Implementation Guide
23.1.0 - R4 APIs

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Resource Profile: Profile - Athena MedRequest

Official URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medrequest-profile Version: 23.1.0
Active as of 2022-03-01 Computable Name: AthenaMedicationRequest

Defines constraints and extensions on the medicationrequest resource as supported by AthenaHealth Products.

This MedicationRequest profile is part of the set of resource profiles supported by the API Server used with the athenaPractice and athenaFlow products. It further describes read and search capabilities of these products. Note: The create and update operations are NOT supported for this resource.

Overview

An order or request for both supply of the medication and the instructions for administration of the medication to a patient.

Scope and Usage

This profile is used to define the content that will be returned by the API Server in response to requests to access MedicationRequest resources. All elements listed in the differential profile view are Supported, which means that the API Server is capable of supplying these fields from the product database when they have been populated via the product or its APIs.

Source

The MedicationRequest resource is derived from the PRESCRIB and MEDADMINREQUEST tables in athenaPractice and athenaFlow. Specific detail can be found in the Mappings tab in the profile detail page.

Usage:

  • This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... id 1..1 id Logical id of this artifact
... meta 0..1 Meta Metadata about the resource
.... lastUpdated 0..1 instant When the resource version last changed
.... Slices for profile 2..* canonical() Profiles this resource claims to conform to
Slice: Unordered, Open by value:uri
..... profile:USCoreRequirements 1..1 canonical() Profiles this resource claims to conform to
Fixed Value: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest
..... profile:Athena MedicationRequest Profile 1..1 canonical() Profiles this resource claims to conform to
Fixed Value: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-profile
.... Slices for security 0..2 Coding Security Labels applied to this resource
Slice: Unordered, Open by value:coding
..... security:SENSITIVECHART 0..1 Coding Security Labels applied to this resource
..... security:CONFABBR 0..1 Coding Security Labels applied to this resource
...... system 1..1 uri Identity of the terminology system
...... code 1..1 code Symbol in syntax defined by the system
.... tag 1..2 Coding Tags applied to this resource
... Slices for extension Content/Rules for all slices
.... ndc 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-ndc
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-ndc"
..... value[x] 1..1 CodeableConcept Value of extension
.... ddid 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-ddid
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-ddid"
..... value[x] 1..1 CodeableConcept Value of extension
.... rxnorm 0..1 Coding Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-rxnorm
.... dispenser 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-dispenser
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-dispenser"
..... value[x] 1..1 Reference() Value of extension
.... dispenseInstructions 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-dispenseInstructions
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-dispenseInstructions"
..... value[x] 1..1 string Value of extension
.... datewritten 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-datewritten
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-datewritten"
..... value[x] 1..1 dateTime Value of extension
.... system 1..1 uri The namespace for the identifier value
.... value 1..1 string The value that is unique
... status 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
... intent 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
... reported[x] 0..1 boolean Reported rather than primary record
... medication[x] 1..1 Reference(Medication) Medication to be taken
... subject 1..1 Reference(Patient) Who or group medication request is for
... encounter 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... authoredOn 1..1 dateTime When request was initially authored
... requester 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/What requested the Request
... recorder 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Person who entered the request
... note 0..* Annotation Information about the prescription
... dosageInstruction 0..* Dosage How the medication should be taken
.... text 0..1 string Free text dosage instructions e.g. SIG
... dispenseRequest 0..1 BackboneElement Medication supply authorization
.... numberOfRepeatsAllowed 0..1 unsignedInt Number of refills authorized
.... quantity 0..1 Quantity Amount of medication to supply per dispense
... substitution 0..1 BackboneElement Any restrictions on medication substitution
.... allowed[x] 1..1 CodeableConcept Whether substitution is allowed or not

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... id Σ 1..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... Slices for profile Σ 2..* canonical() Profiles this resource claims to conform to
Slice: Unordered, Open by value:uri
..... profile:USCoreRequirements Σ 1..1 canonical() Profiles this resource claims to conform to

Fixed Value: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest
..... profile:Athena MedicationRequest Profile Σ 1..1 canonical() Profiles this resource claims to conform to

Fixed Value: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-profile
.... Slices for security Σ 0..2 Coding Security Labels applied to this resource
Slice: Unordered, Open by value:coding
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:SENSITIVECHART Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:CONFABBR Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


...... system Σ 1..1 uri Identity of the terminology system
...... code Σ 1..1 code Symbol in syntax defined by the system
.... tag Σ 1..2 Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
.... ndc 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-ndc
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-ndc"
..... value[x] 1..1 CodeableConcept Value of extension
.... ddid 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-ddid
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-ddid"
..... value[x] 1..1 CodeableConcept Value of extension
.... rxnorm 0..1 Coding Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-rxnorm
.... dispenser 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-dispenser
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-dispenser"
..... value[x] 1..1 Reference() Value of extension
.... dispenseInstructions 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-dispenseInstructions
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-dispenseInstructions"
..... value[x] 1..1 string Value of extension
.... datewritten 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-datewritten
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-datewritten"
..... value[x] 1..1 dateTime Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..1 Identifier External ids for this request
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ 1..1 string The value that is unique
Example General: 123456
... status ?!Σ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.

... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.

... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... reported[x] Σ 0..1 boolean Reported rather than primary record
... medication[x] Σ 1..1 Reference(Medication) Medication to be taken
... subject Σ 1..1 Reference(Patient) Who or group medication request is for
... encounter 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... authoredOn Σ 1..1 dateTime When request was initially authored
... requester Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/What requested the Request
... recorder 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Person who entered the request
... note 0..* Annotation Information about the prescription
... dosageInstruction 0..* Dosage How the medication should be taken
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text Σ 0..1 string Free text dosage instructions e.g. SIG
... dispenseRequest 0..1 BackboneElement Medication supply authorization
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... numberOfRepeatsAllowed 0..1 unsignedInt Number of refills authorized
.... quantity 0..1 Quantity Amount of medication to supply per dispense
... substitution 0..1 BackboneElement Any restrictions on medication substitution
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... allowed[x] 1..1 CodeableConcept Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
MedicationRequest.meta.security:SENSITIVECHARTextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
MedicationRequest.meta.security:CONFABBRextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
MedicationRequest.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
MedicationRequest.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... id Σ 1..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... Slices for profile Σ 2..* canonical() Profiles this resource claims to conform to
Slice: Unordered, Open by value:uri
..... profile:USCoreRequirements Σ 1..1 canonical() Profiles this resource claims to conform to

Fixed Value: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest
..... profile:Athena MedicationRequest Profile Σ 1..1 canonical() Profiles this resource claims to conform to

Fixed Value: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-profile
.... Slices for security Σ 0..2 Coding Security Labels applied to this resource
Slice: Unordered, Open by value:coding
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:SENSITIVECHART Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:CONFABBR Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... tag Σ 1..2 Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... ndc 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-ndc
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-ndc"
..... value[x] 1..1 CodeableConcept Value of extension
.... ddid 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-ddid
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-ddid"
..... value[x] 1..1 CodeableConcept Value of extension
.... rxnorm 0..1 Coding Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-rxnorm
.... dispenser 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-dispenser
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-dispenser"
..... value[x] 1..1 Reference() Value of extension
.... dispenseInstructions 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-dispenseInstructions
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-dispenseInstructions"
..... value[x] 1..1 string Value of extension
.... datewritten 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-datewritten
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-datewritten"
..... value[x] 1..1 dateTime Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..1 Identifier External ids for this request
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... status ?!Σ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.

... statusReason 0..1 CodeableConcept Reason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.

... category 0..* CodeableConcept Type of medication usage
Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.


... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... reported[x] Σ 0..1 boolean Reported rather than primary record
... medication[x] Σ 1..1 Reference(Medication) Medication to be taken
... subject Σ 1..1 Reference(Patient) Who or group medication request is for
... encounter 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
... authoredOn Σ 1..1 dateTime When request was initially authored
... requester Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/What requested the Request
... performer 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) Intended performer of administration
... performerType Σ 0..1 CodeableConcept Desired kind of performer of the medication administration
Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.

... recorder 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Person who entered the request
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.


... reasonReference 0..* Reference(Condition | Observation) Condition or observation that supports why the prescription is being written
... instantiatesCanonical Σ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) What request fulfills
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... courseOfTherapyType 0..1 CodeableConcept Overall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.

... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... note 0..* Annotation Information about the prescription
... dosageInstruction 0..* Dosage How the medication should be taken
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence Σ 0..1 integer The order of the dosage instructions
.... text Σ 0..1 string Free text dosage instructions e.g. SIG
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".


.... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
.... timing Σ 0..1 Timing When medication should be administered
.... asNeeded[x] Σ 0..1 Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.

..... asNeededBoolean boolean
..... asNeededCodeableConcept CodeableConcept
.... site Σ 0..1 CodeableConcept Body site to administer to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.

.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

.... doseAndRate Σ 0..* Element Amount of medication administered
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ 0..1 CodeableConcept The kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.

..... dose[x] Σ 0..1 Amount of medication per dose
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
..... rate[x] Σ 0..1 Amount of medication per unit of time
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
.... maxDosePerPeriod Σ 0..1 Ratio Upper limit on medication per unit of time
.... maxDosePerAdministration Σ 0..1 SimpleQuantity Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity Upper limit on medication per lifetime of the patient
... dispenseRequest 0..1 BackboneElement Medication supply authorization
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... initialFill 0..1 BackboneElement First fill details
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... quantity 0..1 SimpleQuantity First fill quantity
..... duration 0..1 Duration First fill duration
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... validityPeriod 0..1 Period Time period supply is authorized for
.... numberOfRepeatsAllowed 0..1 unsignedInt Number of refills authorized
.... quantity 0..1 Quantity Amount of medication to supply per dispense
.... expectedSupplyDuration 0..1 Duration Number of days supply per dispense
.... performer 0..1 Reference(Organization) Intended dispenser
... substitution 0..1 BackboneElement Any restrictions on medication substitution
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... allowed[x] 1..1 CodeableConcept Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.

.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.

... priorPrescription 0..1 Reference(MedicationRequest) An order/prescription that is being replaced
... detectedIssue 0..* Reference(DetectedIssue) Clinical Issue with action
... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
MedicationRequest.meta.security:SENSITIVECHARTextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
MedicationRequest.meta.security:CONFABBRextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
MedicationRequest.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
MedicationRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationRequest.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationRequest.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
from the FHIR Standard
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.categoryexamplemedicationRequest Category Codes
http://hl7.org/fhir/ValueSet/medicationrequest-category
from the FHIR Standard
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
from the FHIR Standard
MedicationRequest.dosageInstruction.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.routeexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
http://hl7.org/fhir/ValueSet/dose-rate-type
from the FHIR Standard
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Differential View

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... id 1..1 id Logical id of this artifact
... meta 0..1 Meta Metadata about the resource
.... lastUpdated 0..1 instant When the resource version last changed
.... Slices for profile 2..* canonical() Profiles this resource claims to conform to
Slice: Unordered, Open by value:uri
..... profile:USCoreRequirements 1..1 canonical() Profiles this resource claims to conform to
Fixed Value: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest
..... profile:Athena MedicationRequest Profile 1..1 canonical() Profiles this resource claims to conform to
Fixed Value: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-profile
.... Slices for security 0..2 Coding Security Labels applied to this resource
Slice: Unordered, Open by value:coding
..... security:SENSITIVECHART 0..1 Coding Security Labels applied to this resource
..... security:CONFABBR 0..1 Coding Security Labels applied to this resource
...... system 1..1 uri Identity of the terminology system
...... code 1..1 code Symbol in syntax defined by the system
.... tag 1..2 Coding Tags applied to this resource
... Slices for extension Content/Rules for all slices
.... ndc 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-ndc
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-ndc"
..... value[x] 1..1 CodeableConcept Value of extension
.... ddid 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-ddid
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-ddid"
..... value[x] 1..1 CodeableConcept Value of extension
.... rxnorm 0..1 Coding Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-rxnorm
.... dispenser 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-dispenser
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-dispenser"
..... value[x] 1..1 Reference() Value of extension
.... dispenseInstructions 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-dispenseInstructions
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-dispenseInstructions"
..... value[x] 1..1 string Value of extension
.... datewritten 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-datewritten
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-datewritten"
..... value[x] 1..1 dateTime Value of extension
.... system 1..1 uri The namespace for the identifier value
.... value 1..1 string The value that is unique
... status 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
... intent 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
... reported[x] 0..1 boolean Reported rather than primary record
... medication[x] 1..1 Reference(Medication) Medication to be taken
... subject 1..1 Reference(Patient) Who or group medication request is for
... encounter 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... authoredOn 1..1 dateTime When request was initially authored
... requester 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/What requested the Request
... recorder 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Person who entered the request
... note 0..* Annotation Information about the prescription
... dosageInstruction 0..* Dosage How the medication should be taken
.... text 0..1 string Free text dosage instructions e.g. SIG
... dispenseRequest 0..1 BackboneElement Medication supply authorization
.... numberOfRepeatsAllowed 0..1 unsignedInt Number of refills authorized
.... quantity 0..1 Quantity Amount of medication to supply per dispense
... substitution 0..1 BackboneElement Any restrictions on medication substitution
.... allowed[x] 1..1 CodeableConcept Whether substitution is allowed or not

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... id Σ 1..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... Slices for profile Σ 2..* canonical() Profiles this resource claims to conform to
Slice: Unordered, Open by value:uri
..... profile:USCoreRequirements Σ 1..1 canonical() Profiles this resource claims to conform to

Fixed Value: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest
..... profile:Athena MedicationRequest Profile Σ 1..1 canonical() Profiles this resource claims to conform to

Fixed Value: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-profile
.... Slices for security Σ 0..2 Coding Security Labels applied to this resource
Slice: Unordered, Open by value:coding
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:SENSITIVECHART Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:CONFABBR Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


...... system Σ 1..1 uri Identity of the terminology system
...... code Σ 1..1 code Symbol in syntax defined by the system
.... tag Σ 1..2 Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
.... ndc 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-ndc
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-ndc"
..... value[x] 1..1 CodeableConcept Value of extension
.... ddid 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-ddid
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-ddid"
..... value[x] 1..1 CodeableConcept Value of extension
.... rxnorm 0..1 Coding Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-rxnorm
.... dispenser 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-dispenser
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-dispenser"
..... value[x] 1..1 Reference() Value of extension
.... dispenseInstructions 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-dispenseInstructions
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-dispenseInstructions"
..... value[x] 1..1 string Value of extension
.... datewritten 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-datewritten
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-datewritten"
..... value[x] 1..1 dateTime Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..1 Identifier External ids for this request
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ 1..1 string The value that is unique
Example General: 123456
... status ?!Σ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.

... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.

... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... reported[x] Σ 0..1 boolean Reported rather than primary record
... medication[x] Σ 1..1 Reference(Medication) Medication to be taken
... subject Σ 1..1 Reference(Patient) Who or group medication request is for
... encounter 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... authoredOn Σ 1..1 dateTime When request was initially authored
... requester Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/What requested the Request
... recorder 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Person who entered the request
... note 0..* Annotation Information about the prescription
... dosageInstruction 0..* Dosage How the medication should be taken
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text Σ 0..1 string Free text dosage instructions e.g. SIG
... dispenseRequest 0..1 BackboneElement Medication supply authorization
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... numberOfRepeatsAllowed 0..1 unsignedInt Number of refills authorized
.... quantity 0..1 Quantity Amount of medication to supply per dispense
... substitution 0..1 BackboneElement Any restrictions on medication substitution
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... allowed[x] 1..1 CodeableConcept Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
MedicationRequest.meta.security:SENSITIVECHARTextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
MedicationRequest.meta.security:CONFABBRextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
MedicationRequest.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
MedicationRequest.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... id Σ 1..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... Slices for profile Σ 2..* canonical() Profiles this resource claims to conform to
Slice: Unordered, Open by value:uri
..... profile:USCoreRequirements Σ 1..1 canonical() Profiles this resource claims to conform to

Fixed Value: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest
..... profile:Athena MedicationRequest Profile Σ 1..1 canonical() Profiles this resource claims to conform to

Fixed Value: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-profile
.... Slices for security Σ 0..2 Coding Security Labels applied to this resource
Slice: Unordered, Open by value:coding
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:SENSITIVECHART Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... security:CONFABBR Σ 0..1 Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... tag Σ 1..2 Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... ndc 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-ndc
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-ndc"
..... value[x] 1..1 CodeableConcept Value of extension
.... ddid 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-ddid
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-ddid"
..... value[x] 1..1 CodeableConcept Value of extension
.... rxnorm 0..1 Coding Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-rxnorm
.... dispenser 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-dispenser
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-dispenser"
..... value[x] 1..1 Reference() Value of extension
.... dispenseInstructions 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-dispenseInstructions
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-dispenseInstructions"
..... value[x] 1..1 string Value of extension
.... datewritten 0..1 (Complex) Extension
URL: https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-datewritten
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-datewritten"
..... value[x] 1..1 dateTime Value of extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..1 Identifier External ids for this request
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... status ?!Σ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.

... statusReason 0..1 CodeableConcept Reason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.

... category 0..* CodeableConcept Type of medication usage
Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.


... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... reported[x] Σ 0..1 boolean Reported rather than primary record
... medication[x] Σ 1..1 Reference(Medication) Medication to be taken
... subject Σ 1..1 Reference(Patient) Who or group medication request is for
... encounter 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
... authoredOn Σ 1..1 dateTime When request was initially authored
... requester Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/What requested the Request
... performer 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) Intended performer of administration
... performerType Σ 0..1 CodeableConcept Desired kind of performer of the medication administration
Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.

... recorder 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Person who entered the request
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.


... reasonReference 0..* Reference(Condition | Observation) Condition or observation that supports why the prescription is being written
... instantiatesCanonical Σ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) What request fulfills
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... courseOfTherapyType 0..1 CodeableConcept Overall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.

... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... note 0..* Annotation Information about the prescription
... dosageInstruction 0..* Dosage How the medication should be taken
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... sequence Σ 0..1 integer The order of the dosage instructions
.... text Σ 0..1 string Free text dosage instructions e.g. SIG
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".


.... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
.... timing Σ 0..1 Timing When medication should be administered
.... asNeeded[x] Σ 0..1 Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.

..... asNeededBoolean boolean
..... asNeededCodeableConcept CodeableConcept
.... site Σ 0..1 CodeableConcept Body site to administer to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.

.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

.... doseAndRate Σ 0..* Element Amount of medication administered
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.