<status value="active" /> <date value="2024-07-11" /> <publisher value="HL7 UK" /> <contact> <name value="HL7 UK" /> <telecom> <system value="email" /> <value value="ukcore@hl7.org.uk" /> <use value="work" /> <rank value="1" /> </telecom> </contact> <description value="This profile defines the UK constraints and extensions on the International FHIR resource [MedicationRequest](https://hl7.org/fhir/R4/MedicationRequest.html)." /> <purpose value="An order or request for both supply of the medication and the instructions for administration of the medication to an individual. This profile covers inpatient medication orders as well as community orders (whether filled by the prescriber or by a pharmacy). It also includes orders for over-the-counter medications (e.g. Aspirin), total parenteral nutrition and diet/ vitamin supplements, and may be used to support the order of medication-related devices. It is not intended for use in prescribing particular diets, or for ordering non-medication-related items (eyeglasses, supplies, etc)." /> <copyright value="Copyright © 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the "License"); you may not use this file except in compliance with the License. You may obtain a copy of the License at http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an "AS IS" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at https://www.hl7.org/fhir/license.html." /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="MedicationRequest" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MedicationRequest" /> <derivation value="constraint" /> <differential> <element id="MedicationRequest.extension:medicationRepeatInformation"> <path value="MedicationRequest.extension" /> <sliceName value="medicationRepeatInformation" /> <short value="Allows the resource to be referenced within / by other resources." /> <type> <code value="Extension" /> <profile value="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation" /> </type> </element> <element id="MedicationRequest.identifier"> <path value="MedicationRequest.identifier" /> <short value="Allows the resource to be referenced within / by other resources." /> <mustSupport value="true" /> </element> <element id="MedicationRequest.status"> <path value="MedicationRequest.status" /> <short value="A code specifying the current state of the order." /> <mustSupport value="true" /> </element> <element id="MedicationRequest.intent"> <path value="MedicationRequest.intent" /> <short value="Whether the request is a proposal, plan, or an original order." /> <mustSupport value="true" /> </element> <element id="MedicationRequest.category"> <path value="MedicationRequest.category" /> <short value="Provides the business context for the relevant dispensing processes." /> <mustSupport value="true" /> <binding> <strength value="extensible" /> <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCategory" /> </binding> </element> <element id="MedicationRequest.medication[x]"> <path value="MedicationRequest.medication[x]" /> <short value="Identifies the medication being requested." /> <mustSupport value="true" /> <binding> <strength value="preferred" /> <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationCode" /> </binding> </element> <element id="MedicationRequest.subject"> <path value="MedicationRequest.subject" /> <short value="Who the medication request is for." /> <mustSupport value="true" /> </element> <element id="MedicationRequest.authoredOn"> <path value="MedicationRequest.authoredOn" /> <short value="The date / time that the medication request was initially authored." /> <mustSupport value="true" /> </element> <element id="MedicationRequest.requester"> <path value="MedicationRequest.requester" /> <short value="Who is requesting the medication." /> <mustSupport value="true" /> </element> <element id="MedicationRequest.courseOfTherapyType"> <path value="MedicationRequest.courseOfTherapyType" /> <short value="A course of therapy for a medication request" /> <definition value="The description of the course of therapy for a medication request." /> <binding> <strength value="extensible" /> <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCourseOfTherapy" /> </binding> </element> <element id="MedicationRequest.dosageInstruction"> <path value="MedicationRequest.dosageInstruction" /> <short value="Dosage instructions for the medication." /> <mustSupport value="true" /> </element> <element id="MedicationRequest.dosageInstruction.text"> <path value="MedicationRequest.dosageInstruction.text" /> <short value="Free text dosage instructions." /> <mustSupport value="true" /> </element> <element id="MedicationRequest.dosageInstruction.timing"> <path value="MedicationRequest.dosageInstruction.timing" /> <short value="When the medication should be administered." /> <mustSupport value="true" /> </element> <element id="MedicationRequest.dosageInstruction.asNeeded[x]"> <path value="MedicationRequest.dosageInstruction.asNeeded[x]" /> <binding> <strength value="preferred" /> </binding> </element> <element id="MedicationRequest.dosageInstruction.site"> <path value="MedicationRequest.dosageInstruction.site" /> <binding> <strength value="preferred" /> <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-BodySite" /> </binding> </element> <element id="MedicationRequest.dosageInstruction.route"> <path value="MedicationRequest.dosageInstruction.route" /> <binding> <strength value="preferred" /> <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-SubstanceOrProductAdministrationRoute" /> </binding> </element> <element id="MedicationRequest.dosageInstruction.method"> <path value="MedicationRequest.dosageInstruction.method" /> <binding> <strength value="preferred" /> <valueSet value="https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationDosageMethod" /> </binding> </element> <element id="MedicationRequest.dosageInstruction.doseAndRate"> <path value="MedicationRequest.dosageInstruction.doseAndRate" /> <short value="Dosage instructions for the requested medication." /> <mustSupport value="true" /> </element> <element id="MedicationRequest.dosageInstruction.doseAndRate.dose[x]"> <path value="MedicationRequest.dosageInstruction.doseAndRate.dose[x]" /> <short value="Quantity of requested medication to be administered." /> <mustSupport value="true" /> </element> <element id="MedicationRequest.dosageInstruction.doseAndRate.rate[x]"> <path value="MedicationRequest.dosageInstruction.doseAndRate.rate[x]" /> <short value="Rate at which the requested medication is to be administered." /> <mustSupport value="true" /> </element> <element id="MedicationRequest.dispenseRequest"> <path value="MedicationRequest.dispenseRequest" /> <short value="Specific dispensing quantity instructions." /> <mustSupport value="true" /> </element> <element id="MedicationRequest.dispenseRequest.quantity"> <path value="MedicationRequest.dispenseRequest.quantity" /> <short value=">Amount of medication to supply per dispense." /> <mustSupport value="true" /> </element> <element id="MedicationRequest.substitution"> <path value="MedicationRequest.substitution" /> <short value="Any restrictions on medication substitution." /> <min value="1" /> <mustSupport value="true" /> </element> <element id="MedicationRequest.substitution.allowed[x]"> <path value="MedicationRequest.substitution.allowed[x]" /> <definition value="The purpose of this element is to allow the prescriber to dispense a different drug from what was prescribed." /> </element> </differential> </StructureDefinition>