description: null
package_name: synapxe.nehr
derivation: constraint
name: MedicationRequest
type: MedicationRequest
elements:
  performerType: {index: 153}
  category:
    short: The specific clinical setting when this medication is ordered
    binding: {strength: required, valueSet: 'https://fhir.synapxe.sg/ValueSet/order-type'}
    index: 84
    elements:
      id: {index: 85}
      extension: {index: 86}
      coding:
        index: 87
        elements:
          id: {index: 88}
          extension: {index: 89}
          system:
            pattern: {type: Uri, value: 'https://fhir.synapxe.sg/CodeSystem/order-type'}
            index: 90
          version: {index: 91}
          code: {index: 92}
          display: {index: 93}
          userSelected: {index: 94}
        extensions: {}
        required: [display, system, code]
      text: {index: 95}
    extensions: {}
    required: [coding]
  insurance: {index: 201}
  eventHistory: {index: 322}
  substitution: {index: 321}
  encounter:
    type: Reference
    refers: ['https://fhir.synapxe.sg/StructureDefinition/profile-encounter']
    index: 134
  dispenseRequest:
    elements:
      dispenser:
        type: Reference
        refers: ['https://fhir.synapxe.sg/StructureDefinition/profile-location']
        index: 304
        elements:
          id: {index: 305}
          extension: {index: 306}
          reference: {index: 307}
          type:
            pattern: {type: Uri, value: Location}
            index: 308
          identifier:
            index: 309
            elements:
              id: {index: 310}
              extension: {index: 311}
              use: {index: 312}
              type: {index: 313}
              system: {index: 314}
              value: {index: 315}
              period: {index: 316}
              assigner: {index: 317}
            extensions: {}
            required: [value, system]
          display: {index: 318}
        extensions: {}
        required: [identifier, type, display]
      doseAdministrationAid: {index: 320}
      initialFill: {index: 285}
      dispenserInstruction: {index: 319}
      dispenseInterval: {index: 286}
      validityPeriod: {index: 287}
      extension: {index: 283}
      id: {index: 282}
      numberOfRepeatsAllowed: {index: 288}
      quantity:
        index: 289
        elements:
          id: {index: 290}
          extension: {index: 291}
          value: {index: 292}
          unit: {index: 293}
          system: {index: 294}
          code: {index: 295}
        extensions: {}
        required: [value, unit, system, code]
      expectedSupplyDuration:
        index: 296
        elements:
          id: {index: 297}
          extension: {index: 298}
          value: {index: 299}
          comparator: {index: 300}
          unit: {index: 301}
          system: {index: 302}
          code: {index: 303}
        extensions: {}
        required: [value, unit, system, code]
      modifierExtension: {index: 284}
    extensions: {}
    required: [quantity]
  reported: {index: 152}
  statusReason:
    short: Reason for cancellation, if it is cancelled
    binding: {strength: required, valueSet: 'https://fhir.synapxe.sg/ValueSet/status-reason'}
    index: 71
    elements:
      id: {index: 72}
      extension: {index: 73}
      coding:
        index: 74
        elements:
          id: {index: 75}
          extension: {index: 76}
          system:
            pattern: {type: Uri, value: 'https://fhir.synapxe.sg/CodeSystem/status-reason'}
            index: 77
          code: {index: 78}
          display: {index: 79}
          userSelected: {index: 80}
        extensions: {}
        required: [display, system, code]
      text: {index: 81}
    extensions: {}
    required: [coding]
  authoredOn: {short: medication order date time, index: 136}
  effectiveDosePeriod:
    elements:
      id: {index: 209}
      extension: {index: 210}
      start: {index: 211}
      end: {index: 212}
    extensions: {}
    required: [start, end]
  note:
    index: 202
    elements:
      id: {index: 203}
      extension: {index: 204}
      author:
        choices: []
        index: 206
      time: {index: 207}
    extensions: {}
  reason:
    index: 185
    elements:
      id: {index: 186}
      extension: {index: 187}
      concept:
        binding: {strength: required, valueSet: 'https://fhir.synapxe.sg/ValueSet/reason-for-medication'}
        index: 188
        elements:
          id: {index: 189}
          extension: {index: 190}
          coding:
            index: 191
            elements:
              id: {index: 192}
              extension: {index: 193}
              system:
                pattern: {type: Uri, value: 'https://fhir.synapxe.sg/CodeSystem/reason-for-medication'}
                index: 194
              version: {index: 195}
              code: {index: 196}
              display: {index: 197}
              userSelected: {index: 198}
            extensions: {}
            required: [display, system, code]
          text: {index: 199}
        extensions: {}
        required: [coding]
    extensions: {}
    required: [concept]
  extension:
    type: Extension
    url: https://fhir.synapxe.sg/StructureDefinition/ext-orderinglocation
    index: 1
    slicing:
      slices:
        extensionOrderingLocation:
          match: {}
          schema:
            type: Extension
            url: https://fhir.synapxe.sg/StructureDefinition/ext-orderinglocation
            index: 1
            elements:
              id: {index: 2}
        extensionAuthorizer:
          match: {}
          schema: {type: Extension, url: 'https://fhir.synapxe.sg/StructureDefinition/ext-authorizer', index: 3}
        extensionChangesMade:
          match: {}
          schema: {type: Extension, url: 'https://fhir.synapxe.sg/StructureDefinition/ext-changesmade', index: 4}
        extensionOrderingInstitution:
          match: {}
          schema: {type: Extension, url: 'https://fhir.synapxe.sg/StructureDefinition/ext-orderinginstitution', index: 5}
        extensionOrderSetConnectingTerm:
          match: {}
          schema: {type: Extension, url: 'https://fhir.synapxe.sg/StructureDefinition/ext-ordersetconnectingterm', index: 6}
        extensionSequenceNo:
          match: {}
          schema: {type: Extension, url: 'https://fhir.synapxe.sg/StructureDefinition/ext-sequenceno', index: 7}
  statusChanged: {short: 'if status is Discontinued, this is the discontinued date time', index: 82}
  contained: {index: 0}
  requester:
    type: Reference
    refers: ['https://fhir.synapxe.sg/StructureDefinition/profile-practitioner']
    index: 137
    elements:
      id: {index: 138}
      extension: {index: 139}
      reference: {index: 140}
      type:
        pattern: {type: Uri, value: Practitioner}
        index: 141
      identifier:
        index: 142
        elements:
          id: {index: 143}
          extension: {index: 144}
          use: {index: 145}
          type: {index: 146}
          system: {index: 147}
          value: {index: 148}
          period: {index: 149}
          assigner: {index: 150}
        extensions: {}
        required: [value, system]
      display: {index: 151}
    extensions: {}
    required: [identifier, type]
  supportingInformation: {index: 135}
  priority: {index: 96}
  status:
    binding: {strength: required, valueSet: 'https://fhir.synapxe.sg/ValueSet/medicationrequest-status'}
    index: 70
  dosageInstruction:
    index: 213
    elements:
      site: {index: 259}
      asNeeded: {index: 253}
      method: {index: 271}
      patientInstruction: {index: 223}
      maxDosePerLifetime: {index: 281}
      maxDosePerAdministration: {index: 280}
      route:
        elements:
          id: {index: 260}
          extension: {index: 261}
          coding:
            index: 262
            elements:
              id: {index: 263}
              extension: {index: 264}
              system: {index: 265}
              version: {index: 266}
              code: {index: 267}
              display: {index: 268}
              userSelected: {index: 269}
            extensions: {}
            required: [display, system, code]
          text: {index: 270}
        extensions: {}
        required: [coding]
      extension: {index: 215}
      id: {index: 214}
      timing:
        index: 224
        elements:
          id: {index: 225}
          extension: {index: 226}
          modifierExtension: {index: 227}
          event: {index: 228}
          repeat:
            elements:
              id: {index: 229}
              extension: {index: 230}
              bounds:
                choices: [boundsRange]
                index: 232
              boundsRange: {type: Range, choiceOf: bounds, index: 233}
              bounds[x]:
                elements:
                  id: {index: 234}
                  extension: {index: 235}
                  low:
                    index: 236
                    elements:
                      id: {index: 237}
                      extension: {index: 238}
                      value: {index: 239}
                      unit: {index: 240}
                      system: {index: 241}
                      code: {index: 242}
                    extensions: {}
                    required: [value, unit, system, code]
                  high:
                    index: 243
                    elements:
                      id: {index: 244}
                      extension: {index: 245}
                      value: {index: 246}
                      unit: {index: 247}
                      system: {index: 248}
                      code: {index: 249}
                    extensions: {}
                    required: [value, unit, system, code]
                extensions: {}
                required: [low, high]
              dayOfWeek: {index: 250}
              timeOfDay: {index: 251}
              when: {index: 252}
            extensions: {}
        extensions: {}
      additionalInstruction:
        index: 218
        elements:
          id: {index: 219}
          extension: {index: 220}
          coding: {index: 221}
          text: {index: 222}
        extensions: {}
        required: [text]
      sequence: {short: The sequence number of the dosage instructions for step or variable dose, index: 217}
      maxDosePerPeriod: {index: 279}
      asNeededFor:
        short: Frequency qualifier. Take "as needed" (for x)
        index: 254
        elements:
          id: {index: 255}
          extension: {index: 256}
          coding: {index: 257}
          text: {index: 258}
        extensions: {}
        required: [text]
      doseAndRate:
        elements:
          id: {index: 272}
          extension: {index: 273}
          type: {index: 274}
          dose:
            choices: []
            index: 276
          rate:
            choices: []
            index: 278
        extensions: {}
        required: [dose]
      modifierExtension: {index: 216}
    extensions: {}
    required: [sequence]
  groupIdentifier:
    index: 61
    elements:
      id: {index: 62}
      extension: {index: 63}
      use: {index: 64}
      type: {index: 65}
      system:
        pattern: {type: Uri, value: 'https://fhir.synapxe.sg/NamingSystem/groupNo'}
        index: 66
      value: {index: 67}
      period: {index: 68}
      assigner: {index: 69}
    extensions: {}
    required: [value, system]
  recorder:
    type: Reference
    short: The healthcare professional responsible for prescribing this medication order
    refers: ['https://fhir.synapxe.sg/StructureDefinition/profile-practitioner']
    index: 170
    elements:
      id: {index: 171}
      extension: {index: 172}
      reference: {index: 173}
      type:
        pattern: {type: Uri, value: Practitioner}
        index: 174
      identifier:
        index: 175
        elements:
          id: {index: 176}
          extension: {index: 177}
          use: {index: 178}
          type: {index: 179}
          system: {index: 180}
          value: {index: 181}
          period: {index: 182}
          assigner: {index: 183}
        extensions: {}
        required: [value, system]
      display: {index: 184}
    extensions: {}
    required: [identifier, display]
  identifier:
    index: 9
    elements:
      id: {index: 10}
      extension: {index: 11}
      use: {index: 12}
      type: {index: 13}
      system: {index: 14}
      value: {index: 15}
      period: {index: 16}
      assigner: {index: 17}
    extensions: {}
    required: [value, system]
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: value}
      min: 1
      slices:
        recordIdentifier:
          match: {}
          schema:
            _required: true
            index: 18
            elements:
              id: {index: 19}
              extension: {index: 20}
              use: {index: 21}
              type: {index: 22}
              system:
                pattern: {type: Uri, value: 'https://fhir.synapxe.sg/NamingSystem/record-identifier'}
                index: 23
              value: {index: 24}
              period: {index: 25}
              assigner: {index: 26}
            extensions: {}
            required: [value, system]
        orderID:
          match: {}
          schema:
            _required: true
            index: 27
            elements:
              id: {index: 28}
              extension: {index: 29}
              use: {index: 30}
              type: {index: 31}
              system:
                pattern: {type: Uri, value: 'https://fhir.synapxe.sg/NamingSystem/orderID'}
                index: 32
              value: {index: 33}
              period: {index: 34}
              assigner: {index: 35}
            extensions: {}
            required: [value, system]
        sourceGroupingID:
          match: {}
          schema:
            _required: true
            index: 36
            elements:
              id: {index: 37}
              extension: {index: 38}
              use: {index: 39}
              type: {index: 40}
              system:
                pattern: {type: Uri, value: 'https://fhir.synapxe.sg/NamingSystem/sourceGroupingID'}
                index: 41
              value: {index: 42}
              period: {index: 43}
              assigner: {index: 44}
            extensions: {}
            required: [value, system]
  doNotPerform: {index: 97}
  intent:
    pattern: {type: Code, value: order}
    index: 83
  device: {index: 169}
  renderedDosageInstruction: {index: 208}
  basedOn:
    type: Reference
    refers: ['https://fhir.synapxe.sg/StructureDefinition/profile-encounter']
    index: 45
    elements:
      id: {index: 46}
      extension: {index: 47}
      reference: {index: 48}
      type:
        pattern: {type: Uri, value: Encounter}
        index: 49
      identifier:
        index: 50
        elements:
          id: {index: 51}
          extension: {index: 52}
          use: {index: 53}
          type: {index: 54}
          system:
            pattern: {type: Uri, value: 'https://fhir.synapxe.sg/NamingSystem/record-identifier'}
            index: 55
          value: {index: 56}
          period: {index: 57}
          assigner: {index: 58}
        extensions: {}
        required: [value, system]
      display: {index: 59}
    extensions: {}
    required: [identifier, type]
  priorPrescription: {index: 60}
  informationSource: {index: 133}
  courseOfTherapyType: {index: 200}
  subject:
    type: Reference
    refers: ['https://fhir.synapxe.sg/StructureDefinition/profile-patient']
    index: 120
    elements:
      reference: {index: 121}
      type:
        pattern: {type: Uri, value: Patient}
        index: 122
      identifier:
        index: 123
        elements:
          id: {index: 124}
          extension: {index: 125}
          use: {index: 126}
          type: {index: 127}
          system:
            pattern: {type: Uri, value: 'https://fhir.synapxe.sg/NamingSystem/nric'}
            index: 128
          value: {index: 129}
          period: {index: 130}
          assigner: {index: 131}
        extensions: {}
        required: [value, system]
      display: {index: 132}
    required: [identifier, type]
  modifierExtension: {index: 8}
  performer:
    type: Reference
    refers: ['https://fhir.synapxe.sg/StructureDefinition/profile-practitioner']
    index: 154
    elements:
      id: {index: 155}
      extension: {index: 156}
      reference: {index: 157}
      type: {index: 158}
      identifier:
        index: 159
        elements:
          id: {index: 160}
          extension: {index: 161}
          use: {index: 162}
          type: {index: 163}
          system: {index: 164}
          value: {index: 165}
          period: {index: 166}
          assigner: {index: 167}
        extensions: {}
        required: [value, system]
      display: {index: 168}
    extensions: {}
    required: [identifier, display]
  medication:
    type: CodeableReference
    index: 98
    elements:
      id: {index: 99}
      extension: {index: 100}
      concept:
        index: 101
        elements:
          id: {index: 102}
          extension: {index: 103}
          coding:
            index: 104
            elements:
              id: {index: 105}
              extension: {index: 106}
              system: {index: 107}
              version: {index: 108}
              code: {index: 109}
              display: {index: 110}
              userSelected: {index: 111}
            extensions: {}
            required: [display, system, code]
          text: {index: 112}
        extensions: {}
        required: [coding]
      reference:
        index: 113
        elements:
          id: {index: 114}
          extension: {index: 115}
          reference: {index: 116}
          type: {index: 117}
          identifier: {index: 118}
          display: {index: 119}
        extensions: {}
        required: [reference]
    extensions: {}
    required: [concept]
package_version: 2.0.0
extensions:
  extensionOrderingLocation:
    url: https://fhir.synapxe.sg/StructureDefinition/ext-orderinglocation
    type: Extension
    index: 1
    elements:
      id: {index: 2}
  extensionAuthorizer: {url: 'https://fhir.synapxe.sg/StructureDefinition/ext-authorizer', type: Extension, index: 3}
  extensionChangesMade: {url: 'https://fhir.synapxe.sg/StructureDefinition/ext-changesmade', type: Extension, index: 4}
  extensionOrderingInstitution: {url: 'https://fhir.synapxe.sg/StructureDefinition/ext-orderinginstitution', type: Extension, index: 5}
  extensionOrderSetConnectingTerm: {url: 'https://fhir.synapxe.sg/StructureDefinition/ext-ordersetconnectingterm', type: Extension, index: 6}
  extensionSequenceNo: {url: 'https://fhir.synapxe.sg/StructureDefinition/ext-sequenceno', type: Extension, index: 7}
class: profile
kind: resource
url: https://fhir.synapxe.sg/StructureDefinition/profile-medicationrequest
base: http://hl7.org/fhir/StructureDefinition/MedicationRequest
version: null
required: [authoredOn, dosageInstruction, requester, groupIdentifier, identifier, category]