenseRequest, MedicationRequest.dispenseRequest.extension, MedicationRequest.dispenseRequest.extension:dispenserInstruction, MedicationRequest.dispenseRequest.extension:doseAdministrationAid, MedicationRequest.dispenseRequest.modifierExtension, MedicationRequest.dispenseRequest.initialFill, MedicationRequest.dispenseRequest.initialFill.extension, MedicationRequest.dispenseRequest.initialFill.modifierExtension, MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.initialFill.duration, MedicationRequest.dispenseRequest.dispenseInterval, MedicationRequest.dispenseRequest.validityPeriod, MedicationRequest.dispenseRequest.numberOfRepeatsAllowed, MedicationRequest.dispenseRequest.quantity, MedicationRequest.dispenseRequest.expectedSupplyDuration, MedicationRequest.dispenseRequest.performer, MedicationRequest.substitution, MedicationRequest.substitution.extension, MedicationRequest.substitution.modifierExtension, MedicationRequest.substitution.allowed[x], MedicationRequest.substitution.reason, MedicationRequest.priorPrescription, MedicationRequest.detectedIssue, MedicationRequest.eventHistory All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error MedicationRequest.extension, MedicationRequest.extension:statusChanged, MedicationRequest.extension:informationSource, MedicationRequest.extension:device, MedicationRequest.extension:renderedDosageInstruction, MedicationRequest.extension:effectiveDosePeriod, MedicationRequest.modifierExtension, MedicationRequest.status.extension, MedicationRequest.status.extension:status, MedicationRequest.performer.extension, MedicationRequest.performer.extension:performer, MedicationRequest.dispenseRequest.extension, MedicationRequest.dispenseRequest.extension:dispenserInstruction, MedicationRequest.dispenseRequest.extension:doseAdministrationAid, MedicationRequest.dispenseRequest.modifierExtension, MedicationRequest.dispenseRequest.initialFill.extension, MedicationRequest.dispenseRequest.initialFill.modifierExtension, MedicationRequest.substitution.extension, MedicationRequest.substitution.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest(4.3.0) Ordering of medication for patient or group
... 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
Constraints: ext-1
.... extension:statusChanged 0..1 dateTime R5: When the status was changed (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.statusChanged
Constraints: ext-1
.... extension:informationSource 0..* Reference(Cross-version Profile for R5.Patient for use in FHIR R4B(0.1.0) | Patient | Cross-version Profile for R5.Practitioner for use in FHIR R4B(0.1.0) | Practitioner | Cross-version Profile for R5.PractitionerRole for use in FHIR R4B(0.1.0) | PractitionerRole | Cross-version Profile for R5.RelatedPerson for use in FHIR R4B(0.1.0) | RelatedPerson | Cross-version Profile for R5.Organization for use in FHIR R4B(0.1.0) | Organization) R5: The person or organization who provided the information about this request, if the source is someone other than the requestor (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.informationSource
Constraints: ext-1
.... extension:device 0..* CodeableReference(Cross-version Profile for R5.DeviceDefinition for use in FHIR R4B(0.1.0) | DeviceDefinition) R5: Intended type of device for the administration (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.device
Constraints: ext-1
.... extension:renderedDosageInstruction 0..1 markdown R5: Full representation of the dosage instructions (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction
Constraints: ext-1
.... extension:effectiveDosePeriod 0..1 Period R5: Period over which the medication is to be taken (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:status 0..1 code R5: active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown additional codes
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.status
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
Constraints: ext-1
... 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.
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... medication[x] Σ 1..1 Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
... subject Σ 1..1 Reference(Patient | Group) Who or group medication request is for

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.status Base required medicationrequest Status 📍4.3.0 FHIR Std.
MedicationRequest.intent Base required medicationRequest Intent 📍4.3.0 FHIR Std.
MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.3.0 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.exists() and ('#'+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(uri) = '#').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 MedicationRequest.implicitRules, MedicationRequest.extension, MedicationRequest.extension:statusChanged, MedicationRequest.extension:informationSource, MedicationRequest.extension:device, MedicationRequest.extension:renderedDosageInstruction, MedicationRequest.extension:effectiveDosePeriod, MedicationRequest.modifierExtension, MedicationRequest.status, MedicationRequest.status.extension, MedicationRequest.status.extension:status, MedicationRequest.intent, MedicationRequest.doNotPerform, MedicationRequest.medication[x], MedicationRequest.subject All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error MedicationRequest.extension, MedicationRequest.extension:statusChanged, MedicationRequest.extension:informationSource, MedicationRequest.extension:device, MedicationRequest.extension:renderedDosageInstruction, MedicationRequest.extension:effectiveDosePeriod, MedicationRequest.modifierExtension, MedicationRequest.status.extension, MedicationRequest.status.extension:status Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest(4.3.0) Ordering of medication for patient or group
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:statusChanged 0..1 dateTime R5: When the status was changed (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.statusChanged
.... extension:informationSource 0..* Reference(Cross-version Profile for R5.Patient for use in FHIR R4B(0.1.0) | Patient | Cross-version Profile for R5.Practitioner for use in FHIR R4B(0.1.0) | Practitioner | Cross-version Profile for R5.PractitionerRole for use in FHIR R4B(0.1.0) | PractitionerRole | Cross-version Profile for R5.RelatedPerson for use in FHIR R4B(0.1.0) | RelatedPerson | Cross-version Profile for R5.Organization for use in FHIR R4B(0.1.0) | Organization) R5: The person or organization who provided the information about this request, if the source is someone other than the requestor (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.informationSource
.... extension:device 0..* CodeableReference(Cross-version Profile for R5.DeviceDefinition for use in FHIR R4B(0.1.0) | DeviceDefinition) R5: Intended type of device for the administration (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.device
.... extension:renderedDosageInstruction 0..1 markdown R5: Full representation of the dosage instructions (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction
.... extension:effectiveDosePeriod 0..1 Period R5: Period over which the medication is to be taken (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod
... status
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:status 0..1 code R5: active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown additional codes
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.status
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
... performer
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:performer 0..* Reference(Resource) R5: performer
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... extension:dispenserInstruction 0..* Annotation R5: Additional information for the dispenser (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenserInstruction
..... extension:doseAdministrationAid 0..1 CodeableConcept R5: Type of adherence packaging to use for the dispense (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.doseAdministrationAid
Binding: R5MedicationDoseAidForR4B (0.1.0) (example)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest(4.3.0) Ordering of medication for patient or group
... 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: CommonLanguages (preferred): IETF language tag
Additional BindingsPurpose
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
Constraints: dom-r4b
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:statusChanged 0..1 dateTime R5: When the status was changed (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.statusChanged
Constraints: ext-1
.... extension:informationSource 0..* Reference(Cross-version Profile for R5.Patient for use in FHIR R4B(0.1.0) | Patient | Cross-version Profile for R5.Practitioner for use in FHIR R4B(0.1.0) | Practitioner | Cross-version Profile for R5.PractitionerRole for use in FHIR R4B(0.1.0) | PractitionerRole | Cross-version Profile for R5.RelatedPerson for use in FHIR R4B(0.1.0) | RelatedPerson | Cross-version Profile for R5.Organization for use in FHIR R4B(0.1.0) | Organization) R5: The person or organization who provided the information about this request, if the source is someone other than the requestor (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.informationSource
Constraints: ext-1
.... extension:device 0..* CodeableReference(Cross-version Profile for R5.DeviceDefinition for use in FHIR R4B(0.1.0) | DeviceDefinition) R5: Intended type of device for the administration (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.device
Constraints: ext-1
.... extension:renderedDosageInstruction 0..1 markdown R5: Full representation of the dosage instructions (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction
Constraints: ext-1
.... extension:effectiveDosePeriod 0..1 Period R5: Period over which the medication is to be taken (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier 0..* Identifier External ids for this request
... status ?!Σ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:status 0..1 code R5: active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown additional codes
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.status
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
Constraints: ext-1
.... value 0..1 code 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 ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.
... category 0..* CodeableConcept Type of medication usage
Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... reported[x] Σ 0..1 Reported rather than primary record
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... medication[x] Σ 1..1 Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
... subject Σ 1..1 Reference(Patient | Group) Who or group medication request is for
... encounter 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
... authoredOn Σ 0..1 dateTime When request was initially authored
... requester Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/What requested the Request
... performer 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) Intended performer of administration
.... id 0..1 id Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:performer 0..1 Reference(Resource) R5: performer
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
Constraints: ext-1
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible)
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... performerType Σ 0..1 CodeableConcept Desired kind of performer of the medication administration
Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
... recorder 0..1 Reference(Practitioner | PractitionerRole) Person who entered the request
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
... reasonReference 0..* Reference(Condition | Observation) Condition or observation that supports why the prescription is being written
... instantiatesCanonical Σ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) What request fulfills
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... courseOfTherapyType 0..1 CodeableConcept Overall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... note 0..* Annotation Information about the prescription
... dosageInstruction 0..* Dosage How the medication should be taken
... dispenseRequest 0..1 BackboneElement Medication supply authorization
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... extension:dispenserInstruction 0..* Annotation R5: Additional information for the dispenser (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenserInstruction
Constraints: ext-1
..... extension:doseAdministrationAid 0..1 CodeableConcept R5: Type of adherence packaging to use for the dispense (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.doseAdministrationAid
Binding: R5MedicationDoseAidForR4B (0.1.0) (example)
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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
Constraints: ext-1
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
..... quantity 0..1 SimpleQuantity(4.3.0) 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(4.3.0) 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... allowed[x] 1..1 Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): Identifies the type of substitution allowed.
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): SubstanceAdminSubstitutionReason
... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.language Base preferred Common Languages 📍4.3.0 FHIR Std.
MedicationRequest.status Base required medicationrequest Status 📍4.3.0 FHIR Std.
MedicationRequest.statusReason Base example medicationRequest Status Reason Codes 📍4.3.0 FHIR Std.
MedicationRequest.intent Base required medicationRequest Intent 📍4.3.0 FHIR Std.
MedicationRequest.category Base example medicationRequest Category Codes 📍4.3.0 FHIR Std.
MedicationRequest.priority Base required RequestPriority 📍4.3.0 FHIR Std.
MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.3.0 FHIR Std.
MedicationRequest.performer.​type Base extensible ResourceType 📍4.3.0 FHIR Std.
MedicationRequest.performerType Base example Procedure Performer Role Codes 📍4.3.0 FHIR Std.
MedicationRequest.reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.3.0 FHIR Std.
MedicationRequest.courseOfTherapyType Base example medicationRequest Course of Therapy Codes 📍4.3.0 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base example ActSubstanceAdminSubstitutionCode 📍3.0.0 THO v7.1
MedicationRequest.substitution.​reason Base example SubstanceAdminSubstitutionReason 📍3.0.0 THO v7.1

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.exists() and ('#'+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(uri) = '#').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()
dom-r4b warning MedicationRequest.contained Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems ($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
ele-1 error MedicationRequest.meta, MedicationRequest.implicitRules, MedicationRequest.language, MedicationRequest.text, MedicationRequest.extension, MedicationRequest.extension:statusChanged, MedicationRequest.extension:informationSource, MedicationRequest.extension:device, MedicationRequest.extension:renderedDosageInstruction, MedicationRequest.extension:effectiveDosePeriod, MedicationRequest.modifierExtension, MedicationRequest.identifier, MedicationRequest.status, MedicationRequest.status.extension, MedicationRequest.status.extension:status, MedicationRequest.statusReason, MedicationRequest.intent, MedicationRequest.category, MedicationRequest.priority, MedicationRequest.doNotPerform, MedicationRequest.reported[x], MedicationRequest.medication[x], MedicationRequest.subject, MedicationRequest.encounter, MedicationRequest.supportingInformation, MedicationRequest.authoredOn, MedicationRequest.requester, MedicationRequest.performer, MedicationRequest.performer.extension, MedicationRequest.performer.extension:performer, MedicationRequest.performer.reference, MedicationRequest.performer.type, MedicationRequest.performer.identifier, MedicationRequest.performer.display, MedicationRequest.performerType, MedicationRequest.recorder, MedicationRequest.reasonCode, MedicationRequest.reasonReference, MedicationRequest.instantiatesCanonical, MedicationRequest.instantiatesUri, MedicationRequest.basedOn, MedicationRequest.groupIdentifier, MedicationRequest.courseOfTherapyType, MedicationRequest.insurance, MedicationRequest.note, MedicationRequest.dosageInstruction, MedicationRequest.dispenseRequest, MedicationRequest.dispenseRequest.extension, MedicationRequest.dispenseRequest.extension:dispenserInstruction, MedicationRequest.dispenseRequest.extension:doseAdministrationAid, MedicationRequest.dispenseRequest.modifierExtension, MedicationRequest.dispenseRequest.initialFill, MedicationRequest.dispenseRequest.initialFill.extension, MedicationRequest.dispenseRequest.initialFill.modifierExtension, MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.initialFill.duration, MedicationRequest.dispenseRequest.dispenseInterval, MedicationRequest.dispenseRequest.validityPeriod, MedicationRequest.dispenseRequest.numberOfRepeatsAllowed, MedicationRequest.dispenseRequest.quantity, MedicationRequest.dispenseRequest.expectedSupplyDuration, MedicationRequest.dispenseRequest.performer, MedicationRequest.substitution, MedicationRequest.substitution.extension, MedicationRequest.substitution.modifierExtension, MedicationRequest.substitution.allowed[x], MedicationRequest.substitution.reason, MedicationRequest.priorPrescription, MedicationRequest.detectedIssue, MedicationRequest.eventHistory All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error MedicationRequest.extension, MedicationRequest.extension:statusChanged, MedicationRequest.extension:informationSource, MedicationRequest.extension:device, MedicationRequest.extension:renderedDosageInstruction, MedicationRequest.extension:effectiveDosePeriod, MedicationRequest.modifierExtension, MedicationRequest.status.extension, MedicationRequest.status.extension:status, MedicationRequest.performer.extension, MedicationRequest.performer.extension:performer, MedicationRequest.dispenseRequest.extension, MedicationRequest.dispenseRequest.extension:dispenserInstruction, MedicationRequest.dispenseRequest.extension:doseAdministrationAid, MedicationRequest.dispenseRequest.modifierExtension, MedicationRequest.dispenseRequest.initialFill.extension, MedicationRequest.dispenseRequest.initialFill.modifierExtension, MedicationRequest.substitution.extension, MedicationRequest.substitution.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

 

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