Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group
status		1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Required Pattern: active
intent		1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: order
Slices for medication[x]		1..1	CodeableConcept	Medication to be taken Slice: Unordered, Open by type:$this
medication[x]:medicationCodeableConcept	S	1..1	CodeableConcept	Medication to be taken
coding
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.developer.gene.com/CodeSystem/uapi-product-name
code		1..1	code	Symbol in syntax defined by the system Binding: UAPI Value Set - Product Name (required)
subject		1..1	Reference(UAPI Patient)	Who or group medication request is for
reference		0..1	string	Patient resource UUID
type		0..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Patient
requester		1..1	Reference(UAPI Practitioner)	Who/What requested the Request
reference		0..1	string	Practitioner resource UUID
type		0..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Practitioner
insurance		0..*	Reference(UAPI Coverage)	Associated insurance coverage
reference		0..1	string	Coverage resource UUID
type		0..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Coverage
note
text		1..1	markdown	Additional dosage instruction
dosageInstruction		0..1	Dosage	How the medication should be taken
doseAndRate		1..*	Element	Amount of medication administered
Slices for dose[x]		1..1	SimpleQuantity	Amount of medication per dose Slice: Unordered, Open by type:$this
dose[x]:doseQuantity		1..1	SimpleQuantity	A fixed quantity (no comparator)
value		1..1	decimal	Numerical value (with implicit precision)
unit		1..1	string	Unit representation
dispenseRequest
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dispenserInstruction		0..*	Annotation	UAPI MedicationRequest Dispenser Instructions URL: https://fhir.developer.gene.com/StructureDefinition/dispenser-instruction
dispenseQuantityDetail		0..*	(Complex)	UAPI MedicationRequest Dispense Quantity Detailed Breakdown URL: https://fhir.developer.gene.com/StructureDefinition/dispense-quantity-detail
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
MedicationRequest.medication[x]:medicationCodeableConcept.coding.code	required	UapiValueSetProductName (a valid code from UAPI Code System - Product Names)

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	MedicationRequest	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
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. Required Pattern: active
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. Required Pattern: order
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
Slices for medication[x]	Σ	1..1	CodeableConcept	Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medication[x]:medicationCodeableConcept	SΣ	1..1	CodeableConcept	Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
subject	Σ	1..1	Reference(UAPI Patient)	Who or group medication request is for
reference	ΣC	0..1	string	Patient resource UUID
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) Required Pattern: Patient
requester	Σ	1..1	Reference(UAPI Practitioner)	Who/What requested the Request
reference	ΣC	0..1	string	Practitioner resource UUID
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) Required Pattern: Practitioner
insurance		0..*	Reference(UAPI Coverage)	Associated insurance coverage
reference	ΣC	0..1	string	Coverage resource UUID
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) Required Pattern: Coverage
dosageInstruction		0..1	Dosage	How the medication should be taken
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
doseAndRate	Σ	1..*	Element	Amount of medication administered
Slices for dose[x]	Σ	1..1	SimpleQuantity	Amount of medication per dose Slice: Unordered, Closed by type:$this
dose[x]:doseQuantity	C	1..1	SimpleQuantity	A fixed quantity (no comparator)
value	Σ	1..1	decimal	Numerical value (with implicit precision)
unit	Σ	1..1	string	Unit representation
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
MedicationRequest.status	required	Pattern: active
MedicationRequest.intent	required	Pattern: order
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes
MedicationRequest.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes
MedicationRequest.subject.type	extensible	Pattern: Patient
MedicationRequest.requester.type	extensible	Pattern: Practitioner
MedicationRequest.insurance.type	extensible	Pattern: Coverage

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	MedicationRequest	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 Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
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. Required Pattern: active
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. Required Pattern: 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)
Slices for medication[x]	Σ	1..1	CodeableConcept	Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medication[x]:medicationCodeableConcept	SΣ	1..1	CodeableConcept	Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.developer.gene.com/CodeSystem/uapi-product-name
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Binding: UAPI Value Set - Product Name (required)
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(UAPI Patient)	Who or group medication request is for
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Patient resource UUID
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) Required Pattern: Patient
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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	1..1	Reference(UAPI Practitioner)	Who/What requested the Request
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Practitioner resource UUID
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) Required Pattern: Practitioner
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
performer		0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration
performerType	Σ	0..1	CodeableConcept	Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
recorder		0..1	Reference(Practitioner | PractitionerRole)	Person who entered the request
reasonCode		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(UAPI Coverage)	Associated insurance coverage
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Coverage resource UUID
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) Required Pattern: Coverage
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
note		0..*	Annotation	Information about the prescription
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	Additional dosage instruction
dosageInstruction		0..1	Dosage	How the medication should be taken
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions
text	Σ	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)
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)
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example)
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: SNOMEDCTRouteCodes (example)
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example)
doseAndRate	Σ	1..*	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example)
Slices for dose[x]	Σ	1..1	SimpleQuantity	Amount of medication per dose Slice: Unordered, Closed by type:$this
dose[x]:doseQuantity	C	1..1	SimpleQuantity	A fixed quantity (no comparator)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	1..1	decimal	Numerical value (with implicit precision)
unit	Σ	1..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	Σ	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	SimpleQuantity	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient
dispenseRequest		0..1	BackboneElement	Medication supply authorization
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dispenserInstruction		0..*	Annotation	UAPI MedicationRequest Dispenser Instructions URL: https://fhir.developer.gene.com/StructureDefinition/dispenser-instruction
dispenseQuantityDetail		0..*	(Complex)	UAPI MedicationRequest Dispense Quantity Detailed Breakdown URL: https://fhir.developer.gene.com/StructureDefinition/dispense-quantity-detail
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
initialFill		0..1	BackboneElement	First fill details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity		0..1	SimpleQuantity	First fill quantity
duration		0..1	Duration	First fill duration
dispenseInterval		0..1	Duration	Minimum period of time between dispenses
validityPeriod		0..1	Period	Time period supply is authorized for
numberOfRepeatsAllowed		0..1	unsignedInt	Number of refills authorized
quantity		0..1	SimpleQuantity	Amount of medication to supply per dispense
expectedSupplyDuration		0..1	Duration	Number of days supply per dispense
performer		0..1	Reference(Organization)	Intended dispenser
substitution		0..1	BackboneElement	Any restrictions on medication substitution
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
allowed[x]		1..1		Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
reason		0..1	CodeableConcept	Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): 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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
MedicationRequest.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
MedicationRequest.status	required	Pattern: active
MedicationRequest.statusReason	example	medicationRequest Status Reason Codes
MedicationRequest.intent	required	Pattern: order
MedicationRequest.category	example	medicationRequest Category Codes
MedicationRequest.priority	required	RequestPriority
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes
MedicationRequest.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes
MedicationRequest.medication[x]:medicationCodeableConcept.coding.code	required	UapiValueSetProductName (a valid code from UAPI Code System - Product Names)
MedicationRequest.subject.type	extensible	Pattern: Patient
MedicationRequest.requester.type	extensible	Pattern: Practitioner
MedicationRequest.performerType	example	ProcedurePerformerRoleCodes
MedicationRequest.reasonCode	example	Condition/Problem/DiagnosisCodes
MedicationRequest.courseOfTherapyType	example	medicationRequest Course of Therapy Codes
MedicationRequest.insurance.type	extensible	Pattern: Coverage
MedicationRequest.dosageInstruction.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions
MedicationRequest.dosageInstruction.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes
MedicationRequest.dosageInstruction.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes
MedicationRequest.dosageInstruction.route	example	SNOMEDCTRouteCodes
MedicationRequest.dosageInstruction.method	example	SNOMEDCTAdministrationMethodCodes
MedicationRequest.dosageInstruction.doseAndRate.type	example	DoseAndRateType
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason

Summary

Mandatory: 2 elements (7 nested mandatory elements)
Must-Support: 1 element

Structures

This structure refers to these other structures:

• UAPI Patient (https://fhir.developer.gene.com/StructureDefinition/uapi-patient)
• UAPI Practitioner (https://fhir.developer.gene.com/StructureDefinition/uapi-practitioner)
• UAPI Coverage (https://fhir.developer.gene.com/StructureDefinition/uapi-coverage)
• SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Extensions

This structure refers to these extensions:

• https://fhir.developer.gene.com/StructureDefinition/dispenser-instruction
• https://fhir.developer.gene.com/StructureDefinition/dispense-quantity-detail

Slices

This structure defines the following Slices:

• The element MedicationRequest.medication[x] is sliced based on the value of type:$this
• The element MedicationRequest.dosageInstruction.doseAndRate.dose[x] is sliced based on the value of type:$this

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group
status		1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Required Pattern: active
intent		1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: order
Slices for medication[x]		1..1	CodeableConcept	Medication to be taken Slice: Unordered, Open by type:$this
medication[x]:medicationCodeableConcept	S	1..1	CodeableConcept	Medication to be taken
coding
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.developer.gene.com/CodeSystem/uapi-product-name
code		1..1	code	Symbol in syntax defined by the system Binding: UAPI Value Set - Product Name (required)
subject		1..1	Reference(UAPI Patient)	Who or group medication request is for
reference		0..1	string	Patient resource UUID
type		0..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Patient
requester		1..1	Reference(UAPI Practitioner)	Who/What requested the Request
reference		0..1	string	Practitioner resource UUID
type		0..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Practitioner
insurance		0..*	Reference(UAPI Coverage)	Associated insurance coverage
reference		0..1	string	Coverage resource UUID
type		0..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Coverage
note
text		1..1	markdown	Additional dosage instruction
dosageInstruction		0..1	Dosage	How the medication should be taken
doseAndRate		1..*	Element	Amount of medication administered
Slices for dose[x]		1..1	SimpleQuantity	Amount of medication per dose Slice: Unordered, Open by type:$this
dose[x]:doseQuantity		1..1	SimpleQuantity	A fixed quantity (no comparator)
value		1..1	decimal	Numerical value (with implicit precision)
unit		1..1	string	Unit representation
dispenseRequest
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dispenserInstruction		0..*	Annotation	UAPI MedicationRequest Dispenser Instructions URL: https://fhir.developer.gene.com/StructureDefinition/dispenser-instruction
dispenseQuantityDetail		0..*	(Complex)	UAPI MedicationRequest Dispense Quantity Detailed Breakdown URL: https://fhir.developer.gene.com/StructureDefinition/dispense-quantity-detail
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
MedicationRequest.medication[x]:medicationCodeableConcept.coding.code	required	UapiValueSetProductName (a valid code from UAPI Code System - Product Names)

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	MedicationRequest	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
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. Required Pattern: active
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. Required Pattern: order
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
Slices for medication[x]	Σ	1..1	CodeableConcept	Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medication[x]:medicationCodeableConcept	SΣ	1..1	CodeableConcept	Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
subject	Σ	1..1	Reference(UAPI Patient)	Who or group medication request is for
reference	ΣC	0..1	string	Patient resource UUID
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) Required Pattern: Patient
requester	Σ	1..1	Reference(UAPI Practitioner)	Who/What requested the Request
reference	ΣC	0..1	string	Practitioner resource UUID
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) Required Pattern: Practitioner
insurance		0..*	Reference(UAPI Coverage)	Associated insurance coverage
reference	ΣC	0..1	string	Coverage resource UUID
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) Required Pattern: Coverage
dosageInstruction		0..1	Dosage	How the medication should be taken
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
doseAndRate	Σ	1..*	Element	Amount of medication administered
Slices for dose[x]	Σ	1..1	SimpleQuantity	Amount of medication per dose Slice: Unordered, Closed by type:$this
dose[x]:doseQuantity	C	1..1	SimpleQuantity	A fixed quantity (no comparator)
value	Σ	1..1	decimal	Numerical value (with implicit precision)
unit	Σ	1..1	string	Unit representation
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
MedicationRequest.status	required	Pattern: active
MedicationRequest.intent	required	Pattern: order
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes
MedicationRequest.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes
MedicationRequest.subject.type	extensible	Pattern: Patient
MedicationRequest.requester.type	extensible	Pattern: Practitioner
MedicationRequest.insurance.type	extensible	Pattern: Coverage

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	MedicationRequest	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 Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
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. Required Pattern: active
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. Required Pattern: 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)
Slices for medication[x]	Σ	1..1	CodeableConcept	Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medication[x]:medicationCodeableConcept	SΣ	1..1	CodeableConcept	Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.developer.gene.com/CodeSystem/uapi-product-name
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system Binding: UAPI Value Set - Product Name (required)
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(UAPI Patient)	Who or group medication request is for
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Patient resource UUID
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) Required Pattern: Patient
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
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	1..1	Reference(UAPI Practitioner)	Who/What requested the Request
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Practitioner resource UUID
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) Required Pattern: Practitioner
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
performer		0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration
performerType	Σ	0..1	CodeableConcept	Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
recorder		0..1	Reference(Practitioner | PractitionerRole)	Person who entered the request
reasonCode		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(UAPI Coverage)	Associated insurance coverage
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Coverage resource UUID
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible) Required Pattern: Coverage
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
note		0..*	Annotation	Information about the prescription
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	Additional dosage instruction
dosageInstruction		0..1	Dosage	How the medication should be taken
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions
text	Σ	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)
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)
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example)
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: SNOMEDCTRouteCodes (example)
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example)
doseAndRate	Σ	1..*	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: DoseAndRateType (example)
Slices for dose[x]	Σ	1..1	SimpleQuantity	Amount of medication per dose Slice: Unordered, Closed by type:$this
dose[x]:doseQuantity	C	1..1	SimpleQuantity	A fixed quantity (no comparator)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	Σ	1..1	decimal	Numerical value (with implicit precision)
unit	Σ	1..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	Σ	0..1	code	Coded form of the unit
rate[x]	Σ	0..1		Amount of medication per unit of time
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
maxDosePerPeriod	Σ	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	SimpleQuantity	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient
dispenseRequest		0..1	BackboneElement	Medication supply authorization
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dispenserInstruction		0..*	Annotation	UAPI MedicationRequest Dispenser Instructions URL: https://fhir.developer.gene.com/StructureDefinition/dispenser-instruction
dispenseQuantityDetail		0..*	(Complex)	UAPI MedicationRequest Dispense Quantity Detailed Breakdown URL: https://fhir.developer.gene.com/StructureDefinition/dispense-quantity-detail
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
initialFill		0..1	BackboneElement	First fill details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity		0..1	SimpleQuantity	First fill quantity
duration		0..1	Duration	First fill duration
dispenseInterval		0..1	Duration	Minimum period of time between dispenses
validityPeriod		0..1	Period	Time period supply is authorized for
numberOfRepeatsAllowed		0..1	unsignedInt	Number of refills authorized
quantity		0..1	SimpleQuantity	Amount of medication to supply per dispense
expectedSupplyDuration		0..1	Duration	Number of days supply per dispense
performer		0..1	Reference(Organization)	Intended dispenser
substitution		0..1	BackboneElement	Any restrictions on medication substitution
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
allowed[x]		1..1		Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
reason		0..1	CodeableConcept	Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): 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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
MedicationRequest.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
MedicationRequest.status	required	Pattern: active
MedicationRequest.statusReason	example	medicationRequest Status Reason Codes
MedicationRequest.intent	required	Pattern: order
MedicationRequest.category	example	medicationRequest Category Codes
MedicationRequest.priority	required	RequestPriority
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes
MedicationRequest.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes
MedicationRequest.medication[x]:medicationCodeableConcept.coding.code	required	UapiValueSetProductName (a valid code from UAPI Code System - Product Names)
MedicationRequest.subject.type	extensible	Pattern: Patient
MedicationRequest.requester.type	extensible	Pattern: Practitioner
MedicationRequest.performerType	example	ProcedurePerformerRoleCodes
MedicationRequest.reasonCode	example	Condition/Problem/DiagnosisCodes
MedicationRequest.courseOfTherapyType	example	medicationRequest Course of Therapy Codes
MedicationRequest.insurance.type	extensible	Pattern: Coverage
MedicationRequest.dosageInstruction.additionalInstruction	example	SNOMEDCTAdditionalDosageInstructions
MedicationRequest.dosageInstruction.asNeeded[x]	example	SNOMEDCTMedicationAsNeededReasonCodes
MedicationRequest.dosageInstruction.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes
MedicationRequest.dosageInstruction.route	example	SNOMEDCTRouteCodes
MedicationRequest.dosageInstruction.method	example	SNOMEDCTAdministrationMethodCodes
MedicationRequest.dosageInstruction.doseAndRate.type	example	DoseAndRateType
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason

Summary

Mandatory: 2 elements (7 nested mandatory elements)
Must-Support: 1 element

Structures

This structure refers to these other structures:

• UAPI Patient (https://fhir.developer.gene.com/StructureDefinition/uapi-patient)
• UAPI Practitioner (https://fhir.developer.gene.com/StructureDefinition/uapi-practitioner)
• UAPI Coverage (https://fhir.developer.gene.com/StructureDefinition/uapi-coverage)
• SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Extensions

This structure refers to these extensions:

• https://fhir.developer.gene.com/StructureDefinition/dispenser-instruction
• https://fhir.developer.gene.com/StructureDefinition/dispense-quantity-detail

Slices

This structure defines the following Slices:

• The element MedicationRequest.medication[x] is sliced based on the value of type:$this
• The element MedicationRequest.dosageInstruction.doseAndRate.dose[x] is sliced based on the value of type:$this