CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Local Development build (v3.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: ACH Monthly Event MedicationRequest

This profile contains Required and Must Support data elements for reporting medication request (order) information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile inherits from the US Core 6.1.0 MedicationRequest profile and applies capabilities from the QI Core 6.0.0 MedicationRequest profile and QI Core 6.0.0 Medication Not Requested profile.

Usages:

• Refer to this Profile: ACH Monthly Event MedicationAdministration
• Examples for this Profile: MedicationRequest/medicationrequest-example-ach-monthly-pass1-vancomycin, MedicationRequest/medicationrequest-example-ach-monthly-pass2-dex4-tablet, MedicationRequest/medicationrequest-example-ach-monthly-pass2-heparin, MedicationRequest/medicationrequest-example-ach-monthly-pass2-insulin-lispro... Show 4 more, MedicationRequest/medicationrequest-example-ach-monthly-pass2-metformin, MedicationRequest/medicationrequest-example-ach-monthly-pass3-cipro, MedicationRequest/medicationrequest-example-ach-monthly-pass3-enoxaparin and MedicationRequest/medicationrequest-example-ach-monthly-pass3-metronidazole

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
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Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest	C	0..*	USCoreMedicationRequestProfile(6.1.0)	Ordering of medication for patient or group Constraints: us-core-21
MedicationRequest.id	S This element must be supported. Σ This element is included in summaries.	1..1	id	(NHSN-MS) Logical id of this artifact
MedicationRequest.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MedicationRequest.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationRequest.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	(NHSN-MS) (QI-Core)(USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription.
MedicationRequest.statusReason	S This element must be supported.	0..1	CodeableConcept	(NHSN-MS) Reason for current status Binding: medicationRequest Status Reason Codes (extensible)
MedicationRequest.intent	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	1..1	code	(NHSN-MS) (USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order.
MedicationRequest.Slices for category	S This element must be supported.	0..*	CodeableConcept	(NHSN-MS) (USCDI) Type of medication usage Slice: Unordered, Open by pattern:$this Binding: medicationRequest Category Codes (extensible) Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for category.category:us-core	S This element must be supported.	0..*	CodeableConcept	(NHSN-MS) (USCDI) Type of medication usage Binding: medicationRequest Category Codes (required): The type of medication order. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
MedicationRequest.priority	S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
MedicationRequest.doNotPerform	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1	boolean	(NHSN-MS) (QI-Core) True if medication was not requested
MedicationRequest.reported[x]	S This element must be supported. Σ This element is included in summaries.	0..1		(NHSN-MS) (QI-Core)(USCDI) Reported rather than primary record
MedicationRequest.reported[x].reportedBoolean			boolean S This target must be supported.
MedicationRequest.reported[x].reportedReference			Reference S This type must be supported. (QICore Practitioner | QICore PractitionerRole | QICore Patient | QICore RelatedPerson)
MedicationRequest.Slices for medication[x]	S This element must be supported. Σ This element is included in summaries. C	1..1		(NHSN-MS) (USCDI) Medication to be taken Slice: Unordered, Closed by type:$this Binding: MedicationClinicalDrug (20240606) (extensible) Constraints: not-done-extension-present Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for medication[x].medicationCodeableConcept			CodeableConcept
MedicationRequest.Slices for medication[x].medicationReference			Reference(US Core Medication Profile(6.1.0))
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	(USCDI) Medication to be taken Binding: MedicationClinicalDrug (20240606) (extensible)
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for extension				Content/Rules for all slices
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for extension.extension:notDoneValueSet		0..1	canonical(ValueSet)	(QI-Core) If not requested, Url of a value set of medications not requested URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
MedicationRequest.Slices for medication[x].medication[x]:medicationReference	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(ACH Monthly Event Medication) {b}	(USCDI) Medication to be taken
MedicationRequest.Slices for medication[x].medication[x]:medicationReference.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL
MedicationRequest.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Cross-Measure Patient Profile) {b}	(NHSN-MS) (QI-Core)(USCDI) Who or group medication request is for
MedicationRequest.subject.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
MedicationRequest.encounter	S This element must be supported.	0..1	Reference(QICore Encounter) {b}	(NHSN-MS) (QI-Core)(USCDI) Encounter created as part of encounter/admission/stay
MedicationRequest.encounter.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
MedicationRequest.authoredOn	S This element must be supported. Σ This element is included in summaries.	1..1	dateTime	(NHSN-MS) (QI-Core)(USCDI) When request was initially authored
MedicationRequest.requester	S This element must be supported. Σ This element is included in summaries. C	0..1	Reference(QICore Practitioner | QICore PractitionerRole | QICore Patient)	(QI-Core)(USCDI) Who/What requested the Request
MedicationRequest.reasonCode	S This element must be supported.	0..*	CodeableConcept	(NHSN-MS) (QI-Core)(USCDI) Reason or indication for ordering or not ordering the medication Binding: Medication Request Reason ValueSet (extensible)
MedicationRequest.reasonReference	S This element must be supported.	0..*	Reference(ACH Monthly Event Condition | QICore Simple Observation (Substitute)) {b}	(NHSN-MS) (QI-Core)(USCDI) QI-Core Condition or Observation that supports the prescription
MedicationRequest.reasonReference.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
MedicationRequest.instantiatesCanonical	S This element must be supported. Σ This element is included in summaries.	0..*	canonical()	(NHSN-MS) Instantiates FHIR protocol or definition
MedicationRequest.instantiatesUri	S This element must be supported. Σ This element is included in summaries.	0..*	uri	(NHSN-MS) Instantiates external protocol or definition
MedicationRequest.courseOfTherapyType	S This element must be supported.	0..1	CodeableConcept	(NHSN-MS) Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
MedicationRequest.dosageInstruction	S This element must be supported.	0..*	Dosage	(NHSN-MS) (QI-Core)(USCDI) How medication should be taken
MedicationRequest.dosageInstruction.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dosageInstruction.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) (USCDI) Free text dosage instructions e.g. SIG
MedicationRequest.dosageInstruction.timing	S This element must be supported. Σ This element is included in summaries.	0..1	Timing	(NHSN-MS) (QI-Core)(USCDI) When medication should be administered
MedicationRequest.dosageInstruction.timing.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dosageInstruction.timing.event	S This element must be supported. Σ This element is included in summaries.	0..*	dateTime	(NHSN-MS) When the event occurs
MedicationRequest.dosageInstruction.timing.repeat	S This element must be supported. Σ This element is included in summaries. C	0..1	Element	(NHSN-MS) (QI-Core) When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]	S This element must be supported. Σ This element is included in summaries.	0..1		(NHSN-MS) (QI-Core) Length/Range of lengths, or (Start and/or end) limits
MedicationRequest.dosageInstruction.timing.repeat.bounds[x].boundsDuration			Duration
MedicationRequest.dosageInstruction.timing.repeat.bounds[x].boundsRange			Range
MedicationRequest.dosageInstruction.timing.repeat.bounds[x].boundsPeriod			Period
MedicationRequest.dosageInstruction.timing.repeat.count	S This element must be supported. Σ This element is included in summaries.	0..1	positiveInt	(NHSN-MS) Number of times to repeat
MedicationRequest.dosageInstruction.timing.repeat.countMax	S This element must be supported. Σ This element is included in summaries.	0..1	positiveInt	(NHSN-MS) Maximum number of times to repeat
MedicationRequest.dosageInstruction.timing.repeat.duration	S This element must be supported. Σ This element is included in summaries.	0..1	decimal	(NHSN-MS) How long when it happens
MedicationRequest.dosageInstruction.timing.repeat.durationMax	S This element must be supported. Σ This element is included in summaries.	0..1	decimal	(NHSN-MS) How long when it happens (Max)
MedicationRequest.dosageInstruction.timing.repeat.durationUnit	S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
MedicationRequest.dosageInstruction.timing.repeat.frequency	S This element must be supported. Σ This element is included in summaries.	0..1	positiveInt	(NHSN-MS) (QI-Core) Event occurs frequency times per period
MedicationRequest.dosageInstruction.timing.repeat.frequencyMax	S This element must be supported. Σ This element is included in summaries.	0..1	positiveInt	(NHSN-MS) (QI-Core) Event occurs frequencyMax times per period
MedicationRequest.dosageInstruction.timing.repeat.period	S This element must be supported. Σ This element is included in summaries.	0..1	decimal	(NHSN-MS) (QI-Core) Event occurs frequency times per period
MedicationRequest.dosageInstruction.timing.repeat.periodMax	S This element must be supported. Σ This element is included in summaries.	0..1	decimal	(NHSN-MS) (QI-Core) Upper limit of period (3-4 hours)
MedicationRequest.dosageInstruction.timing.repeat.periodUnit	S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) (QI-Core) s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek	S This element must be supported. Σ This element is included in summaries.	0..*	code	(NHSN-MS) mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
MedicationRequest.dosageInstruction.timing.repeat.timeOfDay	S This element must be supported. Σ This element is included in summaries.	0..*	time	(NHSN-MS) Time of day for action
MedicationRequest.dosageInstruction.timing.repeat.when	S This element must be supported. Σ This element is included in summaries.	0..*	code	(NHSN-MS) Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
MedicationRequest.dosageInstruction.timing.repeat.offset	S This element must be supported. Σ This element is included in summaries.	0..1	unsignedInt	(NHSN-MS) Minutes from event (before or after)
MedicationRequest.dosageInstruction.timing.code	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	(NHSN-MS) BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
MedicationRequest.dosageInstruction.asNeeded[x]	S This element must be supported. Σ This element is included in summaries.	0..1		(NHSN-MS) (QI-Core) 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.
MedicationRequest.dosageInstruction.asNeeded[x].asNeededBoolean			boolean
MedicationRequest.dosageInstruction.asNeeded[x].asNeededCodeableConcept			CodeableConcept
MedicationRequest.dosageInstruction.site	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	(NHSN-MS) Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
MedicationRequest.dosageInstruction.route	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	(NHSN-MS) How drug should enter body Binding: SNOMEDCTRouteCodes (extensible)
MedicationRequest.dosageInstruction.method	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	(NHSN-MS) Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
MedicationRequest.dosageInstruction.doseAndRate	S This element must be supported. Σ This element is included in summaries.	0..*	Element	(NHSN-MS) (QI-Core)(USCDI) Amount of medication administered
MedicationRequest.dosageInstruction.doseAndRate.type	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	(NHSN-MS) The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
MedicationRequest.dosageInstruction.doseAndRate.dose[x]	S This element must be supported. Σ This element is included in summaries.	0..1		(NHSN-MS) (QI-Core)(USCDI) Amount of medication per dose Binding: Common UCUM units (preferred) Additional Bindings Purpose UCUMCodes Max Binding
MedicationRequest.dosageInstruction.doseAndRate.dose[x].doseQuantity			Quantity S This type must be supported.
MedicationRequest.dosageInstruction.doseAndRate.dose[x].doseRange			Range
MedicationRequest.dosageInstruction.doseAndRate.rate[x]	S This element must be supported. Σ This element is included in summaries.	0..1		(NHSN-MS) Amount of medication per unit of time
MedicationRequest.dosageInstruction.doseAndRate.rate[x].rateRatio			Ratio
MedicationRequest.dosageInstruction.doseAndRate.rate[x].rateRange			Range
MedicationRequest.dosageInstruction.doseAndRate.rate[x].rateQuantity			Quantity(SimpleQuantity)
MedicationRequest.dispenseRequest	S This element must be supported.	0..1	BackboneElement	(QI-Core)(USCDI) Medication supply authorization
MedicationRequest.dispenseRequest.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dispenseRequest.dispenseInterval		0..1	Duration	(QI-Core) Minimum period of time between dispenses
MedicationRequest.dispenseRequest.numberOfRepeatsAllowed	S This element must be supported.	0..1	unsignedInt	(QI-Core)(USCDI) Number of refills authorized
MedicationRequest.dispenseRequest.quantity	S This element must be supported. C	0..1	SimpleQuantity	(QI-Core)(USCDI) Amount of medication to supply per dispense Constraints: sqty-1
MedicationRequest.dispenseRequest.expectedSupplyDuration		0..1	Duration	(QI-Core) Number of days supply per dispense
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.status	Base	required	Medicationrequest status	📦4.0.1	FHIR Std.
MedicationRequest.statusReason	Base	extensible	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	extensible	Medication request category codes	📦4.0.1	FHIR Std.
MedicationRequest.category:us-core	Base	required	Medication request category codes	📦4.0.1	FHIR Std.
MedicationRequest.priority	Base	required	Request priority	📍4.0.1	FHIR Std.
MedicationRequest.medication[x]	Base	extensible	Medication Clinical Drug	📍20240606	VSAC v0.22
MedicationRequest.medication[x]:medicationCodeableConcept	Base	extensible	Medication Clinical Drug	📍20240606	VSAC v0.22
MedicationRequest.reasonCode	Base	extensible	Medication Request Reason ValueSet	📦3.0.0	This IG
MedicationRequest.courseOfTherapyType	Base	example	Medication request course of therapy codes	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.durationUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.dayOfWeek	Base	required	DaysOfWeek	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.when	Base	required	EventTiming	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.code	Base	preferred	TimingAbbreviation	📍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	extensible	SNOMED CT Route Codes	📦4.0.1	FHIR Std.
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.dosageInstruction.​doseAndRate.dose[x]	Base	preferred	Common UCUM units	📦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	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
not-done-extension-present	error	MedicationRequest.medication[x]	qicore-notDoneValueSet extension does not exist	extension.where(url='http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists().not()
sqty-1	error	MedicationRequest.dispenseRequest.quantity	The comparator is not used on a SimpleQuantity	comparator.empty()
tim-1	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a duration, there needs to be duration units	duration.empty() or durationUnit.exists()
tim-2	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a period, there needs to be period units	period.empty() or periodUnit.exists()
tim-4	error	MedicationRequest.dosageInstruction.timing.repeat	duration SHALL be a non-negative value	duration.exists() implies duration >= 0
tim-5	error	MedicationRequest.dosageInstruction.timing.repeat	period SHALL be a non-negative value	period.exists() implies period >= 0
tim-6	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a periodMax, there must be a period	periodMax.empty() or period.exists()
tim-7	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a durationMax, there must be a duration	durationMax.empty() or duration.exists()
tim-8	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a countMax, there must be a count	countMax.empty() or count.exists()
tim-9	error	MedicationRequest.dosageInstruction.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV)	offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa	timeOfDay.empty() or when.empty()
us-core-21	error	MedicationRequest	requester SHALL be present if intent is "order"	(intent='order' or intent='original-order' or intent='reflex-order'or intent='filler-order' or intent='instance-order') implies requester.exists()

This structure is derived from USCoreMedicationRequestProfile

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	USCoreMedicationRequestProfile(6.1.0)	Ordering of medication for patient or group
MedicationRequest.id	S This element must be supported.	1..1	id	(NHSN-MS) Logical id of this artifact
MedicationRequest.meta
MedicationRequest.meta.extension		0..*	Extension	(NHSN-MS) Received Date
MedicationRequest.meta.Slices for extension				Content/Rules for all slices
MedicationRequest.meta.Slices for extension.extension:link-received-date-extension		0..1	dateTime	Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
MedicationRequest.status		1..1	code	(NHSN-MS)(QI-Core)(USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
MedicationRequest.statusReason	S This element must be supported.	0..1	CodeableConcept	(NHSN-MS) Reason for current status Binding: medicationRequest Status Reason Codes (extensible)
MedicationRequest.intent		1..1	code	(NHSN-MS)(USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
MedicationRequest.category		0..*	CodeableConcept	(NHSN-MS)(USCDI) Type of medication usage Binding: medicationRequest Category Codes (extensible)
MedicationRequest.Slices for category				Content/Rules for all slices
MedicationRequest.Slices for category.category:us-core		0..*	CodeableConcept	(NHSN-MS)(USCDI) Type of medication usage
MedicationRequest.priority	S This element must be supported.	0..1	code	(NHSN-MS) routine | urgent | asap | stat
MedicationRequest.doNotPerform	S This element must be supported.	0..1	boolean	(NHSN-MS) (QI-Core) True if medication was not requested
MedicationRequest.reported[x]		0..1		(NHSN-MS)(QI-Core)(USCDI) Reported rather than primary record
MedicationRequest.reported[x].reportedBoolean			boolean
MedicationRequest.reported[x].reportedReference			Reference(QICore Practitioner | QICore PractitionerRole | QICore Patient | QICore RelatedPerson)
MedicationRequest.Slices for medication[x]	C	1..1	CodeableConcept, Reference(US Core Medication Profile(6.1.0))	(NHSN-MS)(USCDI) Medication to be taken Slice: Unordered, Open by type:$this Constraints: not-done-extension-present Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept		0..1	CodeableConcept	(USCDI) Medication to be taken
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for extension				Content/Rules for all slices
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for extension.extension:notDoneValueSet		0..1	canonical(ValueSet)	(QI-Core) If not requested, Url of a value set of medications not requested URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
MedicationRequest.Slices for medication[x].medication[x]:medicationReference		0..1	Reference(ACH Monthly Event Medication) {b}	(USCDI) Medication to be taken
MedicationRequest.Slices for medication[x].medication[x]:medicationReference.reference	S This element must be supported.	1..1	string	Literal reference, Relative, internal or absolute URL
MedicationRequest.subject		1..1	Reference(Cross-Measure Patient Profile) {b}	(NHSN-MS)(QI-Core)(USCDI) Who or group medication request is for
MedicationRequest.subject.reference	S This element must be supported.	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
MedicationRequest.encounter		0..1	Reference(QICore Encounter) {b}	(NHSN-MS)(QI-Core)(USCDI) Encounter created as part of encounter/admission/stay
MedicationRequest.encounter.reference	S This element must be supported.	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
MedicationRequest.authoredOn		1..1	dateTime	(NHSN-MS)(QI-Core)(USCDI) When request was initially authored
MedicationRequest.requester		0..1	Reference(QICore Practitioner | QICore PractitionerRole | QICore Patient)	(QI-Core)(USCDI) Who/What requested the Request
MedicationRequest.reasonCode	S This element must be supported.	0..*	CodeableConcept	(NHSN-MS) (QI-Core)(USCDI) Reason or indication for ordering or not ordering the medication Binding: Medication Request Reason ValueSet (extensible)
MedicationRequest.reasonReference	S This element must be supported.	0..*	Reference(ACH Monthly Event Condition | QICore Simple Observation (Substitute)) {b}	(NHSN-MS) (QI-Core)(USCDI) QI-Core Condition or Observation that supports the prescription
MedicationRequest.reasonReference.reference	S This element must be supported.	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
MedicationRequest.instantiatesCanonical	S This element must be supported.	0..*	canonical()	(NHSN-MS) Instantiates FHIR protocol or definition
MedicationRequest.instantiatesUri	S This element must be supported.	0..*	uri	(NHSN-MS) Instantiates external protocol or definition
MedicationRequest.courseOfTherapyType	S This element must be supported.	0..1	CodeableConcept	(NHSN-MS) Overall pattern of medication administration
MedicationRequest.dosageInstruction		0..*	Dosage	(NHSN-MS)(QI-Core)(USCDI) How medication should be taken
MedicationRequest.dosageInstruction.text		0..1	string	(NHSN-MS)(USCDI) Free text dosage instructions e.g. SIG
MedicationRequest.dosageInstruction.timing		0..1	Timing	(NHSN-MS)(QI-Core)(USCDI) When medication should be administered
MedicationRequest.dosageInstruction.timing.event	S This element must be supported.	0..*	dateTime	(NHSN-MS) When the event occurs
MedicationRequest.dosageInstruction.timing.repeat	S This element must be supported.	0..1	Element	(NHSN-MS) (QI-Core) When the event is to occur
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]	S This element must be supported.	0..1	Duration, Range, Period	(NHSN-MS) (QI-Core) Length/Range of lengths, or (Start and/or end) limits
MedicationRequest.dosageInstruction.timing.repeat.count	S This element must be supported.	0..1	positiveInt	(NHSN-MS) Number of times to repeat
MedicationRequest.dosageInstruction.timing.repeat.countMax	S This element must be supported.	0..1	positiveInt	(NHSN-MS) Maximum number of times to repeat
MedicationRequest.dosageInstruction.timing.repeat.duration	S This element must be supported.	0..1	decimal	(NHSN-MS) How long when it happens
MedicationRequest.dosageInstruction.timing.repeat.durationMax	S This element must be supported.	0..1	decimal	(NHSN-MS) How long when it happens (Max)
MedicationRequest.dosageInstruction.timing.repeat.durationUnit	S This element must be supported.	0..1	code	(NHSN-MS) s | min | h | d | wk | mo | a - unit of time (UCUM)
MedicationRequest.dosageInstruction.timing.repeat.frequency	S This element must be supported.	0..1	positiveInt	(NHSN-MS) (QI-Core) Event occurs frequency times per period
MedicationRequest.dosageInstruction.timing.repeat.frequencyMax	S This element must be supported.	0..1	positiveInt	(NHSN-MS) (QI-Core) Event occurs frequencyMax times per period
MedicationRequest.dosageInstruction.timing.repeat.period	S This element must be supported.	0..1	decimal	(NHSN-MS) (QI-Core) Event occurs frequency times per period
MedicationRequest.dosageInstruction.timing.repeat.periodMax	S This element must be supported.	0..1	decimal	(NHSN-MS) (QI-Core) Upper limit of period (3-4 hours)
MedicationRequest.dosageInstruction.timing.repeat.periodUnit	S This element must be supported.	0..1	code	(NHSN-MS) (QI-Core) s | min | h | d | wk | mo | a - unit of time (UCUM)
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek	S This element must be supported.	0..*	code	(NHSN-MS) mon | tue | wed | thu | fri | sat | sun
MedicationRequest.dosageInstruction.timing.repeat.timeOfDay	S This element must be supported.	0..*	time	(NHSN-MS) Time of day for action
MedicationRequest.dosageInstruction.timing.repeat.when	S This element must be supported.	0..*	code	(NHSN-MS) Code for time period of occurrence
MedicationRequest.dosageInstruction.timing.repeat.offset	S This element must be supported.	0..1	unsignedInt	(NHSN-MS) Minutes from event (before or after)
MedicationRequest.dosageInstruction.timing.code	S This element must be supported.	0..1	CodeableConcept	(NHSN-MS) BID | TID | QID | AM | PM | QD | QOD | +
MedicationRequest.dosageInstruction.asNeeded[x]	S This element must be supported.	0..1	boolean, CodeableConcept	(NHSN-MS) (QI-Core) Take "as needed" (for x)
MedicationRequest.dosageInstruction.site	S This element must be supported.	0..1	CodeableConcept	(NHSN-MS) Body site to administer to
MedicationRequest.dosageInstruction.route	S This element must be supported.	1..1	CodeableConcept	(NHSN-MS) How drug should enter body Binding: SNOMEDCTRouteCodes (extensible)
MedicationRequest.dosageInstruction.method	S This element must be supported.	0..1	CodeableConcept	(NHSN-MS) Technique for administering medication
MedicationRequest.dosageInstruction.doseAndRate		0..*	Element	(NHSN-MS)(QI-Core)(USCDI) Amount of medication administered
MedicationRequest.dosageInstruction.doseAndRate.type	S This element must be supported.	0..1	CodeableConcept	(NHSN-MS) The kind of dose or rate specified
MedicationRequest.dosageInstruction.doseAndRate.dose[x]		0..1	Quantity, Range	(NHSN-MS)(QI-Core)(USCDI) Amount of medication per dose
MedicationRequest.dosageInstruction.doseAndRate.rate[x]	S This element must be supported.	0..1	Ratio, Range, SimpleQuantity	(NHSN-MS) Amount of medication per unit of time
MedicationRequest.dispenseRequest		0..1	BackboneElement	(QI-Core)(USCDI) Medication supply authorization
MedicationRequest.dispenseRequest.dispenseInterval		0..1	Duration	(QI-Core) Minimum period of time between dispenses
MedicationRequest.dispenseRequest.numberOfRepeatsAllowed		0..1	unsignedInt	(QI-Core)(USCDI) Number of refills authorized
MedicationRequest.dispenseRequest.quantity		0..1	SimpleQuantity	(QI-Core)(USCDI) Amount of medication to supply per dispense
MedicationRequest.dispenseRequest.expectedSupplyDuration		0..1	Duration	(QI-Core) Number of days supply per dispense
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.statusReason	Base	extensible	Medication request status reason codes	📦4.0.1	FHIR Std.
MedicationRequest.category	Base	extensible	Medication request category codes	📦4.0.1	FHIR Std.
MedicationRequest.reasonCode	Base	extensible	Medication Request Reason ValueSet	📦3.0.0	This IG
MedicationRequest.dosageInstruction.​route	Base	extensible	SNOMED CT Route Codes	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
not-done-extension-present	error	MedicationRequest.medication[x]	qicore-notDoneValueSet extension does not exist	extension.where(url='http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists().not()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest	C	0..*	USCoreMedicationRequestProfile(6.1.0)	Ordering of medication for patient or group Constraints: us-core-21
MedicationRequest.id	S This element must be supported. Σ This element is included in summaries.	1..1	id	(NHSN-MS) Logical id of this artifact
MedicationRequest.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
MedicationRequest.meta.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.meta.Slices for extension		0..*	Extension	(NHSN-MS) Received Date Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.meta.Slices for extension.extension:link-received-date-extension		0..1	dateTime	Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
MedicationRequest.meta.versionId	Σ This element is included in summaries.	0..1	id	Version specific identifier
MedicationRequest.meta.lastUpdated	Σ This element is included in summaries.	0..1	instant	When the resource version last changed
MedicationRequest.meta.source	Σ This element is included in summaries.	0..1	uri	Identifies where the resource comes from
MedicationRequest.meta.profile	Σ This element is included in summaries.	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
MedicationRequest.meta.security	Σ This element is included in summaries.	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
MedicationRequest.meta.tag	Σ This element is included in summaries.	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
MedicationRequest.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MedicationRequest.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
MedicationRequest.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
MedicationRequest.contained		0..*	Resource	Contained, inline Resources
MedicationRequest.extension		0..*	Extension	Additional content defined by implementations
MedicationRequest.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationRequest.identifier		0..*	Identifier	External ids for this request
MedicationRequest.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	(NHSN-MS) (QI-Core)(USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription.
MedicationRequest.statusReason	S This element must be supported.	0..1	CodeableConcept	(NHSN-MS) Reason for current status Binding: medicationRequest Status Reason Codes (extensible)
MedicationRequest.intent	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	1..1	code	(NHSN-MS) (USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order.
MedicationRequest.Slices for category	S This element must be supported.	0..*	CodeableConcept	(NHSN-MS) (USCDI) Type of medication usage Slice: Unordered, Open by pattern:$this Binding: medicationRequest Category Codes (extensible) Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for category.category:us-core	S This element must be supported.	0..*	CodeableConcept	(NHSN-MS) (USCDI) Type of medication usage Binding: medicationRequest Category Codes (required): The type of medication order. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
MedicationRequest.priority	S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
MedicationRequest.doNotPerform	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1	boolean	(NHSN-MS) (QI-Core) True if medication was not requested
MedicationRequest.reported[x]	S This element must be supported. Σ This element is included in summaries.	0..1		(NHSN-MS) (QI-Core)(USCDI) Reported rather than primary record
MedicationRequest.reported[x].reportedBoolean			boolean S This target must be supported.
MedicationRequest.reported[x].reportedReference			Reference S This type must be supported. (QICore Practitioner | QICore PractitionerRole | QICore Patient | QICore RelatedPerson)
MedicationRequest.Slices for medication[x]	S This element must be supported. Σ This element is included in summaries. C	1..1		(NHSN-MS) (USCDI) Medication to be taken Slice: Unordered, Closed by type:$this Binding: MedicationClinicalDrug (20240606) (extensible) Constraints: not-done-extension-present Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for medication[x].medicationCodeableConcept			CodeableConcept
MedicationRequest.Slices for medication[x].medicationReference			Reference(US Core Medication Profile(6.1.0))
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	(USCDI) Medication to be taken Binding: MedicationClinicalDrug (20240606) (extensible)
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for extension				Content/Rules for all slices
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for extension.extension:notDoneValueSet		0..1	canonical(ValueSet)	(QI-Core) If not requested, Url of a value set of medications not requested URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
MedicationRequest.Slices for medication[x].medication[x]:medicationReference	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(ACH Monthly Event Medication) {b}	(USCDI) Medication to be taken
MedicationRequest.Slices for medication[x].medication[x]:medicationReference.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.Slices for medication[x].medication[x]:medicationReference.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.Slices for medication[x].medication[x]:medicationReference.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL
MedicationRequest.Slices for medication[x].medication[x]:medicationReference.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
MedicationRequest.Slices for medication[x].medication[x]:medicationReference.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
MedicationRequest.Slices for medication[x].medication[x]:medicationReference.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
MedicationRequest.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Cross-Measure Patient Profile) {b}	(NHSN-MS) (QI-Core)(USCDI) Who or group medication request is for
MedicationRequest.subject.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.subject.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.subject.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
MedicationRequest.subject.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
MedicationRequest.subject.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
MedicationRequest.subject.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
MedicationRequest.encounter	S This element must be supported.	0..1	Reference(QICore Encounter) {b}	(NHSN-MS) (QI-Core)(USCDI) Encounter created as part of encounter/admission/stay
MedicationRequest.encounter.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.encounter.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.encounter.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
MedicationRequest.encounter.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
MedicationRequest.encounter.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
MedicationRequest.encounter.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
MedicationRequest.supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication
MedicationRequest.authoredOn	S This element must be supported. Σ This element is included in summaries.	1..1	dateTime	(NHSN-MS) (QI-Core)(USCDI) When request was initially authored
MedicationRequest.requester	S This element must be supported. Σ This element is included in summaries. C	0..1	Reference(QICore Practitioner | QICore PractitionerRole | QICore Patient)	(QI-Core)(USCDI) Who/What requested the Request
MedicationRequest.performer		0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration
MedicationRequest.performerType	Σ This element is included in summaries.	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.
MedicationRequest.recorder		0..1	Reference(Practitioner | PractitionerRole)	Person who entered the request
MedicationRequest.reasonCode	S This element must be supported.	0..*	CodeableConcept	(NHSN-MS) (QI-Core)(USCDI) Reason or indication for ordering or not ordering the medication Binding: Medication Request Reason ValueSet (extensible)
MedicationRequest.reasonReference	S This element must be supported.	0..*	Reference(ACH Monthly Event Condition | QICore Simple Observation (Substitute)) {b}	(NHSN-MS) (QI-Core)(USCDI) QI-Core Condition or Observation that supports the prescription
MedicationRequest.reasonReference.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.reasonReference.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.reasonReference.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
MedicationRequest.reasonReference.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
MedicationRequest.reasonReference.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
MedicationRequest.reasonReference.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
MedicationRequest.instantiatesCanonical	S This element must be supported. Σ This element is included in summaries.	0..*	canonical()	(NHSN-MS) Instantiates FHIR protocol or definition
MedicationRequest.instantiatesUri	S This element must be supported. Σ This element is included in summaries.	0..*	uri	(NHSN-MS) Instantiates external protocol or definition
MedicationRequest.basedOn	Σ This element is included in summaries.	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	What request fulfills
MedicationRequest.groupIdentifier	Σ This element is included in summaries.	0..1	Identifier	Composite request this is part of
MedicationRequest.courseOfTherapyType	S This element must be supported.	0..1	CodeableConcept	(NHSN-MS) Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
MedicationRequest.insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
MedicationRequest.note		0..*	Annotation	Information about the prescription
MedicationRequest.dosageInstruction	S This element must be supported.	0..*	Dosage	(NHSN-MS) (QI-Core)(USCDI) How medication should be taken
MedicationRequest.dosageInstruction.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dosageInstruction.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dosageInstruction.sequence	Σ This element is included in summaries.	0..1	integer	The order of the dosage instructions
MedicationRequest.dosageInstruction.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) (USCDI) Free text dosage instructions e.g. SIG
MedicationRequest.dosageInstruction.additionalInstruction	Σ This element is included in summaries.	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".
MedicationRequest.dosageInstruction.patientInstruction	Σ This element is included in summaries.	0..1	string	Patient or consumer oriented instructions
MedicationRequest.dosageInstruction.timing	S This element must be supported. Σ This element is included in summaries.	0..1	Timing	(NHSN-MS) (QI-Core)(USCDI) When medication should be administered
MedicationRequest.dosageInstruction.timing.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dosageInstruction.timing.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.timing.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dosageInstruction.timing.event	S This element must be supported. Σ This element is included in summaries.	0..*	dateTime	(NHSN-MS) When the event occurs
MedicationRequest.dosageInstruction.timing.repeat	S This element must be supported. Σ This element is included in summaries. C	0..1	Element	(NHSN-MS) (QI-Core) When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
MedicationRequest.dosageInstruction.timing.repeat.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dosageInstruction.timing.repeat.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]	S This element must be supported. Σ This element is included in summaries.	0..1		(NHSN-MS) (QI-Core) Length/Range of lengths, or (Start and/or end) limits
MedicationRequest.dosageInstruction.timing.repeat.bounds[x].boundsDuration			Duration
MedicationRequest.dosageInstruction.timing.repeat.bounds[x].boundsRange			Range
MedicationRequest.dosageInstruction.timing.repeat.bounds[x].boundsPeriod			Period
MedicationRequest.dosageInstruction.timing.repeat.count	S This element must be supported. Σ This element is included in summaries.	0..1	positiveInt	(NHSN-MS) Number of times to repeat
MedicationRequest.dosageInstruction.timing.repeat.countMax	S This element must be supported. Σ This element is included in summaries.	0..1	positiveInt	(NHSN-MS) Maximum number of times to repeat
MedicationRequest.dosageInstruction.timing.repeat.duration	S This element must be supported. Σ This element is included in summaries.	0..1	decimal	(NHSN-MS) How long when it happens
MedicationRequest.dosageInstruction.timing.repeat.durationMax	S This element must be supported. Σ This element is included in summaries.	0..1	decimal	(NHSN-MS) How long when it happens (Max)
MedicationRequest.dosageInstruction.timing.repeat.durationUnit	S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
MedicationRequest.dosageInstruction.timing.repeat.frequency	S This element must be supported. Σ This element is included in summaries.	0..1	positiveInt	(NHSN-MS) (QI-Core) Event occurs frequency times per period
MedicationRequest.dosageInstruction.timing.repeat.frequencyMax	S This element must be supported. Σ This element is included in summaries.	0..1	positiveInt	(NHSN-MS) (QI-Core) Event occurs frequencyMax times per period
MedicationRequest.dosageInstruction.timing.repeat.period	S This element must be supported. Σ This element is included in summaries.	0..1	decimal	(NHSN-MS) (QI-Core) Event occurs frequency times per period
MedicationRequest.dosageInstruction.timing.repeat.periodMax	S This element must be supported. Σ This element is included in summaries.	0..1	decimal	(NHSN-MS) (QI-Core) Upper limit of period (3-4 hours)
MedicationRequest.dosageInstruction.timing.repeat.periodUnit	S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) (QI-Core) s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek	S This element must be supported. Σ This element is included in summaries.	0..*	code	(NHSN-MS) mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
MedicationRequest.dosageInstruction.timing.repeat.timeOfDay	S This element must be supported. Σ This element is included in summaries.	0..*	time	(NHSN-MS) Time of day for action
MedicationRequest.dosageInstruction.timing.repeat.when	S This element must be supported. Σ This element is included in summaries.	0..*	code	(NHSN-MS) Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
MedicationRequest.dosageInstruction.timing.repeat.offset	S This element must be supported. Σ This element is included in summaries.	0..1	unsignedInt	(NHSN-MS) Minutes from event (before or after)
MedicationRequest.dosageInstruction.timing.code	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	(NHSN-MS) BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
MedicationRequest.dosageInstruction.asNeeded[x]	S This element must be supported. Σ This element is included in summaries.	0..1		(NHSN-MS) (QI-Core) 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.
MedicationRequest.dosageInstruction.asNeeded[x].asNeededBoolean			boolean
MedicationRequest.dosageInstruction.asNeeded[x].asNeededCodeableConcept			CodeableConcept
MedicationRequest.dosageInstruction.site	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	(NHSN-MS) Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
MedicationRequest.dosageInstruction.route	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	(NHSN-MS) How drug should enter body Binding: SNOMEDCTRouteCodes (extensible)
MedicationRequest.dosageInstruction.method	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	(NHSN-MS) Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
MedicationRequest.dosageInstruction.doseAndRate	S This element must be supported. Σ This element is included in summaries.	0..*	Element	(NHSN-MS) (QI-Core)(USCDI) Amount of medication administered
MedicationRequest.dosageInstruction.doseAndRate.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dosageInstruction.doseAndRate.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.doseAndRate.type	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	(NHSN-MS) The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
MedicationRequest.dosageInstruction.doseAndRate.dose[x]	S This element must be supported. Σ This element is included in summaries.	0..1		(NHSN-MS) (QI-Core)(USCDI) Amount of medication per dose Binding: Common UCUM units (preferred) Additional Bindings Purpose UCUMCodes Max Binding
MedicationRequest.dosageInstruction.doseAndRate.dose[x].doseQuantity			Quantity S This type must be supported.
MedicationRequest.dosageInstruction.doseAndRate.dose[x].doseRange			Range
MedicationRequest.dosageInstruction.doseAndRate.rate[x]	S This element must be supported. Σ This element is included in summaries.	0..1		(NHSN-MS) Amount of medication per unit of time
MedicationRequest.dosageInstruction.doseAndRate.rate[x].rateRatio			Ratio
MedicationRequest.dosageInstruction.doseAndRate.rate[x].rateRange			Range
MedicationRequest.dosageInstruction.doseAndRate.rate[x].rateQuantity			Quantity(SimpleQuantity)
MedicationRequest.dosageInstruction.maxDosePerPeriod	Σ This element is included in summaries.	0..1	Ratio	Upper limit on medication per unit of time
MedicationRequest.dosageInstruction.maxDosePerAdministration	Σ This element is included in summaries. C	0..1	SimpleQuantity	Upper limit on medication per administration Constraints: sqty-1
MedicationRequest.dosageInstruction.maxDosePerLifetime	Σ This element is included in summaries. C	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient Constraints: sqty-1
MedicationRequest.dispenseRequest	S This element must be supported.	0..1	BackboneElement	(QI-Core)(USCDI) Medication supply authorization
MedicationRequest.dispenseRequest.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dispenseRequest.extension		0..*	Extension	Additional content defined by implementations
MedicationRequest.dispenseRequest.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dispenseRequest.initialFill		0..1	BackboneElement	First fill details
MedicationRequest.dispenseRequest.initialFill.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dispenseRequest.initialFill.extension		0..*	Extension	Additional content defined by implementations
MedicationRequest.dispenseRequest.initialFill.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dispenseRequest.initialFill.quantity	C	0..1	SimpleQuantity	First fill quantity Constraints: sqty-1
MedicationRequest.dispenseRequest.initialFill.duration		0..1	Duration	First fill duration
MedicationRequest.dispenseRequest.dispenseInterval		0..1	Duration	(QI-Core) Minimum period of time between dispenses
MedicationRequest.dispenseRequest.validityPeriod		0..1	Period	Time period supply is authorized for
MedicationRequest.dispenseRequest.numberOfRepeatsAllowed	S This element must be supported.	0..1	unsignedInt	(QI-Core)(USCDI) Number of refills authorized
MedicationRequest.dispenseRequest.quantity	S This element must be supported. C	0..1	SimpleQuantity	(QI-Core)(USCDI) Amount of medication to supply per dispense Constraints: sqty-1
MedicationRequest.dispenseRequest.expectedSupplyDuration		0..1	Duration	(QI-Core) Number of days supply per dispense
MedicationRequest.dispenseRequest.performer		0..1	Reference(Organization)	Intended dispenser
MedicationRequest.substitution		0..1	BackboneElement	Any restrictions on medication substitution
MedicationRequest.substitution.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.substitution.extension		0..*	Extension	Additional content defined by implementations
MedicationRequest.substitution.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.substitution.allowed[x]		1..1		Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): Identifies the type of substitution allowed.
MedicationRequest.substitution.allowed[x].allowedBoolean			boolean
MedicationRequest.substitution.allowed[x].allowedCodeableConcept			CodeableConcept
MedicationRequest.substitution.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.
MedicationRequest.priorPrescription		0..1	Reference(MedicationRequest)	An order/prescription that is being replaced
MedicationRequest.detectedIssue		0..*	Reference(DetectedIssue)	Clinical Issue with action
MedicationRequest.eventHistory		0..*	Reference(Provenance)	A list of events of interest in the lifecycle
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.meta.​security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
MedicationRequest.meta.​tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
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	extensible	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	extensible	Medication request category codes	📦4.0.1	FHIR Std.
MedicationRequest.category:us-core	Base	required	Medication request category codes	📦4.0.1	FHIR Std.
MedicationRequest.priority	Base	required	Request priority	📍4.0.1	FHIR Std.
MedicationRequest.medication[x]	Base	extensible	Medication Clinical Drug	📍20240606	VSAC v0.22
MedicationRequest.medication[x]:medicationCodeableConcept	Base	extensible	Medication Clinical Drug	📍20240606	VSAC v0.22
MedicationRequest.medication[x]:medicationReference.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationRequest.subject.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationRequest.encounter.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationRequest.performerType	Base	example	Procedure Performer Role Codes	📦4.0.1	FHIR Std.
MedicationRequest.reasonCode	Base	extensible	Medication Request Reason ValueSet	📦3.0.0	This IG
MedicationRequest.reasonReference.​type	Base	extensible	ResourceType	📍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.​timing.repeat.durationUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.dayOfWeek	Base	required	DaysOfWeek	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.when	Base	required	EventTiming	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.code	Base	preferred	TimingAbbreviation	📍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	extensible	SNOMED CT Route Codes	📦4.0.1	FHIR Std.
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.dosageInstruction.​doseAndRate.dose[x]	Base	preferred	Common UCUM units	📦4.0.1	FHIR Std.
MedicationRequest.substitution.​allowed[x]	Base	example	ActSubstanceAdminSubstitutionCode	📍3.0.0	THO v7.1
MedicationRequest.substitution.​reason	Base	example	SubstanceAdminSubstitutionReason	📍3.0.0	THO v7.1

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id 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	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
not-done-extension-present	error	MedicationRequest.medication[x]	qicore-notDoneValueSet extension does not exist	extension.where(url='http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists().not()
sqty-1	error	MedicationRequest.dosageInstruction.maxDosePerAdministration, MedicationRequest.dosageInstruction.maxDosePerLifetime, MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity	The comparator is not used on a SimpleQuantity	comparator.empty()
tim-1	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a duration, there needs to be duration units	duration.empty() or durationUnit.exists()
tim-2	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a period, there needs to be period units	period.empty() or periodUnit.exists()
tim-4	error	MedicationRequest.dosageInstruction.timing.repeat	duration SHALL be a non-negative value	duration.exists() implies duration >= 0
tim-5	error	MedicationRequest.dosageInstruction.timing.repeat	period SHALL be a non-negative value	period.exists() implies period >= 0
tim-6	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a periodMax, there must be a period	periodMax.empty() or period.exists()
tim-7	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a durationMax, there must be a duration	durationMax.empty() or duration.exists()
tim-8	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a countMax, there must be a count	countMax.empty() or count.exists()
tim-9	error	MedicationRequest.dosageInstruction.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV)	offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa	timeOfDay.empty() or when.empty()
us-core-21	error	MedicationRequest	requester SHALL be present if intent is "order"	(intent='order' or intent='original-order' or intent='reflex-order'or intent='filler-order' or intent='instance-order') implies requester.exists()

This structure is derived from USCoreMedicationRequestProfile

Summary

Mandatory: 3 elements(4 nested mandatory elements)
Must-Support: 37 elements

Structures

This structure refers to these other structures:

• QICore Practitioner (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner)
• QICore PractitionerRole (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitionerrole)
• QICore Patient (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient)
• QICore RelatedPerson (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson)
• ACH Monthly Event Medication (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medication)
• Cross-Measure Patient Profile (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient)
• QICore Encounter (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter)
• ACH Monthly Event Condition (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-condition)
• QICore Simple Observation (Substitute) (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/qicore-simple-observation-substitute)

Extensions

This structure refers to these extensions:

• http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
• http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationRequest.medication[x]

Maturity: 2

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest	C	0..*	USCoreMedicationRequestProfile(6.1.0)	Ordering of medication for patient or group Constraints: us-core-21
MedicationRequest.id	S This element must be supported. Σ This element is included in summaries.	1..1	id	(NHSN-MS) Logical id of this artifact
MedicationRequest.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MedicationRequest.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationRequest.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	(NHSN-MS) (QI-Core)(USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription.
MedicationRequest.statusReason	S This element must be supported.	0..1	CodeableConcept	(NHSN-MS) Reason for current status Binding: medicationRequest Status Reason Codes (extensible)
MedicationRequest.intent	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	1..1	code	(NHSN-MS) (USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order.
MedicationRequest.Slices for category	S This element must be supported.	0..*	CodeableConcept	(NHSN-MS) (USCDI) Type of medication usage Slice: Unordered, Open by pattern:$this Binding: medicationRequest Category Codes (extensible) Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for category.category:us-core	S This element must be supported.	0..*	CodeableConcept	(NHSN-MS) (USCDI) Type of medication usage Binding: medicationRequest Category Codes (required): The type of medication order. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
MedicationRequest.priority	S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
MedicationRequest.doNotPerform	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1	boolean	(NHSN-MS) (QI-Core) True if medication was not requested
MedicationRequest.reported[x]	S This element must be supported. Σ This element is included in summaries.	0..1		(NHSN-MS) (QI-Core)(USCDI) Reported rather than primary record
MedicationRequest.reported[x].reportedBoolean			boolean S This target must be supported.
MedicationRequest.reported[x].reportedReference			Reference S This type must be supported. (QICore Practitioner | QICore PractitionerRole | QICore Patient | QICore RelatedPerson)
MedicationRequest.Slices for medication[x]	S This element must be supported. Σ This element is included in summaries. C	1..1		(NHSN-MS) (USCDI) Medication to be taken Slice: Unordered, Closed by type:$this Binding: MedicationClinicalDrug (20240606) (extensible) Constraints: not-done-extension-present Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for medication[x].medicationCodeableConcept			CodeableConcept
MedicationRequest.Slices for medication[x].medicationReference			Reference(US Core Medication Profile(6.1.0))
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	(USCDI) Medication to be taken Binding: MedicationClinicalDrug (20240606) (extensible)
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for extension				Content/Rules for all slices
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for extension.extension:notDoneValueSet		0..1	canonical(ValueSet)	(QI-Core) If not requested, Url of a value set of medications not requested URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
MedicationRequest.Slices for medication[x].medication[x]:medicationReference	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(ACH Monthly Event Medication) {b}	(USCDI) Medication to be taken
MedicationRequest.Slices for medication[x].medication[x]:medicationReference.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL
MedicationRequest.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Cross-Measure Patient Profile) {b}	(NHSN-MS) (QI-Core)(USCDI) Who or group medication request is for
MedicationRequest.subject.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
MedicationRequest.encounter	S This element must be supported.	0..1	Reference(QICore Encounter) {b}	(NHSN-MS) (QI-Core)(USCDI) Encounter created as part of encounter/admission/stay
MedicationRequest.encounter.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
MedicationRequest.authoredOn	S This element must be supported. Σ This element is included in summaries.	1..1	dateTime	(NHSN-MS) (QI-Core)(USCDI) When request was initially authored
MedicationRequest.requester	S This element must be supported. Σ This element is included in summaries. C	0..1	Reference(QICore Practitioner | QICore PractitionerRole | QICore Patient)	(QI-Core)(USCDI) Who/What requested the Request
MedicationRequest.reasonCode	S This element must be supported.	0..*	CodeableConcept	(NHSN-MS) (QI-Core)(USCDI) Reason or indication for ordering or not ordering the medication Binding: Medication Request Reason ValueSet (extensible)
MedicationRequest.reasonReference	S This element must be supported.	0..*	Reference(ACH Monthly Event Condition | QICore Simple Observation (Substitute)) {b}	(NHSN-MS) (QI-Core)(USCDI) QI-Core Condition or Observation that supports the prescription
MedicationRequest.reasonReference.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
MedicationRequest.instantiatesCanonical	S This element must be supported. Σ This element is included in summaries.	0..*	canonical()	(NHSN-MS) Instantiates FHIR protocol or definition
MedicationRequest.instantiatesUri	S This element must be supported. Σ This element is included in summaries.	0..*	uri	(NHSN-MS) Instantiates external protocol or definition
MedicationRequest.courseOfTherapyType	S This element must be supported.	0..1	CodeableConcept	(NHSN-MS) Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
MedicationRequest.dosageInstruction	S This element must be supported.	0..*	Dosage	(NHSN-MS) (QI-Core)(USCDI) How medication should be taken
MedicationRequest.dosageInstruction.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dosageInstruction.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) (USCDI) Free text dosage instructions e.g. SIG
MedicationRequest.dosageInstruction.timing	S This element must be supported. Σ This element is included in summaries.	0..1	Timing	(NHSN-MS) (QI-Core)(USCDI) When medication should be administered
MedicationRequest.dosageInstruction.timing.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dosageInstruction.timing.event	S This element must be supported. Σ This element is included in summaries.	0..*	dateTime	(NHSN-MS) When the event occurs
MedicationRequest.dosageInstruction.timing.repeat	S This element must be supported. Σ This element is included in summaries. C	0..1	Element	(NHSN-MS) (QI-Core) When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]	S This element must be supported. Σ This element is included in summaries.	0..1		(NHSN-MS) (QI-Core) Length/Range of lengths, or (Start and/or end) limits
MedicationRequest.dosageInstruction.timing.repeat.bounds[x].boundsDuration			Duration
MedicationRequest.dosageInstruction.timing.repeat.bounds[x].boundsRange			Range
MedicationRequest.dosageInstruction.timing.repeat.bounds[x].boundsPeriod			Period
MedicationRequest.dosageInstruction.timing.repeat.count	S This element must be supported. Σ This element is included in summaries.	0..1	positiveInt	(NHSN-MS) Number of times to repeat
MedicationRequest.dosageInstruction.timing.repeat.countMax	S This element must be supported. Σ This element is included in summaries.	0..1	positiveInt	(NHSN-MS) Maximum number of times to repeat
MedicationRequest.dosageInstruction.timing.repeat.duration	S This element must be supported. Σ This element is included in summaries.	0..1	decimal	(NHSN-MS) How long when it happens
MedicationRequest.dosageInstruction.timing.repeat.durationMax	S This element must be supported. Σ This element is included in summaries.	0..1	decimal	(NHSN-MS) How long when it happens (Max)
MedicationRequest.dosageInstruction.timing.repeat.durationUnit	S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
MedicationRequest.dosageInstruction.timing.repeat.frequency	S This element must be supported. Σ This element is included in summaries.	0..1	positiveInt	(NHSN-MS) (QI-Core) Event occurs frequency times per period
MedicationRequest.dosageInstruction.timing.repeat.frequencyMax	S This element must be supported. Σ This element is included in summaries.	0..1	positiveInt	(NHSN-MS) (QI-Core) Event occurs frequencyMax times per period
MedicationRequest.dosageInstruction.timing.repeat.period	S This element must be supported. Σ This element is included in summaries.	0..1	decimal	(NHSN-MS) (QI-Core) Event occurs frequency times per period
MedicationRequest.dosageInstruction.timing.repeat.periodMax	S This element must be supported. Σ This element is included in summaries.	0..1	decimal	(NHSN-MS) (QI-Core) Upper limit of period (3-4 hours)
MedicationRequest.dosageInstruction.timing.repeat.periodUnit	S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) (QI-Core) s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek	S This element must be supported. Σ This element is included in summaries.	0..*	code	(NHSN-MS) mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
MedicationRequest.dosageInstruction.timing.repeat.timeOfDay	S This element must be supported. Σ This element is included in summaries.	0..*	time	(NHSN-MS) Time of day for action
MedicationRequest.dosageInstruction.timing.repeat.when	S This element must be supported. Σ This element is included in summaries.	0..*	code	(NHSN-MS) Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
MedicationRequest.dosageInstruction.timing.repeat.offset	S This element must be supported. Σ This element is included in summaries.	0..1	unsignedInt	(NHSN-MS) Minutes from event (before or after)
MedicationRequest.dosageInstruction.timing.code	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	(NHSN-MS) BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
MedicationRequest.dosageInstruction.asNeeded[x]	S This element must be supported. Σ This element is included in summaries.	0..1		(NHSN-MS) (QI-Core) 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.
MedicationRequest.dosageInstruction.asNeeded[x].asNeededBoolean			boolean
MedicationRequest.dosageInstruction.asNeeded[x].asNeededCodeableConcept			CodeableConcept
MedicationRequest.dosageInstruction.site	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	(NHSN-MS) Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
MedicationRequest.dosageInstruction.route	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	(NHSN-MS) How drug should enter body Binding: SNOMEDCTRouteCodes (extensible)
MedicationRequest.dosageInstruction.method	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	(NHSN-MS) Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
MedicationRequest.dosageInstruction.doseAndRate	S This element must be supported. Σ This element is included in summaries.	0..*	Element	(NHSN-MS) (QI-Core)(USCDI) Amount of medication administered
MedicationRequest.dosageInstruction.doseAndRate.type	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	(NHSN-MS) The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
MedicationRequest.dosageInstruction.doseAndRate.dose[x]	S This element must be supported. Σ This element is included in summaries.	0..1		(NHSN-MS) (QI-Core)(USCDI) Amount of medication per dose Binding: Common UCUM units (preferred) Additional Bindings Purpose UCUMCodes Max Binding
MedicationRequest.dosageInstruction.doseAndRate.dose[x].doseQuantity			Quantity S This type must be supported.
MedicationRequest.dosageInstruction.doseAndRate.dose[x].doseRange			Range
MedicationRequest.dosageInstruction.doseAndRate.rate[x]	S This element must be supported. Σ This element is included in summaries.	0..1		(NHSN-MS) Amount of medication per unit of time
MedicationRequest.dosageInstruction.doseAndRate.rate[x].rateRatio			Ratio
MedicationRequest.dosageInstruction.doseAndRate.rate[x].rateRange			Range
MedicationRequest.dosageInstruction.doseAndRate.rate[x].rateQuantity			Quantity(SimpleQuantity)
MedicationRequest.dispenseRequest	S This element must be supported.	0..1	BackboneElement	(QI-Core)(USCDI) Medication supply authorization
MedicationRequest.dispenseRequest.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dispenseRequest.dispenseInterval		0..1	Duration	(QI-Core) Minimum period of time between dispenses
MedicationRequest.dispenseRequest.numberOfRepeatsAllowed	S This element must be supported.	0..1	unsignedInt	(QI-Core)(USCDI) Number of refills authorized
MedicationRequest.dispenseRequest.quantity	S This element must be supported. C	0..1	SimpleQuantity	(QI-Core)(USCDI) Amount of medication to supply per dispense Constraints: sqty-1
MedicationRequest.dispenseRequest.expectedSupplyDuration		0..1	Duration	(QI-Core) Number of days supply per dispense
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.status	Base	required	Medicationrequest status	📦4.0.1	FHIR Std.
MedicationRequest.statusReason	Base	extensible	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	extensible	Medication request category codes	📦4.0.1	FHIR Std.
MedicationRequest.category:us-core	Base	required	Medication request category codes	📦4.0.1	FHIR Std.
MedicationRequest.priority	Base	required	Request priority	📍4.0.1	FHIR Std.
MedicationRequest.medication[x]	Base	extensible	Medication Clinical Drug	📍20240606	VSAC v0.22
MedicationRequest.medication[x]:medicationCodeableConcept	Base	extensible	Medication Clinical Drug	📍20240606	VSAC v0.22
MedicationRequest.reasonCode	Base	extensible	Medication Request Reason ValueSet	📦3.0.0	This IG
MedicationRequest.courseOfTherapyType	Base	example	Medication request course of therapy codes	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.durationUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.dayOfWeek	Base	required	DaysOfWeek	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.when	Base	required	EventTiming	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.code	Base	preferred	TimingAbbreviation	📍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	extensible	SNOMED CT Route Codes	📦4.0.1	FHIR Std.
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.dosageInstruction.​doseAndRate.dose[x]	Base	preferred	Common UCUM units	📦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	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
not-done-extension-present	error	MedicationRequest.medication[x]	qicore-notDoneValueSet extension does not exist	extension.where(url='http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists().not()
sqty-1	error	MedicationRequest.dispenseRequest.quantity	The comparator is not used on a SimpleQuantity	comparator.empty()
tim-1	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a duration, there needs to be duration units	duration.empty() or durationUnit.exists()
tim-2	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a period, there needs to be period units	period.empty() or periodUnit.exists()
tim-4	error	MedicationRequest.dosageInstruction.timing.repeat	duration SHALL be a non-negative value	duration.exists() implies duration >= 0
tim-5	error	MedicationRequest.dosageInstruction.timing.repeat	period SHALL be a non-negative value	period.exists() implies period >= 0
tim-6	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a periodMax, there must be a period	periodMax.empty() or period.exists()
tim-7	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a durationMax, there must be a duration	durationMax.empty() or duration.exists()
tim-8	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a countMax, there must be a count	countMax.empty() or count.exists()
tim-9	error	MedicationRequest.dosageInstruction.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV)	offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa	timeOfDay.empty() or when.empty()
us-core-21	error	MedicationRequest	requester SHALL be present if intent is "order"	(intent='order' or intent='original-order' or intent='reflex-order'or intent='filler-order' or intent='instance-order') implies requester.exists()

Differential View

This structure is derived from USCoreMedicationRequestProfile

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	USCoreMedicationRequestProfile(6.1.0)	Ordering of medication for patient or group
MedicationRequest.id	S This element must be supported.	1..1	id	(NHSN-MS) Logical id of this artifact
MedicationRequest.meta
MedicationRequest.meta.extension		0..*	Extension	(NHSN-MS) Received Date
MedicationRequest.meta.Slices for extension				Content/Rules for all slices
MedicationRequest.meta.Slices for extension.extension:link-received-date-extension		0..1	dateTime	Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
MedicationRequest.status		1..1	code	(NHSN-MS)(QI-Core)(USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
MedicationRequest.statusReason	S This element must be supported.	0..1	CodeableConcept	(NHSN-MS) Reason for current status Binding: medicationRequest Status Reason Codes (extensible)
MedicationRequest.intent		1..1	code	(NHSN-MS)(USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
MedicationRequest.category		0..*	CodeableConcept	(NHSN-MS)(USCDI) Type of medication usage Binding: medicationRequest Category Codes (extensible)
MedicationRequest.Slices for category				Content/Rules for all slices
MedicationRequest.Slices for category.category:us-core		0..*	CodeableConcept	(NHSN-MS)(USCDI) Type of medication usage
MedicationRequest.priority	S This element must be supported.	0..1	code	(NHSN-MS) routine | urgent | asap | stat
MedicationRequest.doNotPerform	S This element must be supported.	0..1	boolean	(NHSN-MS) (QI-Core) True if medication was not requested
MedicationRequest.reported[x]		0..1		(NHSN-MS)(QI-Core)(USCDI) Reported rather than primary record
MedicationRequest.reported[x].reportedBoolean			boolean
MedicationRequest.reported[x].reportedReference			Reference(QICore Practitioner | QICore PractitionerRole | QICore Patient | QICore RelatedPerson)
MedicationRequest.Slices for medication[x]	C	1..1	CodeableConcept, Reference(US Core Medication Profile(6.1.0))	(NHSN-MS)(USCDI) Medication to be taken Slice: Unordered, Open by type:$this Constraints: not-done-extension-present Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept		0..1	CodeableConcept	(USCDI) Medication to be taken
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for extension				Content/Rules for all slices
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for extension.extension:notDoneValueSet		0..1	canonical(ValueSet)	(QI-Core) If not requested, Url of a value set of medications not requested URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
MedicationRequest.Slices for medication[x].medication[x]:medicationReference		0..1	Reference(ACH Monthly Event Medication) {b}	(USCDI) Medication to be taken
MedicationRequest.Slices for medication[x].medication[x]:medicationReference.reference	S This element must be supported.	1..1	string	Literal reference, Relative, internal or absolute URL
MedicationRequest.subject		1..1	Reference(Cross-Measure Patient Profile) {b}	(NHSN-MS)(QI-Core)(USCDI) Who or group medication request is for
MedicationRequest.subject.reference	S This element must be supported.	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
MedicationRequest.encounter		0..1	Reference(QICore Encounter) {b}	(NHSN-MS)(QI-Core)(USCDI) Encounter created as part of encounter/admission/stay
MedicationRequest.encounter.reference	S This element must be supported.	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
MedicationRequest.authoredOn		1..1	dateTime	(NHSN-MS)(QI-Core)(USCDI) When request was initially authored
MedicationRequest.requester		0..1	Reference(QICore Practitioner | QICore PractitionerRole | QICore Patient)	(QI-Core)(USCDI) Who/What requested the Request
MedicationRequest.reasonCode	S This element must be supported.	0..*	CodeableConcept	(NHSN-MS) (QI-Core)(USCDI) Reason or indication for ordering or not ordering the medication Binding: Medication Request Reason ValueSet (extensible)
MedicationRequest.reasonReference	S This element must be supported.	0..*	Reference(ACH Monthly Event Condition | QICore Simple Observation (Substitute)) {b}	(NHSN-MS) (QI-Core)(USCDI) QI-Core Condition or Observation that supports the prescription
MedicationRequest.reasonReference.reference	S This element must be supported.	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
MedicationRequest.instantiatesCanonical	S This element must be supported.	0..*	canonical()	(NHSN-MS) Instantiates FHIR protocol or definition
MedicationRequest.instantiatesUri	S This element must be supported.	0..*	uri	(NHSN-MS) Instantiates external protocol or definition
MedicationRequest.courseOfTherapyType	S This element must be supported.	0..1	CodeableConcept	(NHSN-MS) Overall pattern of medication administration
MedicationRequest.dosageInstruction		0..*	Dosage	(NHSN-MS)(QI-Core)(USCDI) How medication should be taken
MedicationRequest.dosageInstruction.text		0..1	string	(NHSN-MS)(USCDI) Free text dosage instructions e.g. SIG
MedicationRequest.dosageInstruction.timing		0..1	Timing	(NHSN-MS)(QI-Core)(USCDI) When medication should be administered
MedicationRequest.dosageInstruction.timing.event	S This element must be supported.	0..*	dateTime	(NHSN-MS) When the event occurs
MedicationRequest.dosageInstruction.timing.repeat	S This element must be supported.	0..1	Element	(NHSN-MS) (QI-Core) When the event is to occur
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]	S This element must be supported.	0..1	Duration, Range, Period	(NHSN-MS) (QI-Core) Length/Range of lengths, or (Start and/or end) limits
MedicationRequest.dosageInstruction.timing.repeat.count	S This element must be supported.	0..1	positiveInt	(NHSN-MS) Number of times to repeat
MedicationRequest.dosageInstruction.timing.repeat.countMax	S This element must be supported.	0..1	positiveInt	(NHSN-MS) Maximum number of times to repeat
MedicationRequest.dosageInstruction.timing.repeat.duration	S This element must be supported.	0..1	decimal	(NHSN-MS) How long when it happens
MedicationRequest.dosageInstruction.timing.repeat.durationMax	S This element must be supported.	0..1	decimal	(NHSN-MS) How long when it happens (Max)
MedicationRequest.dosageInstruction.timing.repeat.durationUnit	S This element must be supported.	0..1	code	(NHSN-MS) s | min | h | d | wk | mo | a - unit of time (UCUM)
MedicationRequest.dosageInstruction.timing.repeat.frequency	S This element must be supported.	0..1	positiveInt	(NHSN-MS) (QI-Core) Event occurs frequency times per period
MedicationRequest.dosageInstruction.timing.repeat.frequencyMax	S This element must be supported.	0..1	positiveInt	(NHSN-MS) (QI-Core) Event occurs frequencyMax times per period
MedicationRequest.dosageInstruction.timing.repeat.period	S This element must be supported.	0..1	decimal	(NHSN-MS) (QI-Core) Event occurs frequency times per period
MedicationRequest.dosageInstruction.timing.repeat.periodMax	S This element must be supported.	0..1	decimal	(NHSN-MS) (QI-Core) Upper limit of period (3-4 hours)
MedicationRequest.dosageInstruction.timing.repeat.periodUnit	S This element must be supported.	0..1	code	(NHSN-MS) (QI-Core) s | min | h | d | wk | mo | a - unit of time (UCUM)
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek	S This element must be supported.	0..*	code	(NHSN-MS) mon | tue | wed | thu | fri | sat | sun
MedicationRequest.dosageInstruction.timing.repeat.timeOfDay	S This element must be supported.	0..*	time	(NHSN-MS) Time of day for action
MedicationRequest.dosageInstruction.timing.repeat.when	S This element must be supported.	0..*	code	(NHSN-MS) Code for time period of occurrence
MedicationRequest.dosageInstruction.timing.repeat.offset	S This element must be supported.	0..1	unsignedInt	(NHSN-MS) Minutes from event (before or after)
MedicationRequest.dosageInstruction.timing.code	S This element must be supported.	0..1	CodeableConcept	(NHSN-MS) BID | TID | QID | AM | PM | QD | QOD | +
MedicationRequest.dosageInstruction.asNeeded[x]	S This element must be supported.	0..1	boolean, CodeableConcept	(NHSN-MS) (QI-Core) Take "as needed" (for x)
MedicationRequest.dosageInstruction.site	S This element must be supported.	0..1	CodeableConcept	(NHSN-MS) Body site to administer to
MedicationRequest.dosageInstruction.route	S This element must be supported.	1..1	CodeableConcept	(NHSN-MS) How drug should enter body Binding: SNOMEDCTRouteCodes (extensible)
MedicationRequest.dosageInstruction.method	S This element must be supported.	0..1	CodeableConcept	(NHSN-MS) Technique for administering medication
MedicationRequest.dosageInstruction.doseAndRate		0..*	Element	(NHSN-MS)(QI-Core)(USCDI) Amount of medication administered
MedicationRequest.dosageInstruction.doseAndRate.type	S This element must be supported.	0..1	CodeableConcept	(NHSN-MS) The kind of dose or rate specified
MedicationRequest.dosageInstruction.doseAndRate.dose[x]		0..1	Quantity, Range	(NHSN-MS)(QI-Core)(USCDI) Amount of medication per dose
MedicationRequest.dosageInstruction.doseAndRate.rate[x]	S This element must be supported.	0..1	Ratio, Range, SimpleQuantity	(NHSN-MS) Amount of medication per unit of time
MedicationRequest.dispenseRequest		0..1	BackboneElement	(QI-Core)(USCDI) Medication supply authorization
MedicationRequest.dispenseRequest.dispenseInterval		0..1	Duration	(QI-Core) Minimum period of time between dispenses
MedicationRequest.dispenseRequest.numberOfRepeatsAllowed		0..1	unsignedInt	(QI-Core)(USCDI) Number of refills authorized
MedicationRequest.dispenseRequest.quantity		0..1	SimpleQuantity	(QI-Core)(USCDI) Amount of medication to supply per dispense
MedicationRequest.dispenseRequest.expectedSupplyDuration		0..1	Duration	(QI-Core) Number of days supply per dispense
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.statusReason	Base	extensible	Medication request status reason codes	📦4.0.1	FHIR Std.
MedicationRequest.category	Base	extensible	Medication request category codes	📦4.0.1	FHIR Std.
MedicationRequest.reasonCode	Base	extensible	Medication Request Reason ValueSet	📦3.0.0	This IG
MedicationRequest.dosageInstruction.​route	Base	extensible	SNOMED CT Route Codes	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
not-done-extension-present	error	MedicationRequest.medication[x]	qicore-notDoneValueSet extension does not exist	extension.where(url='http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists().not()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest	C	0..*	USCoreMedicationRequestProfile(6.1.0)	Ordering of medication for patient or group Constraints: us-core-21
MedicationRequest.id	S This element must be supported. Σ This element is included in summaries.	1..1	id	(NHSN-MS) Logical id of this artifact
MedicationRequest.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
MedicationRequest.meta.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.meta.Slices for extension		0..*	Extension	(NHSN-MS) Received Date Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.meta.Slices for extension.extension:link-received-date-extension		0..1	dateTime	Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
MedicationRequest.meta.versionId	Σ This element is included in summaries.	0..1	id	Version specific identifier
MedicationRequest.meta.lastUpdated	Σ This element is included in summaries.	0..1	instant	When the resource version last changed
MedicationRequest.meta.source	Σ This element is included in summaries.	0..1	uri	Identifies where the resource comes from
MedicationRequest.meta.profile	Σ This element is included in summaries.	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
MedicationRequest.meta.security	Σ This element is included in summaries.	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
MedicationRequest.meta.tag	Σ This element is included in summaries.	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
MedicationRequest.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
MedicationRequest.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
MedicationRequest.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
MedicationRequest.contained		0..*	Resource	Contained, inline Resources
MedicationRequest.extension		0..*	Extension	Additional content defined by implementations
MedicationRequest.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
MedicationRequest.identifier		0..*	Identifier	External ids for this request
MedicationRequest.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	(NHSN-MS) (QI-Core)(USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription.
MedicationRequest.statusReason	S This element must be supported.	0..1	CodeableConcept	(NHSN-MS) Reason for current status Binding: medicationRequest Status Reason Codes (extensible)
MedicationRequest.intent	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries. C	1..1	code	(NHSN-MS) (USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order.
MedicationRequest.Slices for category	S This element must be supported.	0..*	CodeableConcept	(NHSN-MS) (USCDI) Type of medication usage Slice: Unordered, Open by pattern:$this Binding: medicationRequest Category Codes (extensible) Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for category.category:us-core	S This element must be supported.	0..*	CodeableConcept	(NHSN-MS) (USCDI) Type of medication usage Binding: medicationRequest Category Codes (required): The type of medication order. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
MedicationRequest.priority	S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
MedicationRequest.doNotPerform	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	0..1	boolean	(NHSN-MS) (QI-Core) True if medication was not requested
MedicationRequest.reported[x]	S This element must be supported. Σ This element is included in summaries.	0..1		(NHSN-MS) (QI-Core)(USCDI) Reported rather than primary record
MedicationRequest.reported[x].reportedBoolean			boolean S This target must be supported.
MedicationRequest.reported[x].reportedReference			Reference S This type must be supported. (QICore Practitioner | QICore PractitionerRole | QICore Patient | QICore RelatedPerson)
MedicationRequest.Slices for medication[x]	S This element must be supported. Σ This element is included in summaries. C	1..1		(NHSN-MS) (USCDI) Medication to be taken Slice: Unordered, Closed by type:$this Binding: MedicationClinicalDrug (20240606) (extensible) Constraints: not-done-extension-present Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
MedicationRequest.Slices for medication[x].medicationCodeableConcept			CodeableConcept
MedicationRequest.Slices for medication[x].medicationReference			Reference(US Core Medication Profile(6.1.0))
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	(USCDI) Medication to be taken Binding: MedicationClinicalDrug (20240606) (extensible)
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for extension				Content/Rules for all slices
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.Slices for extension.extension:notDoneValueSet		0..1	canonical(ValueSet)	(QI-Core) If not requested, Url of a value set of medications not requested URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
MedicationRequest.Slices for medication[x].medication[x]:medicationCodeableConcept.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
MedicationRequest.Slices for medication[x].medication[x]:medicationReference	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(ACH Monthly Event Medication) {b}	(USCDI) Medication to be taken
MedicationRequest.Slices for medication[x].medication[x]:medicationReference.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.Slices for medication[x].medication[x]:medicationReference.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.Slices for medication[x].medication[x]:medicationReference.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL
MedicationRequest.Slices for medication[x].medication[x]:medicationReference.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
MedicationRequest.Slices for medication[x].medication[x]:medicationReference.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
MedicationRequest.Slices for medication[x].medication[x]:medicationReference.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
MedicationRequest.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(Cross-Measure Patient Profile) {b}	(NHSN-MS) (QI-Core)(USCDI) Who or group medication request is for
MedicationRequest.subject.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.subject.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.subject.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
MedicationRequest.subject.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
MedicationRequest.subject.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
MedicationRequest.subject.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
MedicationRequest.encounter	S This element must be supported.	0..1	Reference(QICore Encounter) {b}	(NHSN-MS) (QI-Core)(USCDI) Encounter created as part of encounter/admission/stay
MedicationRequest.encounter.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.encounter.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.encounter.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
MedicationRequest.encounter.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
MedicationRequest.encounter.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
MedicationRequest.encounter.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
MedicationRequest.supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication
MedicationRequest.authoredOn	S This element must be supported. Σ This element is included in summaries.	1..1	dateTime	(NHSN-MS) (QI-Core)(USCDI) When request was initially authored
MedicationRequest.requester	S This element must be supported. Σ This element is included in summaries. C	0..1	Reference(QICore Practitioner | QICore PractitionerRole | QICore Patient)	(QI-Core)(USCDI) Who/What requested the Request
MedicationRequest.performer		0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration
MedicationRequest.performerType	Σ This element is included in summaries.	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.
MedicationRequest.recorder		0..1	Reference(Practitioner | PractitionerRole)	Person who entered the request
MedicationRequest.reasonCode	S This element must be supported.	0..*	CodeableConcept	(NHSN-MS) (QI-Core)(USCDI) Reason or indication for ordering or not ordering the medication Binding: Medication Request Reason ValueSet (extensible)
MedicationRequest.reasonReference	S This element must be supported.	0..*	Reference(ACH Monthly Event Condition | QICore Simple Observation (Substitute)) {b}	(NHSN-MS) (QI-Core)(USCDI) QI-Core Condition or Observation that supports the prescription
MedicationRequest.reasonReference.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.reasonReference.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.reasonReference.reference	S This element must be supported. Σ This element is included in summaries. C	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
MedicationRequest.reasonReference.type	Σ This element is included in summaries.	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
MedicationRequest.reasonReference.identifier	Σ This element is included in summaries.	0..1	Identifier	Logical reference, when literal reference is not known
MedicationRequest.reasonReference.display	Σ This element is included in summaries.	0..1	string	Text alternative for the resource
MedicationRequest.instantiatesCanonical	S This element must be supported. Σ This element is included in summaries.	0..*	canonical()	(NHSN-MS) Instantiates FHIR protocol or definition
MedicationRequest.instantiatesUri	S This element must be supported. Σ This element is included in summaries.	0..*	uri	(NHSN-MS) Instantiates external protocol or definition
MedicationRequest.basedOn	Σ This element is included in summaries.	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	What request fulfills
MedicationRequest.groupIdentifier	Σ This element is included in summaries.	0..1	Identifier	Composite request this is part of
MedicationRequest.courseOfTherapyType	S This element must be supported.	0..1	CodeableConcept	(NHSN-MS) Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
MedicationRequest.insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
MedicationRequest.note		0..*	Annotation	Information about the prescription
MedicationRequest.dosageInstruction	S This element must be supported.	0..*	Dosage	(NHSN-MS) (QI-Core)(USCDI) How medication should be taken
MedicationRequest.dosageInstruction.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dosageInstruction.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dosageInstruction.sequence	Σ This element is included in summaries.	0..1	integer	The order of the dosage instructions
MedicationRequest.dosageInstruction.text	S This element must be supported. Σ This element is included in summaries.	0..1	string	(NHSN-MS) (USCDI) Free text dosage instructions e.g. SIG
MedicationRequest.dosageInstruction.additionalInstruction	Σ This element is included in summaries.	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".
MedicationRequest.dosageInstruction.patientInstruction	Σ This element is included in summaries.	0..1	string	Patient or consumer oriented instructions
MedicationRequest.dosageInstruction.timing	S This element must be supported. Σ This element is included in summaries.	0..1	Timing	(NHSN-MS) (QI-Core)(USCDI) When medication should be administered
MedicationRequest.dosageInstruction.timing.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dosageInstruction.timing.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.timing.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dosageInstruction.timing.event	S This element must be supported. Σ This element is included in summaries.	0..*	dateTime	(NHSN-MS) When the event occurs
MedicationRequest.dosageInstruction.timing.repeat	S This element must be supported. Σ This element is included in summaries. C	0..1	Element	(NHSN-MS) (QI-Core) When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
MedicationRequest.dosageInstruction.timing.repeat.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dosageInstruction.timing.repeat.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.timing.repeat.bounds[x]	S This element must be supported. Σ This element is included in summaries.	0..1		(NHSN-MS) (QI-Core) Length/Range of lengths, or (Start and/or end) limits
MedicationRequest.dosageInstruction.timing.repeat.bounds[x].boundsDuration			Duration
MedicationRequest.dosageInstruction.timing.repeat.bounds[x].boundsRange			Range
MedicationRequest.dosageInstruction.timing.repeat.bounds[x].boundsPeriod			Period
MedicationRequest.dosageInstruction.timing.repeat.count	S This element must be supported. Σ This element is included in summaries.	0..1	positiveInt	(NHSN-MS) Number of times to repeat
MedicationRequest.dosageInstruction.timing.repeat.countMax	S This element must be supported. Σ This element is included in summaries.	0..1	positiveInt	(NHSN-MS) Maximum number of times to repeat
MedicationRequest.dosageInstruction.timing.repeat.duration	S This element must be supported. Σ This element is included in summaries.	0..1	decimal	(NHSN-MS) How long when it happens
MedicationRequest.dosageInstruction.timing.repeat.durationMax	S This element must be supported. Σ This element is included in summaries.	0..1	decimal	(NHSN-MS) How long when it happens (Max)
MedicationRequest.dosageInstruction.timing.repeat.durationUnit	S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
MedicationRequest.dosageInstruction.timing.repeat.frequency	S This element must be supported. Σ This element is included in summaries.	0..1	positiveInt	(NHSN-MS) (QI-Core) Event occurs frequency times per period
MedicationRequest.dosageInstruction.timing.repeat.frequencyMax	S This element must be supported. Σ This element is included in summaries.	0..1	positiveInt	(NHSN-MS) (QI-Core) Event occurs frequencyMax times per period
MedicationRequest.dosageInstruction.timing.repeat.period	S This element must be supported. Σ This element is included in summaries.	0..1	decimal	(NHSN-MS) (QI-Core) Event occurs frequency times per period
MedicationRequest.dosageInstruction.timing.repeat.periodMax	S This element must be supported. Σ This element is included in summaries.	0..1	decimal	(NHSN-MS) (QI-Core) Upper limit of period (3-4 hours)
MedicationRequest.dosageInstruction.timing.repeat.periodUnit	S This element must be supported. Σ This element is included in summaries.	0..1	code	(NHSN-MS) (QI-Core) s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek	S This element must be supported. Σ This element is included in summaries.	0..*	code	(NHSN-MS) mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
MedicationRequest.dosageInstruction.timing.repeat.timeOfDay	S This element must be supported. Σ This element is included in summaries.	0..*	time	(NHSN-MS) Time of day for action
MedicationRequest.dosageInstruction.timing.repeat.when	S This element must be supported. Σ This element is included in summaries.	0..*	code	(NHSN-MS) Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
MedicationRequest.dosageInstruction.timing.repeat.offset	S This element must be supported. Σ This element is included in summaries.	0..1	unsignedInt	(NHSN-MS) Minutes from event (before or after)
MedicationRequest.dosageInstruction.timing.code	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	(NHSN-MS) BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
MedicationRequest.dosageInstruction.asNeeded[x]	S This element must be supported. Σ This element is included in summaries.	0..1		(NHSN-MS) (QI-Core) 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.
MedicationRequest.dosageInstruction.asNeeded[x].asNeededBoolean			boolean
MedicationRequest.dosageInstruction.asNeeded[x].asNeededCodeableConcept			CodeableConcept
MedicationRequest.dosageInstruction.site	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	(NHSN-MS) Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
MedicationRequest.dosageInstruction.route	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	(NHSN-MS) How drug should enter body Binding: SNOMEDCTRouteCodes (extensible)
MedicationRequest.dosageInstruction.method	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	(NHSN-MS) Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
MedicationRequest.dosageInstruction.doseAndRate	S This element must be supported. Σ This element is included in summaries.	0..*	Element	(NHSN-MS) (QI-Core)(USCDI) Amount of medication administered
MedicationRequest.dosageInstruction.doseAndRate.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dosageInstruction.doseAndRate.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
MedicationRequest.dosageInstruction.doseAndRate.type	S This element must be supported. Σ This element is included in summaries.	0..1	CodeableConcept	(NHSN-MS) The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified.
MedicationRequest.dosageInstruction.doseAndRate.dose[x]	S This element must be supported. Σ This element is included in summaries.	0..1		(NHSN-MS) (QI-Core)(USCDI) Amount of medication per dose Binding: Common UCUM units (preferred) Additional Bindings Purpose UCUMCodes Max Binding
MedicationRequest.dosageInstruction.doseAndRate.dose[x].doseQuantity			Quantity S This type must be supported.
MedicationRequest.dosageInstruction.doseAndRate.dose[x].doseRange			Range
MedicationRequest.dosageInstruction.doseAndRate.rate[x]	S This element must be supported. Σ This element is included in summaries.	0..1		(NHSN-MS) Amount of medication per unit of time
MedicationRequest.dosageInstruction.doseAndRate.rate[x].rateRatio			Ratio
MedicationRequest.dosageInstruction.doseAndRate.rate[x].rateRange			Range
MedicationRequest.dosageInstruction.doseAndRate.rate[x].rateQuantity			Quantity(SimpleQuantity)
MedicationRequest.dosageInstruction.maxDosePerPeriod	Σ This element is included in summaries.	0..1	Ratio	Upper limit on medication per unit of time
MedicationRequest.dosageInstruction.maxDosePerAdministration	Σ This element is included in summaries. C	0..1	SimpleQuantity	Upper limit on medication per administration Constraints: sqty-1
MedicationRequest.dosageInstruction.maxDosePerLifetime	Σ This element is included in summaries. C	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient Constraints: sqty-1
MedicationRequest.dispenseRequest	S This element must be supported.	0..1	BackboneElement	(QI-Core)(USCDI) Medication supply authorization
MedicationRequest.dispenseRequest.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dispenseRequest.extension		0..*	Extension	Additional content defined by implementations
MedicationRequest.dispenseRequest.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dispenseRequest.initialFill		0..1	BackboneElement	First fill details
MedicationRequest.dispenseRequest.initialFill.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.dispenseRequest.initialFill.extension		0..*	Extension	Additional content defined by implementations
MedicationRequest.dispenseRequest.initialFill.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.dispenseRequest.initialFill.quantity	C	0..1	SimpleQuantity	First fill quantity Constraints: sqty-1
MedicationRequest.dispenseRequest.initialFill.duration		0..1	Duration	First fill duration
MedicationRequest.dispenseRequest.dispenseInterval		0..1	Duration	(QI-Core) Minimum period of time between dispenses
MedicationRequest.dispenseRequest.validityPeriod		0..1	Period	Time period supply is authorized for
MedicationRequest.dispenseRequest.numberOfRepeatsAllowed	S This element must be supported.	0..1	unsignedInt	(QI-Core)(USCDI) Number of refills authorized
MedicationRequest.dispenseRequest.quantity	S This element must be supported. C	0..1	SimpleQuantity	(QI-Core)(USCDI) Amount of medication to supply per dispense Constraints: sqty-1
MedicationRequest.dispenseRequest.expectedSupplyDuration		0..1	Duration	(QI-Core) Number of days supply per dispense
MedicationRequest.dispenseRequest.performer		0..1	Reference(Organization)	Intended dispenser
MedicationRequest.substitution		0..1	BackboneElement	Any restrictions on medication substitution
MedicationRequest.substitution.id		0..1	string	Unique id for inter-element referencing
MedicationRequest.substitution.extension		0..*	Extension	Additional content defined by implementations
MedicationRequest.substitution.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
MedicationRequest.substitution.allowed[x]		1..1		Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): Identifies the type of substitution allowed.
MedicationRequest.substitution.allowed[x].allowedBoolean			boolean
MedicationRequest.substitution.allowed[x].allowedCodeableConcept			CodeableConcept
MedicationRequest.substitution.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.
MedicationRequest.priorPrescription		0..1	Reference(MedicationRequest)	An order/prescription that is being replaced
MedicationRequest.detectedIssue		0..*	Reference(DetectedIssue)	Clinical Issue with action
MedicationRequest.eventHistory		0..*	Reference(Provenance)	A list of events of interest in the lifecycle
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.meta.​security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
MedicationRequest.meta.​tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
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	extensible	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	extensible	Medication request category codes	📦4.0.1	FHIR Std.
MedicationRequest.category:us-core	Base	required	Medication request category codes	📦4.0.1	FHIR Std.
MedicationRequest.priority	Base	required	Request priority	📍4.0.1	FHIR Std.
MedicationRequest.medication[x]	Base	extensible	Medication Clinical Drug	📍20240606	VSAC v0.22
MedicationRequest.medication[x]:medicationCodeableConcept	Base	extensible	Medication Clinical Drug	📍20240606	VSAC v0.22
MedicationRequest.medication[x]:medicationReference.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationRequest.subject.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationRequest.encounter.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
MedicationRequest.performerType	Base	example	Procedure Performer Role Codes	📦4.0.1	FHIR Std.
MedicationRequest.reasonCode	Base	extensible	Medication Request Reason ValueSet	📦3.0.0	This IG
MedicationRequest.reasonReference.​type	Base	extensible	ResourceType	📍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.​timing.repeat.durationUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.dayOfWeek	Base	required	DaysOfWeek	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.when	Base	required	EventTiming	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.code	Base	preferred	TimingAbbreviation	📍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	extensible	SNOMED CT Route Codes	📦4.0.1	FHIR Std.
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.dosageInstruction.​doseAndRate.dose[x]	Base	preferred	Common UCUM units	📦4.0.1	FHIR Std.
MedicationRequest.substitution.​allowed[x]	Base	example	ActSubstanceAdminSubstitutionCode	📍3.0.0	THO v7.1
MedicationRequest.substitution.​reason	Base	example	SubstanceAdminSubstitutionReason	📍3.0.0	THO v7.1

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id 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	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
not-done-extension-present	error	MedicationRequest.medication[x]	qicore-notDoneValueSet extension does not exist	extension.where(url='http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet').exists().not()
sqty-1	error	MedicationRequest.dosageInstruction.maxDosePerAdministration, MedicationRequest.dosageInstruction.maxDosePerLifetime, MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity	The comparator is not used on a SimpleQuantity	comparator.empty()
tim-1	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a duration, there needs to be duration units	duration.empty() or durationUnit.exists()
tim-2	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a period, there needs to be period units	period.empty() or periodUnit.exists()
tim-4	error	MedicationRequest.dosageInstruction.timing.repeat	duration SHALL be a non-negative value	duration.exists() implies duration >= 0
tim-5	error	MedicationRequest.dosageInstruction.timing.repeat	period SHALL be a non-negative value	period.exists() implies period >= 0
tim-6	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a periodMax, there must be a period	periodMax.empty() or period.exists()
tim-7	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a durationMax, there must be a duration	durationMax.empty() or duration.exists()
tim-8	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a countMax, there must be a count	countMax.empty() or count.exists()
tim-9	error	MedicationRequest.dosageInstruction.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV)	offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa	timeOfDay.empty() or when.empty()
us-core-21	error	MedicationRequest	requester SHALL be present if intent is "order"	(intent='order' or intent='original-order' or intent='reflex-order'or intent='filler-order' or intent='instance-order') implies requester.exists()

This structure is derived from USCoreMedicationRequestProfile

Summary

Mandatory: 3 elements(4 nested mandatory elements)
Must-Support: 37 elements

Structures

This structure refers to these other structures:

• QICore Practitioner (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner)
• QICore PractitionerRole (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitionerrole)
• QICore Patient (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient)
• QICore RelatedPerson (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson)
• ACH Monthly Event Medication (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medication)
• Cross-Measure Patient Profile (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/cross-measure-patient)
• QICore Encounter (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter)
• ACH Monthly Event Condition (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-condition)
• QICore Simple Observation (Substitute) (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/qicore-simple-observation-substitute)

Extensions

This structure refers to these extensions:

• http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
• http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationRequest.medication[x]

Maturity: 2