Atrius India Core FHIR Implementation Guide
0.1.0 - ci-build

Atrius India Core FHIR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Atrius India Core Medication Requested

Official URL: https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-medicationrequest-requested Version: 0.1.0
Draft as of 2026-07-24 Computable Name: AtriusInMedicationRequested
Other Identifiers: OID:1.3.6.1.4.1.66219.1.42.81

Atrius India Core profile. Parent: FHIR R4. Structurally aligned with QI-Core. India terminology via NDHM ValueSets where noted. Legacy QI-Core projection: runtime-mapper.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* AtriusInMedicationRequest(0.1.0) Ordering of medication for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... status ?!SΣ 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.
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
Required Pattern: false
... Slices for medication[x] SΣ 1..1 Medication to be taken
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationCodeableConcept SΣ 0..1 CodeableConcept Medication to be taken
Binding: MedicineCodes (6.5.0) (example)
..... Slices for extension Content/Rules for all slices
...... extension:codeOptions S 0..1 canonical(ValueSet) Url of a value set of activities
URL: http://hl7.org/fhir/StructureDefinition/codeOptions
Constraints: ext-1
..... coding SΣ 0..* Coding Code defined by a terminology system
..... text SΣ 0..1 string Plain text representation of the concept
.... medication[x]:medicationReference SΣ 0..1 Reference(Medication) Medication to be taken
... subject SΣ 1..1 Reference(Atrius India Core Patient(0.1.0)) Who or group medication request is for
... authoredOn SΣ 0..1 dateTime When request was initially authored
... requester SΣ 0..1 Reference(Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0) | Atrius India Core RelatedPerson(0.1.0) | Atrius India Core Patient(0.1.0)) Who/What requested the Request
... reasonCode S 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.
.... coding SΣ 0..* Coding Code defined by a terminology system
.... text SΣ 0..1 string Plain text representation of the concept
... reasonReference S 0..* Reference(Atrius India Core Condition(0.1.0) | Atrius India Core Observation(0.1.0) | Atrius India Core Observation Body Measurement(0.1.0) | Atrius India Core Observation General Assessment(0.1.0) | Atrius India Core Observation Lifestyle(0.1.0) | Atrius India Core Observation Physical Activity(0.1.0) | Atrius India Core Observation Vital Signs(0.1.0) | Atrius India Core Observation Women Health(0.1.0)) Condition or observation that supports why the prescription is being written
... dosageInstruction S 0..* Dosage How the medication should be taken
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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".
..... coding SΣ 0..* Coding Code defined by a terminology system
..... text SΣ 0..1 string Plain text representation of the concept
.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: RouteOfAdministration (6.5.0) (example)
..... coding SΣ 0..* Coding Code defined by a terminology system
..... text SΣ 0..1 string Plain text representation of the concept
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
..... coding SΣ 0..* Coding Code defined by a terminology system
..... text SΣ 0..1 string Plain text representation of the concept

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.status Base required Medicationrequest status 📍4.0.1 FHIR Std.
MedicationRequest.intent Base required Medication request intent 📍4.0.1 FHIR Std.
MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.medication[x]:medicationCodeableConcept Base example Medicine Codes 📍6.5.0 FHIR Implementation Guide for ABDM v6.5
MedicationRequest.reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​route Base example Route Of Administration 📍6.5.0 FHIR Implementation Guide for ABDM v6.5
MedicationRequest.dosageInstruction.​method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error MedicationRequest.implicitRules, MedicationRequest.modifierExtension, MedicationRequest.status, MedicationRequest.intent, MedicationRequest.doNotPerform, MedicationRequest.medication[x], MedicationRequest.medication[x]:medicationCodeableConcept, MedicationRequest.medication[x]:medicationCodeableConcept.extension:codeOptions, MedicationRequest.medication[x]:medicationCodeableConcept.coding, MedicationRequest.medication[x]:medicationCodeableConcept.text, MedicationRequest.medication[x]:medicationReference, MedicationRequest.subject, MedicationRequest.authoredOn, MedicationRequest.requester, MedicationRequest.reasonCode, MedicationRequest.reasonCode.coding, MedicationRequest.reasonCode.text, MedicationRequest.reasonReference, MedicationRequest.dosageInstruction, MedicationRequest.dosageInstruction.modifierExtension, MedicationRequest.dosageInstruction.text, MedicationRequest.dosageInstruction.additionalInstruction, MedicationRequest.dosageInstruction.additionalInstruction.coding, MedicationRequest.dosageInstruction.additionalInstruction.text, MedicationRequest.dosageInstruction.route, MedicationRequest.dosageInstruction.route.coding, MedicationRequest.dosageInstruction.route.text, MedicationRequest.dosageInstruction.method, MedicationRequest.dosageInstruction.method.coding, MedicationRequest.dosageInstruction.method.text All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error MedicationRequest.modifierExtension, MedicationRequest.medication[x]:medicationCodeableConcept.extension:codeOptions, MedicationRequest.dosageInstruction.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* AtriusInMedicationRequest(0.1.0) Ordering of medication for patient or group
... doNotPerform 0..1 boolean True if request is prohibiting action
Required Pattern: false

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* AtriusInMedicationRequest(0.1.0) 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): A human language.
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
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... 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 coded concept 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
Required Pattern: false
... reported[x] Σ 0..1 Reported rather than primary record
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... Slices for medication[x] SΣ 1..1 Medication to be taken
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationCodeableConcept SΣ 0..1 CodeableConcept Medication to be taken
Binding: MedicineCodes (6.5.0) (example)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... Slices for extension Content/Rules for all slices
...... extension:codeOptions S 0..1 canonical(ValueSet) Url of a value set of activities
URL: http://hl7.org/fhir/StructureDefinition/codeOptions
Constraints: ext-1
..... coding SΣ 0..* Coding Code defined by a terminology system
..... text SΣ 0..1 string Plain text representation of the concept
.... medication[x]:medicationReference SΣ 0..1 Reference(Medication) Medication to be taken
... subject SΣ 1..1 Reference(Atrius India Core Patient(0.1.0)) Who or group medication request is for
... encounter 0..1 Reference(Atrius India Core Encounter(0.1.0)) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
... authoredOn SΣ 0..1 dateTime When request was initially authored
... requester SΣ 0..1 Reference(Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0) | Atrius India Core RelatedPerson(0.1.0) | Atrius India Core Patient(0.1.0)) Who/What requested the Request
... performer 0..1 Reference(Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0) | Atrius India Core CareTeam(0.1.0) | Atrius India Core RelatedPerson(0.1.0) | Atrius India Core Patient(0.1.0)) 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: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... coding SΣ 0..* Coding Code defined by a terminology system
.... text SΣ 0..1 string Plain text representation of the concept
... reasonReference S 0..* Reference(Atrius India Core Condition(0.1.0) | Atrius India Core Observation(0.1.0) | Atrius India Core Observation Body Measurement(0.1.0) | Atrius India Core Observation General Assessment(0.1.0) | Atrius India Core Observation Lifestyle(0.1.0) | Atrius India Core Observation Physical Activity(0.1.0) | Atrius India Core Observation Vital Signs(0.1.0) | Atrius India Core Observation Women Health(0.1.0)) 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(Atrius India Core CarePlan(0.1.0) | Atrius India Core MedicationRequest(0.1.0) | Atrius India Core ImmunizationRecommendation(0.1.0)) 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(Atrius India Core Coverage(0.1.0) | Atrius India Core ClaimResponse(0.1.0)) 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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".
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... coding SΣ 0..* Coding Code defined by a terminology system
..... text SΣ 0..1 string Plain text representation of the concept
.... 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: RouteOfAdministration (6.5.0) (example)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... coding SΣ 0..* Coding Code defined by a terminology system
..... text SΣ 0..1 string Plain text representation of the concept
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... coding SΣ 0..* Coding Code defined by a terminology system
..... text SΣ 0..1 string Plain text representation of the concept
.... 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
Constraints: ext-1
..... 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(4.0.1) Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity(4.0.1) 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
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(4.0.1) 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(4.0.1) Amount of medication to supply per dispense
.... expectedSupplyDuration 0..1 Duration Number of days supply per dispense
.... performer 0..1 Reference(Atrius India Core Organization(0.1.0)) 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): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
... priorPrescription 0..1 Reference(Atrius India Core MedicationRequest(0.1.0)) 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 📍4.0.1 FHIR Std.
MedicationRequest.status Base required Medicationrequest status 📍4.0.1 FHIR Std.
MedicationRequest.statusReason Base example Medication request status reason codes 📍4.0.1 FHIR Std.
MedicationRequest.intent Base required Medication request intent 📍4.0.1 FHIR Std.
MedicationRequest.category Base example Medication request category codes 📍4.0.1 FHIR Std.
MedicationRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.medication[x]:medicationCodeableConcept Base example Medicine Codes 📍6.5.0 FHIR Implementation Guide for ABDM v6.5
MedicationRequest.performerType Base example Procedure Performer Role Codes 📍4.0.1 FHIR Std.
MedicationRequest.reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
MedicationRequest.courseOfTherapyType Base example Medication request course of therapy codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​route Base example Route Of Administration 📍6.5.0 FHIR Implementation Guide for ABDM v6.5
MedicationRequest.dosageInstruction.​method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.type Base example DoseAndRateType 📍4.0.1 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base example ActSubstanceAdminSubstitutionCode 📍3.0.0 THO v7.2
MedicationRequest.substitution.​reason Base example SubstanceAdminSubstitutionReason 📍3.0.0 THO v7.2

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error MedicationRequest.meta, MedicationRequest.implicitRules, MedicationRequest.language, MedicationRequest.text, MedicationRequest.extension, MedicationRequest.modifierExtension, MedicationRequest.identifier, MedicationRequest.status, MedicationRequest.statusReason, MedicationRequest.intent, MedicationRequest.category, MedicationRequest.priority, MedicationRequest.doNotPerform, MedicationRequest.reported[x], MedicationRequest.medication[x], MedicationRequest.medication[x]:medicationCodeableConcept, MedicationRequest.medication[x]:medicationCodeableConcept.extension, MedicationRequest.medication[x]:medicationCodeableConcept.extension:codeOptions, MedicationRequest.medication[x]:medicationCodeableConcept.coding, MedicationRequest.medication[x]:medicationCodeableConcept.text, MedicationRequest.medication[x]:medicationReference, MedicationRequest.subject, MedicationRequest.encounter, MedicationRequest.supportingInformation, MedicationRequest.authoredOn, MedicationRequest.requester, MedicationRequest.performer, MedicationRequest.performerType, MedicationRequest.recorder, MedicationRequest.reasonCode, MedicationRequest.reasonCode.extension, MedicationRequest.reasonCode.coding, MedicationRequest.reasonCode.text, MedicationRequest.reasonReference, MedicationRequest.instantiatesCanonical, MedicationRequest.instantiatesUri, MedicationRequest.basedOn, MedicationRequest.groupIdentifier, MedicationRequest.courseOfTherapyType, MedicationRequest.insurance, MedicationRequest.note, MedicationRequest.dosageInstruction, MedicationRequest.dosageInstruction.extension, MedicationRequest.dosageInstruction.modifierExtension, MedicationRequest.dosageInstruction.sequence, MedicationRequest.dosageInstruction.text, MedicationRequest.dosageInstruction.additionalInstruction, MedicationRequest.dosageInstruction.additionalInstruction.extension, MedicationRequest.dosageInstruction.additionalInstruction.coding, MedicationRequest.dosageInstruction.additionalInstruction.text, MedicationRequest.dosageInstruction.patientInstruction, MedicationRequest.dosageInstruction.timing, MedicationRequest.dosageInstruction.asNeeded[x], MedicationRequest.dosageInstruction.site, MedicationRequest.dosageInstruction.route, MedicationRequest.dosageInstruction.route.extension, MedicationRequest.dosageInstruction.route.coding, MedicationRequest.dosageInstruction.route.text, MedicationRequest.dosageInstruction.method, MedicationRequest.dosageInstruction.method.extension, MedicationRequest.dosageInstruction.method.coding, MedicationRequest.dosageInstruction.method.text, MedicationRequest.dosageInstruction.doseAndRate, MedicationRequest.dosageInstruction.doseAndRate.extension, MedicationRequest.dosageInstruction.doseAndRate.type, MedicationRequest.dosageInstruction.doseAndRate.dose[x], MedicationRequest.dosageInstruction.doseAndRate.rate[x], MedicationRequest.dosageInstruction.maxDosePerPeriod, MedicationRequest.dosageInstruction.maxDosePerAdministration, MedicationRequest.dosageInstruction.maxDosePerLifetime, MedicationRequest.dispenseRequest, MedicationRequest.dispenseRequest.extension, 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.modifierExtension, MedicationRequest.medication[x]:medicationCodeableConcept.extension, MedicationRequest.medication[x]:medicationCodeableConcept.extension:codeOptions, MedicationRequest.reasonCode.extension, MedicationRequest.dosageInstruction.extension, MedicationRequest.dosageInstruction.modifierExtension, MedicationRequest.dosageInstruction.additionalInstruction.extension, MedicationRequest.dosageInstruction.route.extension, MedicationRequest.dosageInstruction.method.extension, MedicationRequest.dosageInstruction.doseAndRate.extension, MedicationRequest.dispenseRequest.extension, 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()

Summary

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* AtriusInMedicationRequest(0.1.0) Ordering of medication for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... status ?!SΣ 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.
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
Required Pattern: false
... Slices for medication[x] SΣ 1..1 Medication to be taken
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationCodeableConcept SΣ 0..1 CodeableConcept Medication to be taken
Binding: MedicineCodes (6.5.0) (example)
..... Slices for extension Content/Rules for all slices
...... extension:codeOptions S 0..1 canonical(ValueSet) Url of a value set of activities
URL: http://hl7.org/fhir/StructureDefinition/codeOptions
Constraints: ext-1
..... coding SΣ 0..* Coding Code defined by a terminology system
..... text SΣ 0..1 string Plain text representation of the concept
.... medication[x]:medicationReference SΣ 0..1 Reference(Medication) Medication to be taken
... subject SΣ 1..1 Reference(Atrius India Core Patient(0.1.0)) Who or group medication request is for
... authoredOn SΣ 0..1 dateTime When request was initially authored
... requester SΣ 0..1 Reference(Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0) | Atrius India Core RelatedPerson(0.1.0) | Atrius India Core Patient(0.1.0)) Who/What requested the Request
... reasonCode S 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.
.... coding SΣ 0..* Coding Code defined by a terminology system
.... text SΣ 0..1 string Plain text representation of the concept
... reasonReference S 0..* Reference(Atrius India Core Condition(0.1.0) | Atrius India Core Observation(0.1.0) | Atrius India Core Observation Body Measurement(0.1.0) | Atrius India Core Observation General Assessment(0.1.0) | Atrius India Core Observation Lifestyle(0.1.0) | Atrius India Core Observation Physical Activity(0.1.0) | Atrius India Core Observation Vital Signs(0.1.0) | Atrius India Core Observation Women Health(0.1.0)) Condition or observation that supports why the prescription is being written
... dosageInstruction S 0..* Dosage How the medication should be taken
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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".
..... coding SΣ 0..* Coding Code defined by a terminology system
..... text SΣ 0..1 string Plain text representation of the concept
.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: RouteOfAdministration (6.5.0) (example)
..... coding SΣ 0..* Coding Code defined by a terminology system
..... text SΣ 0..1 string Plain text representation of the concept
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
..... coding SΣ 0..* Coding Code defined by a terminology system
..... text SΣ 0..1 string Plain text representation of the concept

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.status Base required Medicationrequest status 📍4.0.1 FHIR Std.
MedicationRequest.intent Base required Medication request intent 📍4.0.1 FHIR Std.
MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.medication[x]:medicationCodeableConcept Base example Medicine Codes 📍6.5.0 FHIR Implementation Guide for ABDM v6.5
MedicationRequest.reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​route Base example Route Of Administration 📍6.5.0 FHIR Implementation Guide for ABDM v6.5
MedicationRequest.dosageInstruction.​method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error MedicationRequest.implicitRules, MedicationRequest.modifierExtension, MedicationRequest.status, MedicationRequest.intent, MedicationRequest.doNotPerform, MedicationRequest.medication[x], MedicationRequest.medication[x]:medicationCodeableConcept, MedicationRequest.medication[x]:medicationCodeableConcept.extension:codeOptions, MedicationRequest.medication[x]:medicationCodeableConcept.coding, MedicationRequest.medication[x]:medicationCodeableConcept.text, MedicationRequest.medication[x]:medicationReference, MedicationRequest.subject, MedicationRequest.authoredOn, MedicationRequest.requester, MedicationRequest.reasonCode, MedicationRequest.reasonCode.coding, MedicationRequest.reasonCode.text, MedicationRequest.reasonReference, MedicationRequest.dosageInstruction, MedicationRequest.dosageInstruction.modifierExtension, MedicationRequest.dosageInstruction.text, MedicationRequest.dosageInstruction.additionalInstruction, MedicationRequest.dosageInstruction.additionalInstruction.coding, MedicationRequest.dosageInstruction.additionalInstruction.text, MedicationRequest.dosageInstruction.route, MedicationRequest.dosageInstruction.route.coding, MedicationRequest.dosageInstruction.route.text, MedicationRequest.dosageInstruction.method, MedicationRequest.dosageInstruction.method.coding, MedicationRequest.dosageInstruction.method.text All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error MedicationRequest.modifierExtension, MedicationRequest.medication[x]:medicationCodeableConcept.extension:codeOptions, MedicationRequest.dosageInstruction.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* AtriusInMedicationRequest(0.1.0) Ordering of medication for patient or group
... doNotPerform 0..1 boolean True if request is prohibiting action
Required Pattern: false

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* AtriusInMedicationRequest(0.1.0) 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): A human language.
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
... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... 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 coded concept 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
Required Pattern: false
... reported[x] Σ 0..1 Reported rather than primary record
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... Slices for medication[x] SΣ 1..1 Medication to be taken
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationCodeableConcept SΣ 0..1 CodeableConcept Medication to be taken
Binding: MedicineCodes (6.5.0) (example)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... Slices for extension Content/Rules for all slices
...... extension:codeOptions S 0..1 canonical(ValueSet) Url of a value set of activities
URL: http://hl7.org/fhir/StructureDefinition/codeOptions
Constraints: ext-1
..... coding SΣ 0..* Coding Code defined by a terminology system
..... text SΣ 0..1 string Plain text representation of the concept
.... medication[x]:medicationReference SΣ 0..1 Reference(Medication) Medication to be taken
... subject SΣ 1..1 Reference(Atrius India Core Patient(0.1.0)) Who or group medication request is for
... encounter 0..1 Reference(Atrius India Core Encounter(0.1.0)) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
... authoredOn SΣ 0..1 dateTime When request was initially authored
... requester SΣ 0..1 Reference(Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0) | Atrius India Core RelatedPerson(0.1.0) | Atrius India Core Patient(0.1.0)) Who/What requested the Request
... performer 0..1 Reference(Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0) | Atrius India Core CareTeam(0.1.0) | Atrius India Core RelatedPerson(0.1.0) | Atrius India Core Patient(0.1.0)) 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: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... coding SΣ 0..* Coding Code defined by a terminology system
.... text SΣ 0..1 string Plain text representation of the concept
... reasonReference S 0..* Reference(Atrius India Core Condition(0.1.0) | Atrius India Core Observation(0.1.0) | Atrius India Core Observation Body Measurement(0.1.0) | Atrius India Core Observation General Assessment(0.1.0) | Atrius India Core Observation Lifestyle(0.1.0) | Atrius India Core Observation Physical Activity(0.1.0) | Atrius India Core Observation Vital Signs(0.1.0) | Atrius India Core Observation Women Health(0.1.0)) 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(Atrius India Core CarePlan(0.1.0) | Atrius India Core MedicationRequest(0.1.0) | Atrius India Core ImmunizationRecommendation(0.1.0)) 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(Atrius India Core Coverage(0.1.0) | Atrius India Core ClaimResponse(0.1.0)) 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
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... 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".
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... coding SΣ 0..* Coding Code defined by a terminology system
..... text SΣ 0..1 string Plain text representation of the concept
.... 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: RouteOfAdministration (6.5.0) (example)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... coding SΣ 0..* Coding Code defined by a terminology system
..... text SΣ 0..1 string Plain text representation of the concept
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... coding SΣ 0..* Coding Code defined by a terminology system
..... text SΣ 0..1 string Plain text representation of the concept
.... 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
Constraints: ext-1
..... 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(4.0.1) Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity(4.0.1) 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
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(4.0.1) 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(4.0.1) Amount of medication to supply per dispense
.... expectedSupplyDuration 0..1 Duration Number of days supply per dispense
.... performer 0..1 Reference(Atrius India Core Organization(0.1.0)) 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): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
... priorPrescription 0..1 Reference(Atrius India Core MedicationRequest(0.1.0)) 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 📍4.0.1 FHIR Std.
MedicationRequest.status Base required Medicationrequest status 📍4.0.1 FHIR Std.
MedicationRequest.statusReason Base example Medication request status reason codes 📍4.0.1 FHIR Std.
MedicationRequest.intent Base required Medication request intent 📍4.0.1 FHIR Std.
MedicationRequest.category Base example Medication request category codes 📍4.0.1 FHIR Std.
MedicationRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.medication[x]:medicationCodeableConcept Base example Medicine Codes 📍6.5.0 FHIR Implementation Guide for ABDM v6.5
MedicationRequest.performerType Base example Procedure Performer Role Codes 📍4.0.1 FHIR Std.
MedicationRequest.reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
MedicationRequest.courseOfTherapyType Base example Medication request course of therapy codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​route Base example Route Of Administration 📍6.5.0 FHIR Implementation Guide for ABDM v6.5
MedicationRequest.dosageInstruction.​method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.type Base example DoseAndRateType 📍4.0.1 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base example ActSubstanceAdminSubstitutionCode 📍3.0.0 THO v7.2
MedicationRequest.substitution.​reason Base example SubstanceAdminSubstitutionReason 📍3.0.0 THO v7.2

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error MedicationRequest.meta, MedicationRequest.implicitRules, MedicationRequest.language, MedicationRequest.text, MedicationRequest.extension, MedicationRequest.modifierExtension, MedicationRequest.identifier, MedicationRequest.status, MedicationRequest.statusReason, MedicationRequest.intent, MedicationRequest.category, MedicationRequest.priority, MedicationRequest.doNotPerform, MedicationRequest.reported[x], MedicationRequest.medication[x], MedicationRequest.medication[x]:medicationCodeableConcept, MedicationRequest.medication[x]:medicationCodeableConcept.extension, MedicationRequest.medication[x]:medicationCodeableConcept.extension:codeOptions, MedicationRequest.medication[x]:medicationCodeableConcept.coding, MedicationRequest.medication[x]:medicationCodeableConcept.text, MedicationRequest.medication[x]:medicationReference, MedicationRequest.subject, MedicationRequest.encounter, MedicationRequest.supportingInformation, MedicationRequest.authoredOn, MedicationRequest.requester, MedicationRequest.performer, MedicationRequest.performerType, MedicationRequest.recorder, MedicationRequest.reasonCode, MedicationRequest.reasonCode.extension, MedicationRequest.reasonCode.coding, MedicationRequest.reasonCode.text, MedicationRequest.reasonReference, MedicationRequest.instantiatesCanonical, MedicationRequest.instantiatesUri, MedicationRequest.basedOn, MedicationRequest.groupIdentifier, MedicationRequest.courseOfTherapyType, MedicationRequest.insurance, MedicationRequest.note, MedicationRequest.dosageInstruction, MedicationRequest.dosageInstruction.extension, MedicationRequest.dosageInstruction.modifierExtension, MedicationRequest.dosageInstruction.sequence, MedicationRequest.dosageInstruction.text, MedicationRequest.dosageInstruction.additionalInstruction, MedicationRequest.dosageInstruction.additionalInstruction.extension, MedicationRequest.dosageInstruction.additionalInstruction.coding, MedicationRequest.dosageInstruction.additionalInstruction.text, MedicationRequest.dosageInstruction.patientInstruction, MedicationRequest.dosageInstruction.timing, MedicationRequest.dosageInstruction.asNeeded[x], MedicationRequest.dosageInstruction.site, MedicationRequest.dosageInstruction.route, MedicationRequest.dosageInstruction.route.extension, MedicationRequest.dosageInstruction.route.coding, MedicationRequest.dosageInstruction.route.text, MedicationRequest.dosageInstruction.method, MedicationRequest.dosageInstruction.method.extension, MedicationRequest.dosageInstruction.method.coding, MedicationRequest.dosageInstruction.method.text, MedicationRequest.dosageInstruction.doseAndRate, MedicationRequest.dosageInstruction.doseAndRate.extension, MedicationRequest.dosageInstruction.doseAndRate.type, MedicationRequest.dosageInstruction.doseAndRate.dose[x], MedicationRequest.dosageInstruction.doseAndRate.rate[x], MedicationRequest.dosageInstruction.maxDosePerPeriod, MedicationRequest.dosageInstruction.maxDosePerAdministration, MedicationRequest.dosageInstruction.maxDosePerLifetime, MedicationRequest.dispenseRequest, MedicationRequest.dispenseRequest.extension, 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.modifierExtension, MedicationRequest.medication[x]:medicationCodeableConcept.extension, MedicationRequest.medication[x]:medicationCodeableConcept.extension:codeOptions, MedicationRequest.reasonCode.extension, MedicationRequest.dosageInstruction.extension, MedicationRequest.dosageInstruction.modifierExtension, MedicationRequest.dosageInstruction.additionalInstruction.extension, MedicationRequest.dosageInstruction.route.extension, MedicationRequest.dosageInstruction.method.extension, MedicationRequest.dosageInstruction.doseAndRate.extension, MedicationRequest.dispenseRequest.extension, 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()

Summary

 

Other representations of profile: CSV, Excel, Schematron