description: An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called \"MedicationRequest\" rather than \"MedicationPrescription\" or \"MedicationOrder\" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns.
package_name: fhir.r4.spirecore
derivation: constraint
name: SpireCoreMedicationRequest
type: MedicationRequest
elements:
  insurance:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/ClaimResponse', 'http://hl7.org/fhir/StructureDefinition/Coverage', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-ClaimResponse', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Coverage']
    index: 26
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 27
  eventHistory:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Provenance', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Provenance']
    index: 38
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 39
  detectedIssue:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/DetectedIssue', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-DetectedIssue']
    index: 36
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 37
  encounter:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Encounter', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Encounter']
    index: 11
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 12
  dispenseRequest:
    elements:
      performer:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
        index: 32
        elements:
          identifier:
            elements:
              assigner:
                type: Reference
                refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                index: 33
  reported:
    choices: [reportedBoolean, reportedReference]
    index: 2
  medicationCodeableConcept: {type: CodeableConcept, choiceOf: medication, index: 7}
  note:
    elements:
      author:
        choices: [authorReference, authorString]
        index: 29
      authorReference:
        type: Reference
        choiceOf: author
        refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Patient', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-RelatedPerson']
        index: 30
      authorString: {type: string, choiceOf: author, index: 31}
  requester:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Device', 'http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Patient', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Device', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-PractitionerRole', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-RelatedPerson']
    index: 15
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 16
  supportingInformation:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Resource', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Resource']
    index: 13
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 14
  reportedReference:
    type: Reference
    choiceOf: reported
    refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Patient', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-PractitionerRole', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-RelatedPerson']
    index: 4
  groupIdentifier:
    elements:
      assigner:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
        index: 25
  recorder:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-PractitionerRole']
    index: 19
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 20
  reportedBoolean: {type: boolean, choiceOf: reported, index: 3}
  identifier:
    elements:
      assigner:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
        index: 0
  basedOn:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/CarePlan', 'http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation', 'http://hl7.org/fhir/StructureDefinition/MedicationRequest', 'http://hl7.org/fhir/StructureDefinition/ServiceRequest', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-CarePlan', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-ImmunizationRecommendation', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-MedicationRequest', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-ServiceRequest']
    index: 23
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 24
  priorPrescription:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/MedicationRequest', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-MedicationRequest']
    index: 34
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 35
  medicationReference:
    type: Reference
    choiceOf: medication
    refers: ['http://hl7.org/fhir/StructureDefinition/Medication', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Medication']
    index: 8
  subject:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Group', 'http://hl7.org/fhir/StructureDefinition/Patient', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Group', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient']
    index: 9
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 10
  performer:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/CareTeam', 'http://hl7.org/fhir/StructureDefinition/Device', 'http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Patient', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-CareTeam', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Device', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-PractitionerRole', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-RelatedPerson']
    index: 17
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 18
  medication:
    choices: [medicationCodeableConcept, medicationReference]
    index: 6
  reasonReference:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Condition', 'http://hl7.org/fhir/StructureDefinition/Observation', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Condition', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Observation']
    index: 21
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 22
package_version: 0.1.0-alpha
class: profile
kind: resource
url: https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-MedicationRequest
base: https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationRequest
version: null