| Left: | CRD Medication Request (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-medicationrequest) | 
| Right: | CRD Medication Request (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-medicationrequest) | 
| Error | StructureDefinition.version | Values for version differ: '2.1.0' vs '2.2.0-ballot' | 
| Information | StructureDefinition.date | Values for date differ: '2024-12-11T18:49:53+00:00' vs '2025-08-06T17:27:13+00:00' | 
| Error | StructureDefinition.baseDefinition | Values for baseDefinition differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest' vs 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest|7.0.0' | 
| Error | MedicationRequest.basedOn | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-medicationrequest], CanonicalType[http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-servicerequest]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-medicationrequest], CanonicalType[http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-servicerequest]]) | 
| Error | MedicationRequest.priorPrescription | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-medicationrequest]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-medicationrequest]]) | 
| Name | Value | Comments | |
|---|---|---|---|
 abstract | false | ||
 baseDefinition | http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest|7.0.0 | 
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 copyright | |||
 date | 2024-12-11T18:49:53+00:00 | 2025-08-06T17:27:13+00:00 | 
  | 
 description | This profile specifies additional constraints on the US Core MedicationRequest profile to support coverage requirements discovery. | ||
 experimental | false | ||
 fhirVersion | 4.0.1 | ||
 jurisdiction | |||
![]()  jurisdiction[0] | urn:iso:std:iso:3166#US | ||
 kind | resource | ||
 name | CRDMedicationRequest | ||
 publisher | HL7 International / Financial Management | ||
 purpose | |||
 status | active | ||
 title | CRD Medication Request | ||
 type | MedicationRequest | ||
 url | http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-medicationrequest | ||
 version | 2.1.0 | 2.2.0-ballot | 
  | 
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments![]()  | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
![]()  | C | 0..* | USCoreMedicationRequestProfile(7.0.0) | Ordering of medication for patient or group This profile also complies with the profile US Core MedicationRequest Profile (6.1.0)  | C | 0..* | USCoreMedicationRequestProfile(7.0.0) | Ordering of medication for patient or group This profile also complies with the profile US Core MedicationRequest Profile (6.1.0)  | |||||||||
![]() ![]()  | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||
![]() ![]()  | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||
![]() ![]()  | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||
![]() ![]()  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language. 
  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language. 
  | |||||||||||
![]() ![]()  | 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  | 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  | |||||||||||
![]() ![]()  | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
![]() ![]()  | 0..* | Extension | Extension Slice: Unordered, Open by value:url  | 0..* | Extension | Extension Slice: Unordered, Open by value:url  | |||||||||||
![]() ![]()  | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||
![]() ![]()  | S | 0..* | Identifier | External ids for this request | S | 0..* | Identifier | External ids for this request | |||||||||
![]() ![]()  | ?!SΣ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: ?? (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription. Example General: draft  | ?!SΣ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: ?? (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription. Example General: draft  | |||||||||
![]() ![]()  | 0..1 | CodeableConcept | Reason for current status Binding: ?? (example): Identifies the reasons for a given status.  | 0..1 | CodeableConcept | Reason for current status Binding: ?? (example): Identifies the reasons for a given status.  | |||||||||||
![]() ![]()  | ?!SΣC | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order.  | ?!SΣC | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order.  | |||||||||
![]() ![]()  | S | 0..* | CodeableConcept | Type of medication usage Slice: Unordered, Open by pattern:$this Binding: ?? (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.  | S | 0..* | CodeableConcept | Type of medication usage Slice: Unordered, Open by pattern:$this Binding: ?? (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.  | |||||||||
![]() ![]()  | Σ | 0..1 | code | routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request.  | Σ | 0..1 | code | routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request.  | |||||||||
![]() ![]()  | ?!Σ | 0..0 | ?!Σ | 0..0 | |||||||||||||
![]() ![]()  | SΣ | 0..1 | boolean S, Reference S(CRD Patient | US Core Practitioner Profile(7.0.0) S | CRD Organization) | Reported rather than primary record | SΣ | 0..1 | boolean S, Reference S(CRD Patient | US Core Practitioner Profile(7.0.0) S | CRD Organization) | Reported rather than primary record | |||||||||
![]() ![]()  | SΣ | 1..1 | CodeableConcept, Reference(US Core Medication Profile(7.0.0)) | Medication to be taken Binding: ?? (extensible)  | SΣ | 1..1 | CodeableConcept, Reference(CRD Medication) | Medication to be taken Slice: Unordered, Closed by type:$this Binding: ?? (extensible)  | |||||||||
![]() ![]()  | SΣ | 1..1 | Reference(US Core Patient Profile(7.0.0) S | Group) | Who or group medication request is for | SΣ | 1..1 | Reference(US Core Patient Profile(7.0.0) S | Group) | Who or group medication request is for | |||||||||
![]() ![]()  | S | 0..1 | Reference(CRD Encounter) | Encounter created as part of encounter/admission/stay | S | 0..1 | Reference(CRD Encounter) | Encounter created as part of encounter/admission/stay | |||||||||
![]() ![]()  | 0..* | Reference(Resource) | Information to support ordering of the medication | 0..* | Reference(Resource) | Information to support ordering of the medication | |||||||||||
![]() ![]()  | SΣ | 1..1 | dateTime | When request was initially authored | SΣ | 1..1 | dateTime | When request was initially authored | |||||||||
![]() ![]()  | SΣC | 1..1 | Reference(US Core Practitioner Profile(7.0.0) S) | Who/What requested the Request | SΣC | 1..1 | Reference(US Core Practitioner Profile(7.0.0) S) | Who/What requested the Request | |||||||||
![]() ![]()  | S | 0..1 | Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S) | Intended performer of administration | S | 0..1 | Reference(US Core Practitioner Profile(7.0.0) S | HRex PractitionerRole Profile S) | Intended performer of administration | |||||||||
![]() ![]()  | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ?? (example): Identifies the type of individual that is desired to administer the medication.  | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ?? (example): Identifies the type of individual that is desired to administer the medication.  | |||||||||
![]() ![]()  | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||||||||
![]() ![]()  | S | 0..* | CodeableConcept | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Reason or indication for ordering or not ordering the medication Binding: ?? (extensible)  | S | 0..* | CodeableConcept | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Reason or indication for ordering or not ordering the medication Binding: ?? (extensible)  | |||||||||
![]() ![]()  | S | 0..* | Reference(Condition | Observation) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Condition or Observation that supports the prescription | S | 0..* | Reference(Condition | Observation) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Condition or Observation that supports the prescription | |||||||||
![]() ![]()  | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | |||||||||
![]() ![]()  | Σ | 0..* | uri | Instantiates external protocol or definition | Σ | 0..* | uri | Instantiates external protocol or definition | |||||||||
![]() ![]()  | Σ | 0..* | Reference(CRD Medication Request | CRD Service Request) | What request fulfills | Σ | 0..* | Reference(CRD Medication Request | CRD Service Request) | What request fulfills | 
  | ||||||||
![]() ![]()  | Σ | 0..1 | Identifier | Composite request this is part of | Σ | 0..1 | Identifier | Composite request this is part of | |||||||||
![]() ![]()  | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: ?? (example): Identifies the overall pattern of medication administratio.  | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: ?? (example): Identifies the overall pattern of medication administratio.  | |||||||||||
![]() ![]()  | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||||||||
![]() ![]()  | 0..* | Annotation | Information about the prescription | 0..* | Annotation | Information about the prescription | |||||||||||
![]() ![]()  | S | 0..* | Dosage | How the medication should be taken | S | 0..* | Dosage | How the medication should be taken | |||||||||
![]() ![]() ![]()  | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
![]() ![]() ![]()  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url  | |||||||||||
![]() ![]() ![]()  | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
![]() ![]() ![]()  | Σ | 0..1 | integer | The order of the dosage instructions | Σ | 0..1 | integer | The order of the dosage instructions | |||||||||
![]() ![]() ![]()  | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG | |||||||||
![]() ![]() ![]()  | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".  | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".  | |||||||||
![]() ![]() ![]()  | Σ | 0..1 | string | Patient or consumer oriented instructions | Σ | 0..1 | string | Patient or consumer oriented instructions | |||||||||
![]() ![]() ![]()  | SΣ | 0..1 | Timing | When medication should be administered | SΣ | 0..1 | Timing | When medication should be administered | |||||||||
![]() ![]() ![]()  | Σ | 0..1 | boolean, CodeableConcept | Take "as needed" (for x) Binding: ?? (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.  | Σ | 0..1 | boolean, CodeableConcept | Take "as needed" (for x) Binding: ?? (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.  | |||||||||
![]() ![]() ![]()  | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body.  | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body.  | |||||||||
![]() ![]() ![]()  | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: ?? (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.  | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: ?? (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.  | |||||||||
![]() ![]() ![]()  | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.  | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.  | |||||||||
![]() ![]() ![]()  | SΣ | 0..* | Element | Amount of medication administered | SΣ | 0..* | Element | Amount of medication administered | |||||||||
![]() ![]() ![]() ![]()  | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
![]() ![]() ![]() ![]()  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url  | |||||||||||
![]() ![]() ![]() ![]()  | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified.  | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified.  | |||||||||
![]() ![]() ![]() ![]()  | SΣ | 0..1 | ??, Range | Amount of medication per dose Binding: ?? (preferred) 
  | SΣ | 0..1 | ??, Range | Amount of medication per dose Binding: ?? (preferred) 
  | |||||||||
![]() ![]() ![]() ![]()  | Σ | 0..1 | Ratio, Range, ?? | Amount of medication per unit of time | Σ | 0..1 | Ratio, Range, ?? | Amount of medication per unit of time | |||||||||
![]() ![]() ![]()  | Σ | 0..1 | Ratio | Upper limit on medication per unit of time | Σ | 0..1 | Ratio | Upper limit on medication per unit of time | |||||||||
![]() ![]() ![]()  | Σ | 0..1 | ?? | Upper limit on medication per administration | Σ | 0..1 | ?? | Upper limit on medication per administration | |||||||||
![]() ![]() ![]()  | Σ | 0..1 | ?? | Upper limit on medication per lifetime of the patient | Σ | 0..1 | ?? | Upper limit on medication per lifetime of the patient | |||||||||
![]() ![]()  | S | 0..1 | BackboneElement | Medication supply authorization | S | 0..1 | BackboneElement | Medication supply authorization | |||||||||
![]() ![]() ![]()  | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
![]() ![]() ![]()  | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
![]() ![]() ![]()  | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
![]() ![]() ![]()  | 0..1 | BackboneElement | First fill details | 0..1 | BackboneElement | First fill details | |||||||||||
![]() ![]() ![]() ![]()  | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
![]() ![]() ![]() ![]()  | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
![]() ![]() ![]() ![]()  | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
![]() ![]() ![]() ![]()  | 0..1 | ?? | First fill quantity | 0..1 | ?? | First fill quantity | |||||||||||
![]() ![]() ![]() ![]()  | 0..1 | Duration | First fill duration | 0..1 | Duration | First fill duration | |||||||||||
![]() ![]() ![]()  | 0..1 | Duration | Minimum period of time between dispenses | 0..1 | Duration | Minimum period of time between dispenses | |||||||||||
![]() ![]() ![]()  | 0..1 | Period | Time period supply is authorized for | 0..1 | Period | Time period supply is authorized for | |||||||||||
![]() ![]() ![]()  | S | 0..1 | unsignedInt | Number of refills authorized | S | 0..1 | unsignedInt | Number of refills authorized | |||||||||
![]() ![]() ![]()  | S | 0..1 | ?? | Amount of medication to supply per dispense | S | 0..1 | ?? | Amount of medication to supply per dispense | |||||||||
![]() ![]() ![]()  | 0..1 | Duration | Number of days supply per dispense | 0..1 | Duration | Number of days supply per dispense | |||||||||||
![]() ![]() ![]()  | 0..1 | Reference(Organization) | Intended dispenser | 0..1 | Reference(Organization) | Intended dispenser | |||||||||||
![]() ![]()  | S | 0..1 | BackboneElement | Any restrictions on medication substitution | S | 0..1 | BackboneElement | Any restrictions on medication substitution | |||||||||
![]() ![]() ![]()  | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
![]() ![]() ![]()  | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
![]() ![]() ![]()  | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
![]() ![]() ![]()  | 1..1 | boolean, CodeableConcept | Whether substitution is allowed or not Binding: ?? (example): Identifies the type of substitution allowed.  | 1..1 | boolean, CodeableConcept | Whether substitution is allowed or not Binding: ?? (example): Identifies the type of substitution allowed.  | |||||||||||
![]() ![]() ![]()  | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.  | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.  | |||||||||||
![]() ![]()  | S | 0..1 | Reference(CRD Medication Request) | An order/prescription that is being replaced | S | 0..1 | Reference(CRD Medication Request) | An order/prescription that is being replaced | 
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![]() ![]()  | 0..* | Reference(DetectedIssue) | Clinical Issue with action | 0..* | Reference(DetectedIssue) | Clinical Issue with action | |||||||||||
![]() ![]()  | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||||||||
  Documentation for this format | |||||||||||||||||