description: Profile of the MedicationRequest resource for the Bangladesh National Health\nInformation Exchange (HIE). Prescriptions must reference a BDMedication\nresource coded against the DGDA Drug Registry, ensuring all prescribed\nmedications are traceable to DGDA-registered drug products.\n\nThis profile constrains medication references to BDMedication only.\nInline medicationCodeableConcept is not permitted — all medication data\nmust be carried in a referenced BDMedication resource to support ingredient\ncoding for IPS and cross-border data exchange.\n\nRoute of administration is coded using HL7 v3 RouteOfAdministration served\nvia the national OCL terminology server.
package_name: bd.fhir.core
derivation: constraint
name: BDMedicationRequest
type: MedicationRequest
elements:
  encounter:
    type: Reference
    short: Encounter during which this prescription was created
    mustSupport: true
    refers: ['https://fhir.dghs.gov.bd/core/StructureDefinition/bd-encounter']
    index: 10
  reported:
    choices: []
    index: 2
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: $this, type: type}
      min: null
      slices:
        reportedReference:
          match: {}
          schema:
            choices: [reportedReference]
            index: 4
          min: 0
          max: 1
  authoredOn: {short: Date and time the prescription was authored, mustSupport: true, index: 11}
  requester:
    type: Reference
    short: Practitioner or organisation that authored the prescription
    mustSupport: true
    refers: ['https://fhir.dghs.gov.bd/core/StructureDefinition/bd-organization', 'https://fhir.dghs.gov.bd/core/StructureDefinition/bd-practitioner']
    index: 12
  reportedReference:
    type: Reference
    choiceOf: reported
    refers: ['https://fhir.dghs.gov.bd/core/StructureDefinition/bd-organization', 'https://fhir.dghs.gov.bd/core/StructureDefinition/bd-patient', 'https://fhir.dghs.gov.bd/core/StructureDefinition/bd-practitioner']
    index: 5
    slicing:
      slices:
        reportedReference:
          match: {}
          schema:
            type: Reference
            choiceOf: reported
            refers: ['https://fhir.dghs.gov.bd/core/StructureDefinition/bd-organization', 'https://fhir.dghs.gov.bd/core/StructureDefinition/bd-patient', 'https://fhir.dghs.gov.bd/core/StructureDefinition/bd-practitioner']
            index: 5
          min: 0
          max: 1
  dosageInstruction:
    mustSupport: true
    index: 14
    elements:
      route:
        short: Route of administration coded using HL7 v3 RouteOfAdministration
        binding: {strength: required, valueSet: 'https://fhir.dghs.gov.bd/core/ValueSet/bd-route-of-administration'}
        mustSupport: true
        index: 15
  identifier: {short: Prescription identifier, mustSupport: true, index: 0}
  basedOn:
    type: Reference
    short: Plan or request this prescription is based on
    refers: ['http://hl7.org/fhir/StructureDefinition/CarePlan', 'http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation', 'http://hl7.org/fhir/StructureDefinition/ServiceRequest', 'https://fhir.dghs.gov.bd/core/StructureDefinition/bd-medication-request']
    index: 13
  priorPrescription:
    type: Reference
    short: Reference to a prior prescription this replaces
    refers: ['https://fhir.dghs.gov.bd/core/StructureDefinition/bd-medication-request']
    index: 16
  medicationReference:
    type: Reference
    short: Reference to DGDA-registered medication
    mustSupport: true
    choiceOf: medication
    refers: ['https://fhir.dghs.gov.bd/core/StructureDefinition/bd-medication']
    index: 8
  subject:
    type: Reference
    short: Patient for whom the medication is prescribed
    mustSupport: true
    refers: ['https://fhir.dghs.gov.bd/core/StructureDefinition/bd-patient']
    index: 9
  medication:
    short: Reference to DGDA-registered medication
    mustSupport: true
    choices: [medicationReference]
    index: 7
package_version: 0.4.6
class: profile
kind: resource
url: https://fhir.dghs.gov.bd/core/StructureDefinition/bd-medication-request
base: http://hl7.org/fhir/StructureDefinition/MedicationRequest
version: 0.4.6
required: [authoredOn, requester, identifier]