Name	Flags	Card.	Type	Description & Constraints
MedicationRequest	C	0..*	MedicationRequest	Ordering of medication for patient or group dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management dosage-override-reason-required: If isOffLabelUse is true, reason must be provided
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:offLabel	SC	0..1	(Complex)	MedicationRequest - Off-label use URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/be-ext-OffLabel ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both offLabel-reason-required: If isOffLabelUse is true, reason must be provided
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:isOffLabelUse		1..1	Extension	Indicates that the recommended dosage was overridden ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"isOffLabelUse"
extension:reason		0..*	Extension	The reason why the recommended dosage was overridden ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"reason"
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/be-ext-OffLabel"
extension:basedOnMedicationLine	S	0..1	Reference(BeMedicationLine)	Medication Line where this prescription is based upon URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BasedOnMedicationLine ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:instructionsForReimbursement	S	0..1	CodeableConcept	Instructions for reimbursement URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/InstructionsForReimbursement Binding: Medication request reimbursement type ValueSet (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:statusChanged		0..1	dateTime	Indicates when the status of the medication request was last changed. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.statusChanged ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	S	0..*	Identifier	External ids for this request Slice: Unordered, Open by pattern:system ele-1: All FHIR elements must have a @value or children
identifier:recip-e	S	0..1	Identifier	Recip-E identifier ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Required Pattern: http://ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-prescription
value	SΣ	0..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
status	?!SΣ	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. ele-1: All FHIR elements must have a @value or children
statusReason	S	0..1	CodeableConcept	Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. ele-1: All FHIR elements must have a @value or children
intent	?!SΣ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. ele-1: All FHIR elements must have a @value or children
category	S	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. ele-1: All FHIR elements must have a @value or children
priority	SΣ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. ele-1: All FHIR elements must have a @value or children
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action ele-1: All FHIR elements must have a @value or children
medication[x]	SΣ	1..1		Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. ele-1: All FHIR elements must have a @value or children
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
subject	SΣ	1..1	Reference(BePatient)	Who or group medication request is for ele-1: All FHIR elements must have a @value or children
supportingInformation	S	0..*	Reference(Resource)	Information to support ordering of the medication ele-1: All FHIR elements must have a @value or children
authoredOn	SΣ	1..1	dateTime	When request was initially authored ele-1: All FHIR elements must have a @value or children
requester	SΣ	1..1	Reference(BePractitioner | BePractitionerRole)	Who/What requested the Request ele-1: All FHIR elements must have a @value or children
recorder	S	0..1	Reference(BePractitioner | BePractitionerRole)	Person who entered the request ele-1: All FHIR elements must have a @value or children
reasonCode	S	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. ele-1: All FHIR elements must have a @value or children
reasonReference	S	0..*	Reference(Condition | Observation)	Condition or observation that supports why the prescription is being written ele-1: All FHIR elements must have a @value or children
groupIdentifier	SΣ	0..1	Identifier	Composite request this is part of ele-1: All FHIR elements must have a @value or children
note	S	0..*	Annotation	Information about the prescription ele-1: All FHIR elements must have a @value or children
dosageInstruction	S	1..*	Dosage	How the medication should be taken ele-1: All FHIR elements must have a @value or children
dispenseRequest	S	0..1	BackboneElement	Medication supply authorization ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
validityPeriod	S	0..1	Period	Time period supply is authorized for ele-1: All FHIR elements must have a @value or children
start	SΣC	1..1	dateTime	Starting time with inclusive boundary ele-1: All FHIR elements must have a @value or children
end	SΣC	1..1	dateTime	End time with inclusive boundary, if not ongoing ele-1: All FHIR elements must have a @value or children
numberOfRepeatsAllowed	S	0..1	unsignedInt	Number of refills authorized ele-1: All FHIR elements must have a @value or children
quantity	S	0..1	SimpleQuantity	Amount of medication to supply per dispense ele-1: All FHIR elements must have a @value or children
substitution	S	0..1	BackboneElement	Any restrictions on medication substitution ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
allowed[x]	S	1..1	boolean	Whether substitution is allowed or not ele-1: All FHIR elements must have a @value or children
reason	S	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. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationRequest.identifier:recip-e.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.statusReason	example	medicationRequest Status Reason Codes http://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard
MedicationRequest.intent	required	medicationRequest Intent http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.category	example	medicationRequest Category Codes http://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard
MedicationRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management : text.`div`.exists()
dosage-override-reason-required	error	MedicationRequest	If isOffLabelUse is true, reason must be provided : extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/offLabel').hasValue() implies extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/offlabel').exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
offLabel-reason-required	error	MedicationRequest.extension:offLabel	If isOffLabelUse is true, reason must be provided : extension.where(url = 'isOffLabelUse').value.ofType(boolean).where($this = true).exists() implies extension.where(url = 'reason').exists()

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest	C	0..*	MedicationRequest	Ordering of medication for patient or group dosage-override-reason-required: If isOffLabelUse is true, reason must be provided
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:offLabel	S	0..1	(Complex)	MedicationRequest - Off-label use URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/be-ext-OffLabel
Slices for extension				Content/Rules for all slices
extension:isOffLabelUse		1..1	Extension	Indicates that the recommended dosage was overridden
extension:reason		0..*	Extension	The reason why the recommended dosage was overridden
extension:basedOnMedicationLine	S	0..1	Reference(BeMedicationLine)	Medication Line where this prescription is based upon URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BasedOnMedicationLine
extension:instructionsForReimbursement	S	0..1	CodeableConcept	Instructions for reimbursement URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/InstructionsForReimbursement Binding: Medication request reimbursement type ValueSet (required)
extension:statusChanged		0..1	dateTime	Indicates when the status of the medication request was last changed. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.statusChanged
Slices for identifier	S	0..*	Identifier	External ids for this request Slice: Unordered, Open by pattern:system
identifier:recip-e	S	0..1	Identifier	Recip-E identifier
system		1..1	uri	The namespace for the identifier value Required Pattern: http://ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-prescription
value	S	0..1	string	The value that is unique
status	S	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
statusReason	S	0..1	CodeableConcept	Reason for current status
intent	S	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
category	S	0..*	CodeableConcept	Type of medication usage
priority	S	0..1	code	routine | urgent | asap | stat
medication[x]	S	1..1	CodeableConcept, Reference(Medication)	Medication to be taken
subject	S	1..1	Reference(BePatient)	Who or group medication request is for
supportingInformation	S	0..*	Reference(Resource)	Information to support ordering of the medication
authoredOn	S	1..1	dateTime	When request was initially authored
requester	S	1..1	Reference(BePractitioner | BePractitionerRole)	Who/What requested the Request
recorder	S	0..1	Reference(BePractitioner | BePractitionerRole)	Person who entered the request
reasonCode	S	0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication
reasonReference	S	0..*	Reference(Condition | Observation)	Condition or observation that supports why the prescription is being written
groupIdentifier	S	0..1	Identifier	Composite request this is part of
note	S	0..*	Annotation	Information about the prescription
dosageInstruction	S	1..*	Dosage	How the medication should be taken
dispenseRequest	S	0..1	BackboneElement	Medication supply authorization
validityPeriod	S	0..1	Period	Time period supply is authorized for
start	S	1..1	dateTime	Starting time with inclusive boundary
end	S	1..1	dateTime	End time with inclusive boundary, if not ongoing
numberOfRepeatsAllowed	S	0..1	unsignedInt	Number of refills authorized
quantity	S	0..1	SimpleQuantity	Amount of medication to supply per dispense
substitution	S	0..1	BackboneElement	Any restrictions on medication substitution
allowed[x]	S	1..1	boolean	Whether substitution is allowed or not
reason	S	0..1	CodeableConcept	Why should (not) substitution be made
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
dosage-override-reason-required	error	MedicationRequest	If isOffLabelUse is true, reason must be provided : extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/offLabel').hasValue() implies extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/offlabel').exists()

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest	C	0..*	MedicationRequest	Ordering of medication for patient or group dosage-override-reason-required: If isOffLabelUse is true, reason must be provided
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
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 Bindings Purpose 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
extension:offLabel	SC	0..1	(Complex)	MedicationRequest - Off-label use URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/be-ext-OffLabel offLabel-reason-required: If isOffLabelUse is true, reason must be provided
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:isOffLabelUse		1..1	Extension	Indicates that the recommended dosage was overridden
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"isOffLabelUse"
value[x]		0..1	boolean	Value of extension
extension:reason		0..*	Extension	The reason why the recommended dosage was overridden
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"reason"
value[x]		0..1	CodeableConcept	Value of extension
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/be-ext-OffLabel"
extension:basedOnMedicationLine	S	0..1	Reference(BeMedicationLine)	Medication Line where this prescription is based upon URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BasedOnMedicationLine
extension:instructionsForReimbursement	S	0..1	CodeableConcept	Instructions for reimbursement URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/InstructionsForReimbursement Binding: Medication request reimbursement type ValueSet (required)
extension:statusChanged		0..1	dateTime	Indicates when the status of the medication request was last changed. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.statusChanged
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	S	0..*	Identifier	External ids for this request Slice: Unordered, Open by pattern:system
identifier:recip-e	S	0..1	Identifier	Recip-E identifier
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 Required Pattern: http://ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-prescription
value	SΣ	0..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	?!SΣ	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	S	0..1	CodeableConcept	Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent	?!SΣ	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	S	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	SΣ	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		Reported rather than primary record
reportedBoolean			boolean
reportedReference			Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
medication[x]	SΣ	1..1		Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
subject	SΣ	1..1	Reference(BePatient)	Who or group medication request is for
encounter		0..1	Reference(Encounter)	Encounter created as part of encounter/admission/stay
supportingInformation	S	0..*	Reference(Resource)	Information to support ordering of the medication
authoredOn	SΣ	1..1	dateTime	When request was initially authored
requester	SΣ	1..1	Reference(BePractitioner | BePractitionerRole)	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	S	0..1	Reference(BePractitioner | BePractitionerRole)	Person who entered the request
reasonCode	S	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	S	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	SΣ	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	S	0..*	Annotation	Information about the prescription
dosageInstruction	S	1..*	Dosage	How the medication should be taken
dispenseRequest	S	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	S	0..1	Period	Time period supply is authorized for
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	1..1	dateTime	Starting time with inclusive boundary
end	SΣC	1..1	dateTime	End time with inclusive boundary, if not ongoing
numberOfRepeatsAllowed	S	0..1	unsignedInt	Number of refills authorized
quantity	S	0..1	SimpleQuantity	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	S	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]	S	1..1	boolean	Whether substitution is allowed or not
reason	S	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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationRequest.identifier:recip-e.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationRequest.identifier:recip-e.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.statusReason	example	medicationRequest Status Reason Codes http://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard
MedicationRequest.intent	required	medicationRequest Intent http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.category	example	medicationRequest Category Codes http://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard
MedicationRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.performerType	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
MedicationRequest.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
MedicationRequest.courseOfTherapyType	example	medicationRequest Course of Therapy Codes http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy from the FHIR Standard
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management : text.`div`.exists()
dosage-override-reason-required	error	MedicationRequest	If isOffLabelUse is true, reason must be provided : extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/offLabel').hasValue() implies extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/offlabel').exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
offLabel-reason-required	error	MedicationRequest.extension:offLabel	If isOffLabelUse is true, reason must be provided : extension.where(url = 'isOffLabelUse').value.ofType(boolean).where($this = true).exists() implies extension.where(url = 'reason').exists()

Summary

Mandatory: 3 elements(3 nested mandatory elements)
Must-Support: 31 elements

Structures

This structure refers to these other structures:

• BePatient (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient)
• BePractitioner (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner)
• BePractitionerRole (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole)

Extensions

This structure refers to these extensions:

• https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/be-ext-OffLabel
• https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BasedOnMedicationLine
• https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/InstructionsForReimbursement
• http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.statusChanged

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationRequest.identifier

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest	C	0..*	MedicationRequest	Ordering of medication for patient or group dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management dosage-override-reason-required: If isOffLabelUse is true, reason must be provided
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:offLabel	SC	0..1	(Complex)	MedicationRequest - Off-label use URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/be-ext-OffLabel ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both offLabel-reason-required: If isOffLabelUse is true, reason must be provided
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:isOffLabelUse		1..1	Extension	Indicates that the recommended dosage was overridden ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"isOffLabelUse"
extension:reason		0..*	Extension	The reason why the recommended dosage was overridden ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"reason"
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/be-ext-OffLabel"
extension:basedOnMedicationLine	S	0..1	Reference(BeMedicationLine)	Medication Line where this prescription is based upon URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BasedOnMedicationLine ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:instructionsForReimbursement	S	0..1	CodeableConcept	Instructions for reimbursement URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/InstructionsForReimbursement Binding: Medication request reimbursement type ValueSet (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:statusChanged		0..1	dateTime	Indicates when the status of the medication request was last changed. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.statusChanged ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	S	0..*	Identifier	External ids for this request Slice: Unordered, Open by pattern:system ele-1: All FHIR elements must have a @value or children
identifier:recip-e	S	0..1	Identifier	Recip-E identifier ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Required Pattern: http://ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-prescription
value	SΣ	0..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
status	?!SΣ	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. ele-1: All FHIR elements must have a @value or children
statusReason	S	0..1	CodeableConcept	Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. ele-1: All FHIR elements must have a @value or children
intent	?!SΣ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. ele-1: All FHIR elements must have a @value or children
category	S	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. ele-1: All FHIR elements must have a @value or children
priority	SΣ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. ele-1: All FHIR elements must have a @value or children
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action ele-1: All FHIR elements must have a @value or children
medication[x]	SΣ	1..1		Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. ele-1: All FHIR elements must have a @value or children
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
subject	SΣ	1..1	Reference(BePatient)	Who or group medication request is for ele-1: All FHIR elements must have a @value or children
supportingInformation	S	0..*	Reference(Resource)	Information to support ordering of the medication ele-1: All FHIR elements must have a @value or children
authoredOn	SΣ	1..1	dateTime	When request was initially authored ele-1: All FHIR elements must have a @value or children
requester	SΣ	1..1	Reference(BePractitioner | BePractitionerRole)	Who/What requested the Request ele-1: All FHIR elements must have a @value or children
recorder	S	0..1	Reference(BePractitioner | BePractitionerRole)	Person who entered the request ele-1: All FHIR elements must have a @value or children
reasonCode	S	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. ele-1: All FHIR elements must have a @value or children
reasonReference	S	0..*	Reference(Condition | Observation)	Condition or observation that supports why the prescription is being written ele-1: All FHIR elements must have a @value or children
groupIdentifier	SΣ	0..1	Identifier	Composite request this is part of ele-1: All FHIR elements must have a @value or children
note	S	0..*	Annotation	Information about the prescription ele-1: All FHIR elements must have a @value or children
dosageInstruction	S	1..*	Dosage	How the medication should be taken ele-1: All FHIR elements must have a @value or children
dispenseRequest	S	0..1	BackboneElement	Medication supply authorization ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
validityPeriod	S	0..1	Period	Time period supply is authorized for ele-1: All FHIR elements must have a @value or children
start	SΣC	1..1	dateTime	Starting time with inclusive boundary ele-1: All FHIR elements must have a @value or children
end	SΣC	1..1	dateTime	End time with inclusive boundary, if not ongoing ele-1: All FHIR elements must have a @value or children
numberOfRepeatsAllowed	S	0..1	unsignedInt	Number of refills authorized ele-1: All FHIR elements must have a @value or children
quantity	S	0..1	SimpleQuantity	Amount of medication to supply per dispense ele-1: All FHIR elements must have a @value or children
substitution	S	0..1	BackboneElement	Any restrictions on medication substitution ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
allowed[x]	S	1..1	boolean	Whether substitution is allowed or not ele-1: All FHIR elements must have a @value or children
reason	S	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. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationRequest.identifier:recip-e.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.statusReason	example	medicationRequest Status Reason Codes http://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard
MedicationRequest.intent	required	medicationRequest Intent http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.category	example	medicationRequest Category Codes http://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard
MedicationRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management : text.`div`.exists()
dosage-override-reason-required	error	MedicationRequest	If isOffLabelUse is true, reason must be provided : extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/offLabel').hasValue() implies extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/offlabel').exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
offLabel-reason-required	error	MedicationRequest.extension:offLabel	If isOffLabelUse is true, reason must be provided : extension.where(url = 'isOffLabelUse').value.ofType(boolean).where($this = true).exists() implies extension.where(url = 'reason').exists()

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest	C	0..*	MedicationRequest	Ordering of medication for patient or group dosage-override-reason-required: If isOffLabelUse is true, reason must be provided
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:offLabel	S	0..1	(Complex)	MedicationRequest - Off-label use URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/be-ext-OffLabel
Slices for extension				Content/Rules for all slices
extension:isOffLabelUse		1..1	Extension	Indicates that the recommended dosage was overridden
extension:reason		0..*	Extension	The reason why the recommended dosage was overridden
extension:basedOnMedicationLine	S	0..1	Reference(BeMedicationLine)	Medication Line where this prescription is based upon URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BasedOnMedicationLine
extension:instructionsForReimbursement	S	0..1	CodeableConcept	Instructions for reimbursement URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/InstructionsForReimbursement Binding: Medication request reimbursement type ValueSet (required)
extension:statusChanged		0..1	dateTime	Indicates when the status of the medication request was last changed. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.statusChanged
Slices for identifier	S	0..*	Identifier	External ids for this request Slice: Unordered, Open by pattern:system
identifier:recip-e	S	0..1	Identifier	Recip-E identifier
system		1..1	uri	The namespace for the identifier value Required Pattern: http://ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-prescription
value	S	0..1	string	The value that is unique
status	S	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
statusReason	S	0..1	CodeableConcept	Reason for current status
intent	S	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
category	S	0..*	CodeableConcept	Type of medication usage
priority	S	0..1	code	routine | urgent | asap | stat
medication[x]	S	1..1	CodeableConcept, Reference(Medication)	Medication to be taken
subject	S	1..1	Reference(BePatient)	Who or group medication request is for
supportingInformation	S	0..*	Reference(Resource)	Information to support ordering of the medication
authoredOn	S	1..1	dateTime	When request was initially authored
requester	S	1..1	Reference(BePractitioner | BePractitionerRole)	Who/What requested the Request
recorder	S	0..1	Reference(BePractitioner | BePractitionerRole)	Person who entered the request
reasonCode	S	0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication
reasonReference	S	0..*	Reference(Condition | Observation)	Condition or observation that supports why the prescription is being written
groupIdentifier	S	0..1	Identifier	Composite request this is part of
note	S	0..*	Annotation	Information about the prescription
dosageInstruction	S	1..*	Dosage	How the medication should be taken
dispenseRequest	S	0..1	BackboneElement	Medication supply authorization
validityPeriod	S	0..1	Period	Time period supply is authorized for
start	S	1..1	dateTime	Starting time with inclusive boundary
end	S	1..1	dateTime	End time with inclusive boundary, if not ongoing
numberOfRepeatsAllowed	S	0..1	unsignedInt	Number of refills authorized
quantity	S	0..1	SimpleQuantity	Amount of medication to supply per dispense
substitution	S	0..1	BackboneElement	Any restrictions on medication substitution
allowed[x]	S	1..1	boolean	Whether substitution is allowed or not
reason	S	0..1	CodeableConcept	Why should (not) substitution be made
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
dosage-override-reason-required	error	MedicationRequest	If isOffLabelUse is true, reason must be provided : extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/offLabel').hasValue() implies extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/offlabel').exists()

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest	C	0..*	MedicationRequest	Ordering of medication for patient or group dosage-override-reason-required: If isOffLabelUse is true, reason must be provided
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
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 Bindings Purpose 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
extension:offLabel	SC	0..1	(Complex)	MedicationRequest - Off-label use URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/be-ext-OffLabel offLabel-reason-required: If isOffLabelUse is true, reason must be provided
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:isOffLabelUse		1..1	Extension	Indicates that the recommended dosage was overridden
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"isOffLabelUse"
value[x]		0..1	boolean	Value of extension
extension:reason		0..*	Extension	The reason why the recommended dosage was overridden
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"reason"
value[x]		0..1	CodeableConcept	Value of extension
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/be-ext-OffLabel"
extension:basedOnMedicationLine	S	0..1	Reference(BeMedicationLine)	Medication Line where this prescription is based upon URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BasedOnMedicationLine
extension:instructionsForReimbursement	S	0..1	CodeableConcept	Instructions for reimbursement URL: https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/InstructionsForReimbursement Binding: Medication request reimbursement type ValueSet (required)
extension:statusChanged		0..1	dateTime	Indicates when the status of the medication request was last changed. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.statusChanged
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	S	0..*	Identifier	External ids for this request Slice: Unordered, Open by pattern:system
identifier:recip-e	S	0..1	Identifier	Recip-E identifier
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 Required Pattern: http://ehealth.fgov.be/standards/fhir/medication/NamingSystem/be-ns-prescription
value	SΣ	0..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	?!SΣ	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	S	0..1	CodeableConcept	Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
intent	?!SΣ	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	S	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	SΣ	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		Reported rather than primary record
reportedBoolean			boolean
reportedReference			Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
medication[x]	SΣ	1..1		Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
subject	SΣ	1..1	Reference(BePatient)	Who or group medication request is for
encounter		0..1	Reference(Encounter)	Encounter created as part of encounter/admission/stay
supportingInformation	S	0..*	Reference(Resource)	Information to support ordering of the medication
authoredOn	SΣ	1..1	dateTime	When request was initially authored
requester	SΣ	1..1	Reference(BePractitioner | BePractitionerRole)	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	S	0..1	Reference(BePractitioner | BePractitionerRole)	Person who entered the request
reasonCode	S	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	S	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	SΣ	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	S	0..*	Annotation	Information about the prescription
dosageInstruction	S	1..*	Dosage	How the medication should be taken
dispenseRequest	S	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	S	0..1	Period	Time period supply is authorized for
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	1..1	dateTime	Starting time with inclusive boundary
end	SΣC	1..1	dateTime	End time with inclusive boundary, if not ongoing
numberOfRepeatsAllowed	S	0..1	unsignedInt	Number of refills authorized
quantity	S	0..1	SimpleQuantity	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	S	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]	S	1..1	boolean	Whether substitution is allowed or not
reason	S	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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationRequest.identifier:recip-e.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationRequest.identifier:recip-e.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.statusReason	example	medicationRequest Status Reason Codes http://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard
MedicationRequest.intent	required	medicationRequest Intent http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.category	example	medicationRequest Category Codes http://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard
MedicationRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.performerType	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
MedicationRequest.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
MedicationRequest.courseOfTherapyType	example	medicationRequest Course of Therapy Codes http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy from the FHIR Standard
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management : text.`div`.exists()
dosage-override-reason-required	error	MedicationRequest	If isOffLabelUse is true, reason must be provided : extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/offLabel').hasValue() implies extension.where(url = 'https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/offlabel').exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
offLabel-reason-required	error	MedicationRequest.extension:offLabel	If isOffLabelUse is true, reason must be provided : extension.where(url = 'isOffLabelUse').value.ofType(boolean).where($this = true).exists() implies extension.where(url = 'reason').exists()

Summary

Mandatory: 3 elements(3 nested mandatory elements)
Must-Support: 31 elements

Structures

This structure refers to these other structures:

• BePatient (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient)
• BePractitioner (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner)
• BePractitionerRole (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole)

Extensions

This structure refers to these extensions:

• https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/be-ext-OffLabel
• https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/BasedOnMedicationLine
• https://www.ehealth.fgov.be/standards/fhir/medication/StructureDefinition/InstructionsForReimbursement
• http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.statusChanged

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationRequest.identifier