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: hl7.fhir.core derivation: specialization name: MedicationRequest type: MedicationRequest elements: performerType: short: Desired kind of performer of the medication administration type: CodeableConcept binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/performer-role'} isSummary: true index: 16 category: short: Type of medication usage type: CodeableConcept array: true binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/medication-request-category'} index: 3 insurance: short: Associated insurance coverage refers: ['http://hl7.org/fhir/StructureDefinition/ClaimResponse', 'http://hl7.org/fhir/StructureDefinition/Coverage'] type: Reference array: true index: 25 eventHistory: short: A list of events of interest in the lifecycle refers: ['http://hl7.org/fhir/StructureDefinition/Provenance'] type: Reference array: true index: 43 substitution: type: BackboneElement short: Any restrictions on medication substitution index: 38 elements: allowed: {short: Whether substitution is allowed or not, type: boolean, index: 39} reason: short: Why should (not) substitution be made type: CodeableConcept binding: {strength: example, valueSet: 'http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason'} index: 40 required: [allowed] instantiates: {short: Instantiates protocol or definition, type: uri, array: true, isSummary: true, index: 20} detectedIssue: short: Clinical Issue with action refers: ['http://hl7.org/fhir/StructureDefinition/DetectedIssue'] type: Reference array: true index: 42 dispenseRequest: type: BackboneElement short: Medication supply authorization index: 28 elements: initialFill: short: First fill details type: BackboneElement index: 29 elements: quantity: {type: Quantity, short: First fill quantity, index: 30} duration: {type: Duration, short: First fill duration, index: 31} dispenseInterval: {type: Duration, short: Minimum period of time between dispenses, index: 32} validityPeriod: {short: Time period supply is authorized for, type: Period, index: 33} numberOfRepeatsAllowed: {short: Number of refills authorized, type: unsignedInt, index: 34} quantity: {type: Quantity, short: Amount of medication to supply per dispense, index: 35} expectedSupplyDuration: {short: Number of days supply per dispense, type: Duration, index: 36} performer: short: Intended dispenser refers: ['http://hl7.org/fhir/StructureDefinition/Organization'] type: Reference index: 37 reasonCode: short: Reason or indication for ordering or not ordering the medication type: CodeableConcept array: true binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/condition-code'} index: 18 medicationCodeableConcept: {short: Medication to be taken, type: CodeableConcept, choiceOf: medication, isSummary: true, index: 8} statusReason: short: Reason for current status type: CodeableConcept binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/med-request-status-reason'} index: 23 authoredOn: {short: When request was initially authored, type: dateTime, isSummary: true, index: 13} note: {type: Annotation, short: Information about the prescription, array: true, index: 26} requester: short: Who/What requested the Request 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'] type: Reference isSummary: true index: 14 supportingInformation: short: Information to support ordering of the medication refers: ['http://hl7.org/fhir/StructureDefinition/Resource'] type: Reference array: true index: 12 priority: short: routine | urgent | asap | stat type: code binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/request-priority'} isSummary: true index: 4 status: isModifier: true short: active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown type: code binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/medication-request-status'} isModifierReason: This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid isSummary: true index: 1 dosageInstruction: {short: How the medication should be taken, type: Dosage, array: true, index: 27} groupIdentifier: {short: Composite request this is part of, type: Identifier, isSummary: true, index: 22} recorder: short: Person who entered the request refers: ['http://hl7.org/fhir/StructureDefinition/Practitioner'] type: Reference index: 17 identifier: {type: Identifier, short: External ids for this request, array: true, index: 0} doNotPerform: {isModifier: true, short: True if request is prohibiting action, type: boolean, isModifierReason: 'This element is labeled as a modifier because this element negates the request to occur (ie, this is a request for the medication not to be ordered or prescribed, etc)', isSummary: true, index: 5} context: short: Created during encounter/admission/stay refers: ['http://hl7.org/fhir/StructureDefinition/Encounter', 'http://hl7.org/fhir/StructureDefinition/EpisodeOfCare'] type: Reference index: 11 intent: isModifier: true short: proposal | plan | order | original-order | instance-order | option type: code binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/medication-request-intent'} isModifierReason: This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request isSummary: true index: 2 basedOn: short: What request fulfills refers: ['http://hl7.org/fhir/StructureDefinition/CarePlan', 'http://hl7.org/fhir/StructureDefinition/MedicationRequest', 'http://hl7.org/fhir/StructureDefinition/ServiceRequest'] type: Reference array: true isSummary: true index: 21 priorPrescription: short: An order/prescription that is being replaced refers: ['http://hl7.org/fhir/StructureDefinition/MedicationRequest'] type: Reference index: 41 medicationReference: short: Medication to be taken refers: ['http://hl7.org/fhir/StructureDefinition/Medication'] type: Reference choiceOf: medication isSummary: true index: 9 courseOfTherapyType: short: Overall pattern of medication administration type: CodeableConcept binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/course-of-therapy'} index: 24 subject: short: Who or group medication request is for refers: ['http://hl7.org/fhir/StructureDefinition/Group', 'http://hl7.org/fhir/StructureDefinition/Patient'] type: Reference isSummary: true index: 10 performer: short: Intended performer of administration 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'] type: Reference index: 15 medication: short: Medication to be taken choices: [medicationCodeableConcept, medicationReference] isSummary: true index: 7 reasonReference: short: Condition or observation that supports why the prescription is being written refers: ['http://hl7.org/fhir/StructureDefinition/Condition', 'http://hl7.org/fhir/StructureDefinition/Observation'] type: Reference array: true index: 19 package_version: 3.5.0 class: resource kind: resource url: http://hl7.org/fhir/StructureDefinition/MedicationRequest base: http://hl7.org/fhir/StructureDefinition/DomainResource version: null required: [medicationCodeableConcept, status, subject, intent, medication, medicationReference]