Important: All content in this FHIR Implementation Guide is under development

DataStandardsWales-MedicationRequest

The MedicationRequest resource is a record of a medication that is being order for a patient.

The DataStandardsWales-MedicationRequest profile is derived from the UK Core MedicationRequest Profile. It defines additional rules for use within health and care organisations in Wales.

Formal Views of Profile Content

medicationRepeatInformationS I0..1Extension(Complex)
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Data Standards Wales Organization Profile)
statusS Σ ?!1..1codeBinding
systemΣ1..1uri
versionΣ0..1string
codeΣ1..1code
displayΣ1..1string
userSelectedΣ0..1boolean
textΣ0..1string
intentS Σ ?!1..1codeBinding
categoryS1..1CodeableConceptBinding
priorityΣ0..1codeBinding
doNotPerformΣ ?!0..1boolean
reportedBooleanboolean
reportedReferenceReference(Data Standards Wales Organization Profile | UK Core RelatedPerson | Data Standards Wales PractitionerRole Profile | Data Standards Wales Patient Profile | Data Standards Wales Practitioner Profile)
medicationCodeableConceptCodeableConcept
medicationReferenceReference(Data Standards Wales Medication Profile)
referenceΣ I1..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ1..1uriFixed Value
valueΣ1..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Data Standards Wales Organization Profile)
displayΣ0..1string
authoredOnS Σ1..1dateTime
referenceΣ I1..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Data Standards Wales Organization Profile)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Data Standards Wales Organization Profile)
displayΣ0..1string
performerTypeΣ0..1CodeableConcept
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Data Standards Wales Organization Profile)
displayΣ0..1string
reasonCodeS0..*CodeableConcept
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Data Standards Wales Organization Profile)
displayΣ0..1string
instantiatesCanonicalΣ0..*canonical()
instantiatesUriΣ0..*uri
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Data Standards Wales Organization Profile)
displayΣ0..1string
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
systemΣ1..1uri
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
authorStringstring
authorReferenceReference(Data Standards Wales Patient Profile | Data Standards Wales Organization Profile | Data Standards Wales Practitioner Profile | Data Standards Wales PractitionerRole Profile | UK Core RelatedPerson)
timeΣ0..1dateTime
textΣ1..1markdown
dosageInstructionS1..1DataStandardsWalesDosage
quantityI0..1SimpleQuantity
durationI0..1Duration
dispenseIntervalI0..1Duration
validityPeriodI0..1Period
numberOfRepeatsAllowed0..1unsignedInt
quantityI0..1SimpleQuantity
expectedSupplyDurationI0..1Duration
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
allowedBooleanboolean
allowedCodeableConceptCodeableConcept
reason0..1CodeableConcept
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
medicationRepeatInformationS I0..1Extension(Complex)
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Data Standards Wales Organization Profile)
statusS Σ ?!1..1codeBinding
systemΣ1..1uri
versionΣ0..1string
codeΣ1..1code
displayΣ1..1string
userSelectedΣ0..1boolean
textΣ0..1string
intentS Σ ?!1..1codeBinding
categoryS1..1CodeableConceptBinding
priorityΣ0..1codeBinding
doNotPerformΣ ?!0..1boolean
reportedBooleanboolean
reportedReferenceReference(Data Standards Wales Organization Profile | UK Core RelatedPerson | Data Standards Wales PractitionerRole Profile | Data Standards Wales Patient Profile | Data Standards Wales Practitioner Profile)
medicationCodeableConceptCodeableConcept
medicationReferenceReference(Data Standards Wales Medication Profile)
referenceΣ I1..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ1..1uriFixed Value
valueΣ1..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Data Standards Wales Organization Profile)
displayΣ0..1string
authoredOnS Σ1..1dateTime
referenceΣ I1..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Data Standards Wales Organization Profile)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Data Standards Wales Organization Profile)
displayΣ0..1string
performerTypeΣ0..1CodeableConcept
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Data Standards Wales Organization Profile)
displayΣ0..1string
reasonCodeS0..*CodeableConcept
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Data Standards Wales Organization Profile)
displayΣ0..1string
instantiatesCanonicalΣ0..*canonical()
instantiatesUriΣ0..*uri
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Data Standards Wales Organization Profile)
displayΣ0..1string
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
systemΣ1..1uri
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
authorStringstring
authorReferenceReference(Data Standards Wales Patient Profile | Data Standards Wales Organization Profile | Data Standards Wales Practitioner Profile | Data Standards Wales PractitionerRole Profile | UK Core RelatedPerson)
timeΣ0..1dateTime
textΣ1..1markdown
dosageInstructionS1..1DataStandardsWalesDosage
quantityI0..1SimpleQuantity
durationI0..1Duration
dispenseIntervalI0..1Duration
validityPeriodI0..1Period
numberOfRepeatsAllowed0..1unsignedInt
quantityI0..1SimpleQuantity
expectedSupplyDurationI0..1Duration
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
allowedBooleanboolean
allowedCodeableConceptCodeableConcept
reason0..1CodeableConcept
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
medicationRepeatInformationS I0..1Extension(Complex)
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Data Standards Wales Organization Profile)
statusS Σ ?!1..1codeBinding
systemΣ1..1uri
versionΣ0..1string
codeΣ1..1code
displayΣ1..1string
userSelectedΣ0..1boolean
textΣ0..1string
intentS Σ ?!1..1codeBinding
categoryS1..1CodeableConceptBinding
priorityΣ0..1codeBinding
doNotPerformΣ ?!0..1boolean
reportedBooleanboolean
reportedReferenceReference(Data Standards Wales Organization Profile | UK Core RelatedPerson | Data Standards Wales PractitionerRole Profile | Data Standards Wales Patient Profile | Data Standards Wales Practitioner Profile)
medicationCodeableConceptCodeableConcept
medicationReferenceReference(Data Standards Wales Medication Profile)
referenceΣ I1..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ1..1uriFixed Value
valueΣ1..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Data Standards Wales Organization Profile)
displayΣ0..1string
authoredOnS Σ1..1dateTime
referenceΣ I1..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Data Standards Wales Organization Profile)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Data Standards Wales Organization Profile)
displayΣ0..1string
performerTypeΣ0..1CodeableConcept
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Data Standards Wales Organization Profile)
displayΣ0..1string
reasonCodeS0..*CodeableConcept
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Data Standards Wales Organization Profile)
displayΣ0..1string
instantiatesCanonicalΣ0..*canonical()
instantiatesUriΣ0..*uri
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(Data Standards Wales Organization Profile)
displayΣ0..1string
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
systemΣ1..1uri
versionΣ0..1string
codeΣ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
authorStringstring
authorReferenceReference(Data Standards Wales Patient Profile | Data Standards Wales Organization Profile | Data Standards Wales Practitioner Profile | Data Standards Wales PractitionerRole Profile | UK Core RelatedPerson)
timeΣ0..1dateTime
textΣ1..1markdown
dosageInstructionS1..1DataStandardsWalesDosage
quantityI0..1SimpleQuantity
durationI0..1Duration
dispenseIntervalI0..1Duration
validityPeriodI0..1Period
numberOfRepeatsAllowed0..1unsignedInt
quantityI0..1SimpleQuantity
expectedSupplyDurationI0..1Duration
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
allowedBooleanboolean
allowedCodeableConceptCodeableConcept
reason0..1CodeableConcept
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
referenceΣ I0..1string
typeΣ0..1uriBinding
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ I0..1Period
assignerΣ I0..1Reference(UK Core Organization)
displayΣ0..1string
  • Currently under development
  • Mandatory and Must Support Data Elements

    When an element is mandatory (min=1), the data is expected to always be present. Elements marked with an S must be supported by both producing and receiving systems and SHOULD be populated if the data exists.

    Each MedicationRequest must have:

    1. status
    2. intent
    3. medication
    4. subject
    5. mubstitution

    Each MedicationRequest must support:

    1. identifier
    2. statusReason
    3. category
    4. authoredOn
    5. requester
    6. recorder
    7. reasonCode
    8. basedOn
    9. groupIdentifier
    10. courseOfTherayType
    11. note
    12. dosageInstruction
    13. dispenseRequest

    Implementation Guidance

    • The extensions listed below allow a number of the data elements listed above to be supported where not currently supported by the FHIR standard:
      • Data Standards Wales extensions:
        • Currently under development

    • The MedicationRequest.status field SHALL be populated with one of the following values defined by the FHIR standard:
      • active
      • completed
      • entered-in-error
      • intended
      • stopped
      • on-hold
      • unknown
      • not-taken

    • The MedicationRequest.medication field SHALL be populated. This will be populated with either a dm+d code to indicate the medication, or reference to a medication resource. If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended.

    • The MedicationRequest.subject field SHALL be populated.

    Example MedicationRequests

    The following medication statement resources are provided within this guide:

    Currently under development

    Mandatory Search Parameters

    The following search parameters and search parameter combinations SHALL be supported:

    1. SHALL support searching for all MedicationRequests using the subject search parameter:
      GET [base]/MedicationRequest?subject={Type/}[id]
      
      Example:
      1. GET [base]/MedicationRequest?subject=Patient/23
      2. GET [base]/MedicationRequest?subject:Patient.identifier=https://fhir.nhs.uk/Id/nhs-number|9912003444
        Implementation Notes: Fetches a bundle of all MedicationRequest resources for the specified patient (how to search by reference)

    Optional Search Parameters

    1. SHOULD support searching using the combination of the subject and status search parameters:

      GET [base]/MedicationRequest?subject={Type/}[id]&status={system|}[code]
      GET [base]/MedicationRequest?subject:Patient.identifier={system|}[code]&status={system|}[code]
      

      Example:

      1. GET \[base\]/MedicationRequest?subject=Patient/23&status=http://hl7.org/fhir/CodeSystem/medication-request-status|active
      2. GET \[base\]/MedicationRequest?subject:Patient.identifier=https://fhir.nhs.uk/Id/nhs-number|9912003444&status=http://hl7.org/fhir/CodeSystem/medication-request-status|active

        Implementation Notes: Fetches a bundle of all MedicationRequest resources for the specified subject and status code. (how to search by reference and how to search by token)