description: The US Core Medication Request Profile is based upon the core FHIR MedicationRequest Resource and meets the U.S. Core Data for Interoperability (USCDI) v2 *Medications* requirements. The MedicationRequest resource can be used to record a patient's medication prescription or order.  This profile sets minimum expectations for the MedicationRequest resource to record, search, and fetch a patient's medication to promote interoperability and adoption through common implementation.  It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains the way the elements are used when using this profile.  It provides the floor for standards development for specific use cases.
package_name: hl7.fhir.us.core
derivation: constraint
name: USCoreMedicationRequestProfile
type: MedicationRequest
elements:
  category:
    mustSupport: true
    index: 3
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: pattern}
      min: null
      slices:
        us-core:
          match: {}
          schema:
            binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/medicationrequest-category'}
            mustSupport: true
            index: 4
  encounter:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter']
    index: 14
  dispenseRequest:
    mustSupport: true
    index: 27
    elements:
      numberOfRepeatsAllowed: {mustSupport: true, index: 28}
      quantity: {mustSupport: true, index: 29}
  reported:
    mustSupport: true
    choices: [reportedBoolean, reportedReference]
    index: 6
  reasonCode:
    short: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Reason or indication for ordering or not ordering the medication'
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code'}
    index: 17
  medicationCodeableConcept: {type: CodeableConcept, mustSupport: true, choiceOf: medication, index: 11}
  authoredOn: {mustSupport: true, index: 15}
  extension:
    short: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Medication Adherence Extension'
    type: Extension
    mustSupport: false
    url: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication-adherence
    index: 0
    slicing:
      slices:
        medicationAdherence:
          match: {}
          schema: {short: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Medication Adherence Extension', type: Extension, mustSupport: false, url: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication-adherence', index: 0}
          min: 0
  requester:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Device', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson']
    index: 16
  reportedReference:
    type: Reference
    mustSupport: true
    choiceOf: reported
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson']
    index: 8
  status:
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/medicationrequest-status'}
    mustSupport: true
    index: 1
  dosageInstruction:
    mustSupport: true
    index: 19
    elements:
      text: {mustSupport: true, index: 20}
      timing: {mustSupport: true, index: 21}
      doseAndRate:
        mustSupport: true
        index: 22
        elements:
          dose:
            short: Amount of medication per dose
            mustSupport: true
            choices: [doseQuantity, doseRange]
            index: 24
          doseQuantity: {type: Quantity, short: Amount of medication per dose, mustSupport: true, choiceOf: dose, index: 25}
          doseRange: {type: Range, short: Amount of medication per dose, mustSupport: true, choiceOf: dose, index: 26}
  reportedBoolean: {type: boolean, mustSupport: true, choiceOf: reported, index: 7}
  intent:
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/medicationrequest-intent'}
    mustSupport: true
    index: 2
  medicationReference:
    type: Reference
    mustSupport: true
    choiceOf: medication
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication']
    index: 12
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Group', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient']
    index: 13
  medication:
    mustSupport: true
    choices: [medicationCodeableConcept, medicationReference]
    index: 10
  reasonReference: {short: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Condition or Observation that supports the prescription', index: 18}
package_version: 7.0.0-ballot
extensions:
  medicationAdherence: {url: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication-adherence', min: 0, short: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Medication Adherence Extension', type: Extension, mustSupport: false, index: 0}
class: profile
kind: resource
url: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest
base: http://hl7.org/fhir/StructureDefinition/MedicationRequest
version: 7.0.0-ballot