description: Profile of MedicationRequest for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
package_name: hl7.fhir.us.quality-core
derivation: constraint
name: USQualityCoreMedicationRequest
type: MedicationRequest
elements:
  encounter:
    type: Reference
    refers: ['http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-encounter']
    index: 15
  medication[x]:
    extensions:
      codeOptions: {url: 'http://hl7.org/fhir/StructureDefinition/codeOptions', min: 0, max: 1, short: (USCDI+ Quality) Url of a value set of candidate medications, type: Extension, index: 13}
    elements:
      extension:
        short: (USCDI+ Quality) Url of a value set of candidate medications
        type: Extension
        url: http://hl7.org/fhir/StructureDefinition/codeOptions
        index: 13
        slicing:
          slices:
            codeOptions:
              match: {}
              schema: {short: (USCDI+ Quality) Url of a value set of candidate medications, type: Extension, url: 'http://hl7.org/fhir/StructureDefinition/codeOptions', index: 13}
              min: 0
              max: 1
  dispenseRequest:
    short: (USCDI+ Quality) Medication supply authorization
    index: 37
    elements:
      validityPeriod: {short: (USCDI+ Quality) Time period supply is authorized for, index: 38}
      numberOfRepeatsAllowed: {short: (USCDI+ Quality) Number of refills authorized, index: 39}
      quantity: {short: (USCDI+ Quality) Amount of medication to supply per dispense, index: 40}
      expectedSupplyDuration: {short: (USCDI+ Quality) Number of days supply per dispense, index: 41}
  reported:
    short: (USCDI+ Quality) Reported rather than primary record
    choices: [reportedReference]
    index: 9
    slicing:
      slices:
        reportedReference:
          match: {}
          schema:
            short: (USCDI+ Quality) Reported rather than primary record
            choices: [reportedReference]
            index: 9
          min: 0
          max: 1
  reasonCode: {short: (USCDI+ Quality) Reason or indication for ordering or not ordering the medication, index: 18}
  authoredOn: {short: (USCDI+ Quality) When request was initially authored, index: 16}
  extension:
    type: Extension
    short: (USCDI+ Quality) Reported adherence to prescribed medication instructions.
    url: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication-adherence|9.0.0
    index: 0
    slicing:
      slices:
        medicationAdherence:
          match: {}
          schema: {type: Extension, short: (USCDI+ Quality) Reported adherence to prescribed medication instructions., url: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication-adherence|9.0.0', index: 0}
  requester:
    type: Reference
    short: (USCDI+ Quality) Who/What requested the Request
    refers: ['http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-patient', 'http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-practitioner', 'http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-practitionerrole']
    index: 17
  reportedReference:
    short: (USCDI+ Quality) Reported rather than primary record
    refers: ['http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-patient', 'http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-practitioner', 'http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-practitionerrole', 'http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-relatedperson']
    type: Reference
    choiceOf: reported
    index: 10
    slicing:
      slices:
        reportedReference:
          match: {}
          schema:
            short: (USCDI+ Quality) Reported rather than primary record
            refers: ['http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-patient', 'http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-practitioner', 'http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-practitionerrole', 'http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-relatedperson']
            type: Reference
            choiceOf: reported
            index: 10
          min: 0
          max: 1
  status: {short: (USCDI+ Quality) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown, index: 1}
  dosageInstruction:
    short: (USCDI+ Quality) How medication should be taken
    index: 20
    elements:
      text: {short: (USCDI+ Quality) Free text dosage instructions e.g. SIG, index: 21}
      timing:
        short: (USCDI+ Quality) When medication should be administered
        index: 22
        elements:
          repeat:
            short: (USCDI+ Quality) When the event is to occur
            index: 23
            elements:
              bounds:
                short: (USCDI+ Quality) Length/Range of lengths, or (Start and/or end) limits
                choices: []
                index: 25
              frequency: {short: (USCDI+ Quality) Event occurs frequency times per period, index: 26}
              frequencyMax: {short: (USCDI+ Quality) Event occurs frequencyMax times per period, index: 27}
              period: {short: (USCDI+ Quality) Event occurs frequency times per period, index: 28}
              periodMax: {short: (USCDI+ Quality) Upper limit of period (3-4 hours), index: 29}
              periodUnit: {short: (USCDI+ Quality) s | min | h | d | wk | mo | a - unit of time (UCUM), index: 30}
      asNeeded:
        short: (USCDI+ Quality) Take "as needed" (for x)
        choices: []
        index: 32
      route: {short: (USCDI+ Quality) How drug should enter body, index: 33}
      doseAndRate:
        short: (USCDI+ Quality) Amount of medication administered
        index: 34
        elements:
          dose:
            short: (USCDI+ Quality) Amount of medication per dose
            choices: []
            index: 36
  reportedBoolean: {type: boolean, choiceOf: reported, index: 6}
  doNotPerform: {short: (USCDI+ Quality) True if the order is not to provide the medication, index: 3}
  intent: {short: (USCDI+ Quality) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option, index: 2}
  subject:
    type: Reference
    refers: ['http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-patient']
    index: 14
  medication:
    short: (USCDI+ Quality) Medication to be taken
    choices: []
    index: 12
  reasonReference:
    type: Reference
    short: (USCDI+ Quality) US Quality Core Condition or Observation that supports the prescription
    refers: ['http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis', 'http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns', 'http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-simple-observation']
    index: 19
package_version: 1.0.0-ballot
extensions:
  medicationAdherence: {url: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication-adherence|9.0.0', type: Extension, short: (USCDI+ Quality) Reported adherence to prescribed medication instructions., index: 0}
class: profile
kind: resource
url: http://hl7.org/fhir/us/quality-core/StructureDefinition/us-quality-core-medicationrequest
base: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest|9.0.0
version: 1.0.0-ballot