Pharmacy
![]() | Maturity Level : 3 | Trial Use | Security Category : Patient | Compartments : Encounter , Patient , Practitioner |
An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "MedicationRequest" rather than "MedicationPrescription" or "MedicationOrder" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns.
This resource covers all type of orders for medications for a patient. This includes 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. It 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.). In addition, the MedicationRequest may be used to report orders/request from external systems that have been reported for informational purposes and are not authoritative and are not expected to be acted upon (e.g. dispensed or administered).
The MedicationRequest resource is a "request" resource from a FHIR workflow perspective - see Workflow Request.
The MedicationRequest resource allows requesting only a single medication. If a workflow requires requesting multiple items simultaneously, this is done using multiple instances of this resource. These instances can be linked in different ways, depending on the needs of the workflow. For guidance, refer to the Request pattern
The
MedicationRequest
resource
is
used
to
request
or
order
medication
for
a
subject.
It
may
also
be
used
to
report
a
medication
request
or
order
from
one
organization
or
source
to
another.
When
requesting
supplies
or
devices
when
there
is
a
patient
focus
or
instructions
regarding
their
use,
SupplyRequest
or
DeviceRequest
should
be
used
instead.
When
reporting
on
the
usage
of
a
medication
by
a
patient,
the
MedicationStatement
MedicationUsage
t
resource
should
be
used.
The Medication domain includes a number of related resources
MedicationRequest | An order for both supply of the medication and the instructions for administration of the medicine to a patient. |
MedicationDispense | Provision of a supply of a medication with the intention that it is subsequently consumed by a patient (usually in response to a prescription). |
MedicationAdministration | When a patient actually consumes a medicine, or it is otherwise administered to them |
|
This is a record of medication being taken by a patient, or that the medication has been given to a patient where the record is the result of a report from the patient, or another clinician. A medication statement is not a part of the prescribe->dispense->administer sequence but is a report that such a sequence (or at least a part of it) did take place resulting in a belief that the patient has received a particular medication. |
This
resource
is
referenced
by
AdverseEvent
,
CarePlan
,
Claim
,
DiagnosticReport
,
ExplanationOfBenefit
,
Goal
,
Immunization
,
MedicationAdministration
,
MedicationDispense
,
itself,
MedicationStatement
MedicationUsage
,
Observation
and
ServiceRequest
.
This resource implements the Request pattern.
Structure
Name | Flags | Card. | Type |
Description
&
Constraints
![]() |
---|---|---|---|---|
![]() ![]() | TU | DomainResource |
Ordering
of
medication
for
patient
or
group
Elements defined in Ancestors: id , meta , implicitRules , language , text , contained , extension , modifierExtension | |
![]() ![]() ![]() | 0..* | Identifier |
External
ids
for
this
request
| |
![]() ![]() ![]() | ?! Σ | 1..1 | code |
active
|
on-hold
|
cancelled
|
completed
|
entered-in-error
|
stopped
|
draft
|
unknown
|
![]() ![]() ![]() | 0..1 | CodeableConcept |
Reason
for
current
status
| |
![]() ![]() ![]() | ?! Σ | 1..1 | code |
proposal
|
plan
|
order
|
original-order
|
reflex-order
|
filler-order
|
instance-order
|
option
|
![]() ![]() ![]() | 0..* | CodeableConcept |
| |
![]() ![]() ![]() | Σ | 0..1 | code |
routine
|
urgent
|
asap
|
stat
|
![]() ![]() ![]() | ?! Σ | 0..1 | boolean |
True
if
|
![]() ![]() ![]() | Σ | 0..1 | boolean | Reported rather than primary record |
![]() ![]() ![]() |
|
| The person or organization who provided the information about this request, if the source is someone other than the requestor | |
![]() ![]() ![]() | Σ | 1..1 | CodeableReference ( Medication ) |
Medication
to
be
taken
SNOMED CT Medication Codes ( Example ) |
![]() ![]() ![]() | Σ | 1..1 | Reference ( Patient | Group ) | Who or group medication request is for |
![]() ![]() ![]() | 0..1 | Reference ( Encounter ) | Encounter created as part of encounter/admission/stay | |
![]() ![]() ![]() | 0..* | Reference ( Any ) |
Information
to
support
ordering
of
the
medication
| |
![]() ![]() ![]() | Σ | 0..1 | dateTime | When request was initially authored |
![]() ![]() ![]() | Σ | 0..1 | Reference ( Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device ) | Who/What requested the Request |
![]() ![]() ![]() | 0..1 | Reference ( Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam | HealthcareService ) | Intended performer of administration | |
![]() ![]() ![]() | Σ | 0..1 | CodeableConcept |
Desired
kind
of
performer
of
the
medication
administration
Procedure Performer Role Codes ( Example ) |
![]() ![]() ![]() | 0..1 | Reference ( Practitioner | PractitionerRole ) | Person who entered the request | |
![]() ![]() ![]() | 0..* |
|
Reason
or
indication
for
ordering
or
not
ordering
the
medication
Condition/Problem/Diagnosis Codes ( Example ) | |
![]() ![]() ![]() | Σ | 0..* |
canonical
|
Instantiates
FHIR
protocol
or
definition
|
![]() ![]() ![]() | Σ | 0..* | uri |
Instantiates
external
protocol
or
definition
|
![]() ![]() ![]() | Σ | 0..* | Reference ( CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation ) |
What
request
fulfills
|
![]() ![]() ![]() | Σ | 0..1 | Identifier | Composite request this is part of |
![]() ![]() ![]() | 0..1 | CodeableConcept |
Overall
pattern
of
medication
administration
| |
![]() ![]() ![]() | 0..* | Reference ( Coverage | ClaimResponse ) |
Associated
insurance
coverage
| |
![]() ![]() ![]() | 0..* | Annotation |
Information
about
the
prescription
| |
![]() ![]() ![]() | 0..1 | string | Full representation of the dosage instructions | |
![]() ![]() ![]() | 0..* | Dosage |
How
the
medication
should
be
taken
| |
![]() ![]() ![]() | 0..1 | BackboneElement | Medication supply authorization | |
![]() ![]() ![]() ![]() | 0..1 | BackboneElement | First fill details | |
![]() ![]() ![]() ![]() ![]() | 0..1 | SimpleQuantity | First fill quantity | |
![]() ![]() ![]() ![]() ![]() | 0..1 | Duration | First fill duration | |
![]() ![]() ![]() ![]() | 0..1 | Duration | Minimum period of time between dispenses | |
![]() ![]() ![]() ![]() | 0..1 | Period | Time period supply is authorized for | |
![]() ![]() ![]() ![]() | 0..1 | unsignedInt | Number of refills authorized | |
![]() ![]() ![]() ![]() | 0..1 | SimpleQuantity | Amount of medication to supply per dispense | |
![]() ![]() ![]() ![]() | 0..1 | Duration | Number of days supply per dispense | |
![]() ![]() ![]() ![]() | 0..1 | Reference ( Organization ) | Intended performer of dispense | |
![]() ![]() ![]() ![]() | 0..* | Annotation |
Additional
information
for
the
dispenser
| |
![]() ![]() ![]() | 0..1 | BackboneElement | Any restrictions on medication substitution | |
![]() ![]() ![]() ![]() | 1..1 |
Whether
substitution
is
allowed
or
not
![]() | ||
![]() ![]() ![]() ![]() ![]() | boolean | |||
![]() ![]() ![]() ![]() ![]() | CodeableConcept | |||
![]() ![]() ![]() ![]() | 0..1 | CodeableConcept |
Why
should
(not)
substitution
be
made
![]() | |
![]() ![]() ![]() | 0..1 | Reference ( MedicationRequest ) | An order/prescription that is being replaced | |
![]() ![]() ![]() | 0..* | Reference ( DetectedIssue ) |
Clinical
Issue
with
action
| |
![]() ![]() ![]() | 0..* | Reference ( Provenance ) |
A
list
of
events
of
interest
in
the
lifecycle
| |
![]() |
UML Diagram ( Legend )
XML Template
<MedicationRequest xmlns="http://hl7.org/fhir"><!-- from Resource: id, meta, implicitRules, and language --> <!-- from DomainResource: text, contained, extension, and modifierExtension --> <identifier><!-- 0..* Identifier External ids for this request --></identifier> <status value="[code]"/><!-- 1..1 active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown --> <statusReason><!-- 0..1 CodeableConcept Reason for current status --></statusReason> <intent value="[code]"/><!-- 1..1 proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option -->
<</category><category><!-- 0..* CodeableConcept Grouping or category of medication request --></category> <priority value="[code]"/><!-- 0..1 routine | urgent | asap | stat -->< <| </reported[x]> <</medication[x]> <</subject><doNotPerform value="[boolean]"/><!-- 0..1 True if patient is to stop taking or not to start taking the medication --> <reported value="[boolean]"/><!-- 0..1 Reported rather than primary record --> <informationSource><!-- 0..1 Reference(Organization|Patient|Practitioner| PractitionerRole|RelatedPerson) The person or organization who provided the information about this request, if the source is someone other than the requestor --></informationSource> <medication><!-- 1..1 CodeableReference(Medication) Medication to be taken --></medication> <subject><!-- 1..1 Reference(Group|Patient) Who or group medication request is for --></subject> <encounter><!-- 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay --></encounter><</supportingInformation><supportingInformation><!-- 0..* Reference(Any) Information to support ordering of the medication --></supportingInformation> <authoredOn value="[dateTime]"/><!-- 0..1 When request was initially authored --><| </requester> <| </performer><requester><!-- 0..1 Reference(Device|Organization|Patient|Practitioner| PractitionerRole|RelatedPerson) Who/What requested the Request --></requester> <performer><!-- 0..1 Reference(CareTeam|Device|HealthcareService|Organization| Patient|Practitioner|PractitionerRole|RelatedPerson) Intended performer of administration --></performer> <performerType><!-- 0..1 CodeableConcept Desired kind of performer of the medication administration --></performerType> <recorder><!-- 0..1 Reference(Practitioner|PractitionerRole) Person who entered the request --></recorder><</reasonCode> <</reasonReference> <<reason><!-- 0..* CodeableReference(Condition|Observation) Reason or indication for ordering or not ordering the medication --></reason> <instantiatesCanonical><!-- 0..* canonical(ActivityDefinition|PlanDefinition) Instantiates FHIR protocol or definition --></instantiatesCanonical> <instantiatesUri value="[uri]"/><!-- 0..* Instantiates external protocol or definition --><| </basedOn><basedOn><!-- 0..* Reference(CarePlan|ImmunizationRecommendation| MedicationRequest|ServiceRequest) What request fulfills --></basedOn> <groupIdentifier><!-- 0..1 Identifier Composite request this is part of --></groupIdentifier><</courseOfTherapyType> <</insurance><courseOfTherapyType><!-- 0..1 CodeableConcept Overall pattern of medication administration --></courseOfTherapyType> <insurance><!-- 0..* Reference(ClaimResponse|Coverage) Associated insurance coverage --></insurance> <note><!-- 0..* Annotation Information about the prescription --></note> <renderedDosageInstruction value="[string]"/><!-- 0..1 Full representation of the dosage instructions --> <dosageInstruction><!-- 0..* Dosage How the medication should be taken --></dosageInstruction> <dispenseRequest> <!-- 0..1 Medication supply authorization --> <initialFill> <!-- 0..1 First fill details --> <quantity><!-- 0..1 Quantity(SimpleQuantity) First fill quantity --></quantity> <duration><!-- 0..1 Duration First fill duration --></duration> </initialFill> <dispenseInterval><!-- 0..1 Duration Minimum period of time between dispenses --></dispenseInterval> <validityPeriod><!-- 0..1 Period Time period supply is authorized for --></validityPeriod> <numberOfRepeatsAllowed value="[unsignedInt]"/><!-- 0..1 Number of refills authorized --> <quantity><!-- 0..1 Quantity(SimpleQuantity) Amount of medication to supply per dispense --></quantity> <expectedSupplyDuration><!-- 0..1 Duration Number of days supply per dispense --></expectedSupplyDuration><</performer><dispenser><!-- 0..1 Reference(Organization) Intended performer of dispense --></dispenser> <dispenserInstruction><!-- 0..* Annotation Additional information for the dispenser --></dispenserInstruction> </dispenseRequest> <substitution> <!-- 0..1 Any restrictions on medication substitution --><</allowed[x]> <</reason><allowed[x]><!-- 1..1 boolean|CodeableConcept Whether substitution is allowed or not--></allowed[x]> <reason><!-- 0..1 CodeableConcept Why should (not) substitution be made
--></reason> </substitution> <priorPrescription><!-- 0..1 Reference(MedicationRequest) An order/prescription that is being replaced --></priorPrescription> <detectedIssue><!-- 0..* Reference(DetectedIssue) Clinical Issue with action --></detectedIssue> <eventHistory><!-- 0..* Reference(Provenance) A list of events of interest in the lifecycle --></eventHistory> </MedicationRequest>
JSON Template
{"resourceType" : "MedicationRequest", // from Resource: id, meta, implicitRules, and language // from DomainResource: text, contained, extension, and modifierExtension "identifier" : [{ Identifier }], // External ids for this request "status" : "<code>", // R! active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown "statusReason" : { CodeableConcept }, // Reason for current status "intent" : "<code>", // R! proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
""category" : [{ CodeableConcept }], // Grouping or category of medication request "priority" : "<code>", // routine | urgent | asap | stat" ">, "| }, " }, " }, ""doNotPerform" : <boolean>, // True if patient is to stop taking or not to start taking the medication "reported" : <boolean>, // Reported rather than primary record "informationSource" : { Reference(Organization|Patient|Practitioner| PractitionerRole|RelatedPerson) }, // The person or organization who provided the information about this request, if the source is someone other than the requestor "medication" : { CodeableReference(Medication) }, // R! Medication to be taken "subject" : { Reference(Group|Patient) }, // R! Who or group medication request is for "encounter" : { Reference(Encounter) }, // Encounter created as part of encounter/admission/stay""supportingInformation" : [{ Reference(Any) }], // Information to support ordering of the medication "authoredOn" : "<dateTime>", // When request was initially authored"| "|"requester" : { Reference(Device|Organization|Patient|Practitioner| PractitionerRole|RelatedPerson) }, // Who/What requested the Request "performer" : { Reference(CareTeam|Device|HealthcareService|Organization| Patient|Practitioner|PractitionerRole|RelatedPerson) }, // Intended performer of administration "performerType" : { CodeableConcept }, // Desired kind of performer of the medication administration "recorder" : { Reference(Practitioner|PractitionerRole) }, // Person who entered the request" " ""reason" : [{ CodeableReference(Condition|Observation) }], // Reason or indication for ordering or not ordering the medication "instantiatesCanonical" : [{ canonical(ActivityDefinition|PlanDefinition) }], // Instantiates FHIR protocol or definition "instantiatesUri" : ["<uri>"], // Instantiates external protocol or definition"|"basedOn" : [{ Reference(CarePlan|ImmunizationRecommendation| MedicationRequest|ServiceRequest) }], // What request fulfills "groupIdentifier" : { Identifier }, // Composite request this is part of" ""courseOfTherapyType" : { CodeableConcept }, // Overall pattern of medication administration "insurance" : [{ Reference(ClaimResponse|Coverage) }], // Associated insurance coverage "note" : [{ Annotation }], // Information about the prescription "renderedDosageInstruction" : "<string>", // Full representation of the dosage instructions "dosageInstruction" : [{ Dosage }], // How the medication should be taken "dispenseRequest" : { // Medication supply authorization "initialFill" : { // First fill details "quantity" : { Quantity(SimpleQuantity) }, // First fill quantity "duration" : { Duration } // First fill duration }, "dispenseInterval" : { Duration }, // Minimum period of time between dispenses "validityPeriod" : { Period }, // Time period supply is authorized for "numberOfRepeatsAllowed" : "<unsignedInt>", // Number of refills authorized "quantity" : { Quantity(SimpleQuantity) }, // Amount of medication to supply per dispense "expectedSupplyDuration" : { Duration }, // Number of days supply per dispense""dispenser" : { Reference(Organization) }, // Intended performer of dispense "dispenserInstruction" : [{ Annotation }] // Additional information for the dispenser }, "substitution" : { // Any restrictions on medication substitution // allowed[x]: Whether substitution is allowed or not. One of these 2: "allowedBoolean" : <boolean>, "allowedCodeableConcept" : { CodeableConcept },""reason" : { CodeableConcept } // Why should (not) substitution be made}, "priorPrescription" : { Reference(MedicationRequest) }, // An order/prescription that is being replaced "detectedIssue" : [{ Reference(DetectedIssue) }], // Clinical Issue with action "eventHistory" : [{ Reference(Provenance) }] // A list of events of interest in the lifecycle }
Turtle Template
@prefix fhir: <http://hl7.org/fhir/> .[ a fhir:MedicationRequest; fhir:nodeRole fhir:treeRoot; # if this is the parser root # from Resource: .id, .meta, .implicitRules, and .language # from DomainResource: .text, .contained, .extension, and .modifierExtension fhir:MedicationRequest.identifier [ Identifier ], ... ; # 0..* External ids for this request fhir:MedicationRequest.status [ code ]; # 1..1 active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown fhir:MedicationRequest.statusReason [ CodeableConcept ]; # 0..1 Reason for current status fhir:MedicationRequest.intent [ code ]; # 1..1 proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
fhir:fhir:MedicationRequest.category [ CodeableConcept ], ... ; # 0..* Grouping or category of medication request fhir:MedicationRequest.priority [ code ]; # 0..1 routine | urgent | asap | statfhir: # . One of these 2 fhir: ] fhir:) ] # . One of these 2 fhir: ] fhir:) ] fhir:fhir:MedicationRequest.doNotPerform [ boolean ]; # 0..1 True if patient is to stop taking or not to start taking the medication fhir:MedicationRequest.reported [ boolean ]; # 0..1 Reported rather than primary record fhir:MedicationRequest.informationSource [ Reference(Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) ]; # 0..1 The person or organization who provided the information about this request, if the source is someone other than the requestor fhir:MedicationRequest.medication [ CodeableReference(Medication) ]; # 1..1 Medication to be taken fhir:MedicationRequest.subject [ Reference(Group|Patient) ]; # 1..1 Who or group medication request is for fhir:MedicationRequest.encounter [ Reference(Encounter) ]; # 0..1 Encounter created as part of encounter/admission/stayfhir:fhir:MedicationRequest.supportingInformation [ Reference(Any) ], ... ; # 0..* Information to support ordering of the medication fhir:MedicationRequest.authoredOn [ dateTime ]; # 0..1 When request was initially authoredfhir: fhir:fhir:MedicationRequest.requester [ Reference(Device|Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) ]; # 0..1 Who/What requested the Request fhir:MedicationRequest.performer [ Reference(CareTeam|Device|HealthcareService|Organization|Patient|Practitioner| PractitionerRole|RelatedPerson) ]; # 0..1 Intended performer of administration fhir:MedicationRequest.performerType [ CodeableConcept ]; # 0..1 Desired kind of performer of the medication administration fhir:MedicationRequest.recorder [ Reference(Practitioner|PractitionerRole) ]; # 0..1 Person who entered the requestfhir: fhir: fhir:fhir:MedicationRequest.reason [ CodeableReference(Condition|Observation) ], ... ; # 0..* Reason or indication for ordering or not ordering the medication fhir:MedicationRequest.instantiatesCanonical [ canonical(ActivityDefinition|PlanDefinition) ], ... ; # 0..* Instantiates FHIR protocol or definition fhir:MedicationRequest.instantiatesUri [ uri ], ... ; # 0..* Instantiates external protocol or definitionfhir:fhir:MedicationRequest.basedOn [ Reference(CarePlan|ImmunizationRecommendation|MedicationRequest|ServiceRequest) ], ... ; # 0..* What request fulfills fhir:MedicationRequest.groupIdentifier [ Identifier ]; # 0..1 Composite request this is part offhir: fhir:fhir:MedicationRequest.courseOfTherapyType [ CodeableConcept ]; # 0..1 Overall pattern of medication administration fhir:MedicationRequest.insurance [ Reference(ClaimResponse|Coverage) ], ... ; # 0..* Associated insurance coverage fhir:MedicationRequest.note [ Annotation ], ... ; # 0..* Information about the prescription fhir:MedicationRequest.renderedDosageInstruction [ string ]; # 0..1 Full representation of the dosage instructions fhir:MedicationRequest.dosageInstruction [ Dosage ], ... ; # 0..* How the medication should be taken fhir:MedicationRequest.dispenseRequest [ # 0..1 Medication supply authorization fhir:MedicationRequest.dispenseRequest.initialFill [ # 0..1 First fill details fhir:MedicationRequest.dispenseRequest.initialFill.quantity [ Quantity(SimpleQuantity) ]; # 0..1 First fill quantity fhir:MedicationRequest.dispenseRequest.initialFill.duration [ Duration ]; # 0..1 First fill duration ]; fhir:MedicationRequest.dispenseRequest.dispenseInterval [ Duration ]; # 0..1 Minimum period of time between dispenses fhir:MedicationRequest.dispenseRequest.validityPeriod [ Period ]; # 0..1 Time period supply is authorized for fhir:MedicationRequest.dispenseRequest.numberOfRepeatsAllowed [ unsignedInt ]; # 0..1 Number of refills authorized fhir:MedicationRequest.dispenseRequest.quantity [ Quantity(SimpleQuantity) ]; # 0..1 Amount of medication to supply per dispense fhir:MedicationRequest.dispenseRequest.expectedSupplyDuration [ Duration ]; # 0..1 Number of days supply per dispensefhir:fhir:MedicationRequest.dispenseRequest.dispenser [ Reference(Organization) ]; # 0..1 Intended performer of dispense fhir:MedicationRequest.dispenseRequest.dispenserInstruction [ Annotation ], ... ; # 0..* Additional information for the dispenser ]; fhir:MedicationRequest.substitution [ # 0..1 Any restrictions on medication substitution # MedicationRequest.substitution.allowed[x] : 1..1 Whether substitution is allowed or not. One of these 2 fhir:MedicationRequest.substitution.allowedBoolean [ boolean ] fhir:MedicationRequest.substitution.allowedCodeableConcept [ CodeableConcept ] fhir:MedicationRequest.substitution.reason [ CodeableConcept ]; # 0..1 Why should (not) substitution be made ]; fhir:MedicationRequest.priorPrescription [ Reference(MedicationRequest) ]; # 0..1 An order/prescription that is being replaced fhir:MedicationRequest.detectedIssue [ Reference(DetectedIssue) ], ... ; # 0..* Clinical Issue with action fhir:MedicationRequest.eventHistory [ Reference(Provenance) ], ... ; # 0..* A list of events of interest in the lifecycle ]
Changes since R3
MedicationRequest | |
MedicationRequest.status |
|
MedicationRequest.intent |
|
MedicationRequest.priority |
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See the Full Difference for further information
This analysis is available as XML or JSON .
See R3 <--> R4 Conversion Maps (status = 36 tests that all execute ok. 8 fail round-trip testing and 36 r3 resources are invalid (0 errors). )
Structure
Name | Flags | Card. | Type |
Description
&
Constraints
![]() |
---|---|---|---|---|
![]() ![]() | TU | DomainResource |
Ordering
of
medication
for
patient
or
group
Elements defined in Ancestors: id , meta , implicitRules , language , text , contained , extension , modifierExtension | |
![]() ![]() ![]() | 0..* | Identifier |
External
ids
for
this
request
| |
![]() ![]() ![]() | ?! Σ | 1..1 | code |
active
|
on-hold
|
cancelled
|
completed
|
entered-in-error
|
stopped
|
draft
|
unknown
|
![]() ![]() ![]() | 0..1 | CodeableConcept |
Reason
for
current
status
| |
![]() ![]() ![]() | ?! Σ | 1..1 | code |
proposal
|
plan
|
order
|
original-order
|
reflex-order
|
filler-order
|
instance-order
|
option
|
![]() ![]() ![]() | 0..* | CodeableConcept |
| |
![]() ![]() ![]() | Σ | 0..1 | code |
routine
|
urgent
|
asap
|
stat
|
![]() ![]() ![]() | ?! Σ | 0..1 | boolean |
True
if
|
![]() ![]() ![]() | Σ | 0..1 | boolean | Reported rather than primary record |
![]() ![]() ![]() |
|
| The person or organization who provided the information about this request, if the source is someone other than the requestor | |
![]() ![]() ![]() | Σ | 1..1 | CodeableReference ( Medication ) |
Medication
to
be
taken
SNOMED CT Medication Codes ( Example ) |
![]() ![]() ![]() | Σ | 1..1 | Reference ( Patient | Group ) | Who or group medication request is for |
![]() ![]() ![]() | 0..1 | Reference ( Encounter ) | Encounter created as part of encounter/admission/stay | |
![]() ![]() ![]() | 0..* | Reference ( Any ) |
Information
to
support
ordering
of
the
medication
| |
![]() ![]() ![]() | Σ | 0..1 | dateTime | When request was initially authored |
![]() ![]() ![]() | Σ | 0..1 | Reference ( Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device ) | Who/What requested the Request |
![]() ![]() ![]() | 0..1 | Reference ( Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam | HealthcareService ) | Intended performer of administration | |
![]() ![]() ![]() | Σ | 0..1 | CodeableConcept |
Desired
kind
of
performer
of
the
medication
administration
Procedure Performer Role Codes ( Example ) |
![]() ![]() ![]() | 0..1 | Reference ( Practitioner | PractitionerRole ) | Person who entered the request | |
![]() ![]() ![]() | 0..* |
|
Reason
or
indication
for
ordering
or
not
ordering
the
medication
Condition/Problem/Diagnosis Codes ( Example ) | |
![]() ![]() ![]() | Σ | 0..* |
canonical
|
Instantiates
FHIR
protocol
or
definition
|
![]() ![]() ![]() | Σ | 0..* | uri |
Instantiates
external
protocol
or
definition
|
![]() ![]() ![]() | Σ | 0..* | Reference ( CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation ) |
What
request
fulfills
|
![]() ![]() ![]() | Σ | 0..1 | Identifier | Composite request this is part of |
![]() ![]() ![]() | 0..1 | CodeableConcept |
Overall
pattern
of
medication
administration
| |
![]() ![]() ![]() | 0..* | Reference ( Coverage | ClaimResponse ) |
Associated
insurance
coverage
| |
![]() ![]() ![]() | 0..* | Annotation |
Information
about
the
prescription
| |
![]() ![]() ![]() | 0..1 | string | Full representation of the dosage instructions | |
![]() ![]() ![]() | 0..* | Dosage |
How
the
medication
should
be
taken
| |
![]() ![]() ![]() | 0..1 | BackboneElement | Medication supply authorization | |
![]() ![]() ![]() ![]() | 0..1 | BackboneElement | First fill details | |
![]() ![]() ![]() ![]() ![]() | 0..1 | SimpleQuantity | First fill quantity | |
![]() ![]() ![]() ![]() ![]() | 0..1 | Duration | First fill duration | |
![]() ![]() ![]() ![]() | 0..1 | Duration | Minimum period of time between dispenses | |
![]() ![]() ![]() ![]() | 0..1 | Period | Time period supply is authorized for | |
![]() ![]() ![]() ![]() | 0..1 | unsignedInt | Number of refills authorized | |
![]() ![]() ![]() ![]() | 0..1 | SimpleQuantity | Amount of medication to supply per dispense | |
![]() ![]() ![]() ![]() | 0..1 | Duration | Number of days supply per dispense | |
![]() ![]() ![]() ![]() | 0..1 | Reference ( Organization ) | Intended performer of dispense | |
![]() ![]() ![]() ![]() | 0..* | Annotation |
Additional
information
for
the
dispenser
| |
![]() ![]() ![]() | 0..1 | BackboneElement | Any restrictions on medication substitution | |
![]() ![]() ![]() ![]() | 1..1 |
Whether
substitution
is
allowed
or
not
![]() | ||
![]() ![]() ![]() ![]() ![]() | boolean | |||
![]() ![]() ![]() ![]() ![]() | CodeableConcept | |||
![]() ![]() ![]() ![]() | 0..1 | CodeableConcept |
Why
should
(not)
substitution
be
made
![]() | |
![]() ![]() ![]() | 0..1 | Reference ( MedicationRequest ) | An order/prescription that is being replaced | |
![]() ![]() ![]() | 0..* | Reference ( DetectedIssue ) |
Clinical
Issue
with
action
| |
![]() ![]() ![]() | 0..* | Reference ( Provenance ) |
A
list
of
events
of
interest
in
the
lifecycle
| |
![]() |
XML Template
<MedicationRequest xmlns="http://hl7.org/fhir"><!-- from Resource: id, meta, implicitRules, and language --> <!-- from DomainResource: text, contained, extension, and modifierExtension --> <identifier><!-- 0..* Identifier External ids for this request --></identifier> <status value="[code]"/><!-- 1..1 active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown --> <statusReason><!-- 0..1 CodeableConcept Reason for current status --></statusReason> <intent value="[code]"/><!-- 1..1 proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option -->
<</category><category><!-- 0..* CodeableConcept Grouping or category of medication request --></category> <priority value="[code]"/><!-- 0..1 routine | urgent | asap | stat -->< <| </reported[x]> <</medication[x]> <</subject><doNotPerform value="[boolean]"/><!-- 0..1 True if patient is to stop taking or not to start taking the medication --> <reported value="[boolean]"/><!-- 0..1 Reported rather than primary record --> <informationSource><!-- 0..1 Reference(Organization|Patient|Practitioner| PractitionerRole|RelatedPerson) The person or organization who provided the information about this request, if the source is someone other than the requestor --></informationSource> <medication><!-- 1..1 CodeableReference(Medication) Medication to be taken --></medication> <subject><!-- 1..1 Reference(Group|Patient) Who or group medication request is for --></subject> <encounter><!-- 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay --></encounter><</supportingInformation><supportingInformation><!-- 0..* Reference(Any) Information to support ordering of the medication --></supportingInformation> <authoredOn value="[dateTime]"/><!-- 0..1 When request was initially authored --><| </requester> <| </performer><requester><!-- 0..1 Reference(Device|Organization|Patient|Practitioner| PractitionerRole|RelatedPerson) Who/What requested the Request --></requester> <performer><!-- 0..1 Reference(CareTeam|Device|HealthcareService|Organization| Patient|Practitioner|PractitionerRole|RelatedPerson) Intended performer of administration --></performer> <performerType><!-- 0..1 CodeableConcept Desired kind of performer of the medication administration --></performerType> <recorder><!-- 0..1 Reference(Practitioner|PractitionerRole) Person who entered the request --></recorder><</reasonCode> <</reasonReference> <<reason><!-- 0..* CodeableReference(Condition|Observation) Reason or indication for ordering or not ordering the medication --></reason> <instantiatesCanonical><!-- 0..* canonical(ActivityDefinition|PlanDefinition) Instantiates FHIR protocol or definition --></instantiatesCanonical> <instantiatesUri value="[uri]"/><!-- 0..* Instantiates external protocol or definition --><| </basedOn><basedOn><!-- 0..* Reference(CarePlan|ImmunizationRecommendation| MedicationRequest|ServiceRequest) What request fulfills --></basedOn> <groupIdentifier><!-- 0..1 Identifier Composite request this is part of --></groupIdentifier><</courseOfTherapyType> <</insurance><courseOfTherapyType><!-- 0..1 CodeableConcept Overall pattern of medication administration --></courseOfTherapyType> <insurance><!-- 0..* Reference(ClaimResponse|Coverage) Associated insurance coverage --></insurance> <note><!-- 0..* Annotation Information about the prescription --></note> <renderedDosageInstruction value="[string]"/><!-- 0..1 Full representation of the dosage instructions --> <dosageInstruction><!-- 0..* Dosage How the medication should be taken --></dosageInstruction> <dispenseRequest> <!-- 0..1 Medication supply authorization --> <initialFill> <!-- 0..1 First fill details --> <quantity><!-- 0..1 Quantity(SimpleQuantity) First fill quantity --></quantity> <duration><!-- 0..1 Duration First fill duration --></duration> </initialFill> <dispenseInterval><!-- 0..1 Duration Minimum period of time between dispenses --></dispenseInterval> <validityPeriod><!-- 0..1 Period Time period supply is authorized for --></validityPeriod> <numberOfRepeatsAllowed value="[unsignedInt]"/><!-- 0..1 Number of refills authorized --> <quantity><!-- 0..1 Quantity(SimpleQuantity) Amount of medication to supply per dispense --></quantity> <expectedSupplyDuration><!-- 0..1 Duration Number of days supply per dispense --></expectedSupplyDuration><</performer><dispenser><!-- 0..1 Reference(Organization) Intended performer of dispense --></dispenser> <dispenserInstruction><!-- 0..* Annotation Additional information for the dispenser --></dispenserInstruction> </dispenseRequest> <substitution> <!-- 0..1 Any restrictions on medication substitution --><</allowed[x]> <</reason><allowed[x]><!-- 1..1 boolean|CodeableConcept Whether substitution is allowed or not--></allowed[x]> <reason><!-- 0..1 CodeableConcept Why should (not) substitution be made
--></reason> </substitution> <priorPrescription><!-- 0..1 Reference(MedicationRequest) An order/prescription that is being replaced --></priorPrescription> <detectedIssue><!-- 0..* Reference(DetectedIssue) Clinical Issue with action --></detectedIssue> <eventHistory><!-- 0..* Reference(Provenance) A list of events of interest in the lifecycle --></eventHistory> </MedicationRequest>
JSON Template
{"resourceType" : "MedicationRequest", // from Resource: id, meta, implicitRules, and language // from DomainResource: text, contained, extension, and modifierExtension "identifier" : [{ Identifier }], // External ids for this request "status" : "<code>", // R! active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown "statusReason" : { CodeableConcept }, // Reason for current status "intent" : "<code>", // R! proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
""category" : [{ CodeableConcept }], // Grouping or category of medication request "priority" : "<code>", // routine | urgent | asap | stat" ">, "| }, " }, " }, ""doNotPerform" : <boolean>, // True if patient is to stop taking or not to start taking the medication "reported" : <boolean>, // Reported rather than primary record "informationSource" : { Reference(Organization|Patient|Practitioner| PractitionerRole|RelatedPerson) }, // The person or organization who provided the information about this request, if the source is someone other than the requestor "medication" : { CodeableReference(Medication) }, // R! Medication to be taken "subject" : { Reference(Group|Patient) }, // R! Who or group medication request is for "encounter" : { Reference(Encounter) }, // Encounter created as part of encounter/admission/stay""supportingInformation" : [{ Reference(Any) }], // Information to support ordering of the medication "authoredOn" : "<dateTime>", // When request was initially authored"| "|"requester" : { Reference(Device|Organization|Patient|Practitioner| PractitionerRole|RelatedPerson) }, // Who/What requested the Request "performer" : { Reference(CareTeam|Device|HealthcareService|Organization| Patient|Practitioner|PractitionerRole|RelatedPerson) }, // Intended performer of administration "performerType" : { CodeableConcept }, // Desired kind of performer of the medication administration "recorder" : { Reference(Practitioner|PractitionerRole) }, // Person who entered the request" " ""reason" : [{ CodeableReference(Condition|Observation) }], // Reason or indication for ordering or not ordering the medication "instantiatesCanonical" : [{ canonical(ActivityDefinition|PlanDefinition) }], // Instantiates FHIR protocol or definition "instantiatesUri" : ["<uri>"], // Instantiates external protocol or definition"|"basedOn" : [{ Reference(CarePlan|ImmunizationRecommendation| MedicationRequest|ServiceRequest) }], // What request fulfills "groupIdentifier" : { Identifier }, // Composite request this is part of" ""courseOfTherapyType" : { CodeableConcept }, // Overall pattern of medication administration "insurance" : [{ Reference(ClaimResponse|Coverage) }], // Associated insurance coverage "note" : [{ Annotation }], // Information about the prescription "renderedDosageInstruction" : "<string>", // Full representation of the dosage instructions "dosageInstruction" : [{ Dosage }], // How the medication should be taken "dispenseRequest" : { // Medication supply authorization "initialFill" : { // First fill details "quantity" : { Quantity(SimpleQuantity) }, // First fill quantity "duration" : { Duration } // First fill duration }, "dispenseInterval" : { Duration }, // Minimum period of time between dispenses "validityPeriod" : { Period }, // Time period supply is authorized for "numberOfRepeatsAllowed" : "<unsignedInt>", // Number of refills authorized "quantity" : { Quantity(SimpleQuantity) }, // Amount of medication to supply per dispense "expectedSupplyDuration" : { Duration }, // Number of days supply per dispense""dispenser" : { Reference(Organization) }, // Intended performer of dispense "dispenserInstruction" : [{ Annotation }] // Additional information for the dispenser }, "substitution" : { // Any restrictions on medication substitution // allowed[x]: Whether substitution is allowed or not. One of these 2: "allowedBoolean" : <boolean>, "allowedCodeableConcept" : { CodeableConcept },""reason" : { CodeableConcept } // Why should (not) substitution be made}, "priorPrescription" : { Reference(MedicationRequest) }, // An order/prescription that is being replaced "detectedIssue" : [{ Reference(DetectedIssue) }], // Clinical Issue with action "eventHistory" : [{ Reference(Provenance) }] // A list of events of interest in the lifecycle }
Turtle Template
@prefix fhir: <http://hl7.org/fhir/> .[ a fhir:MedicationRequest; fhir:nodeRole fhir:treeRoot; # if this is the parser root # from Resource: .id, .meta, .implicitRules, and .language # from DomainResource: .text, .contained, .extension, and .modifierExtension fhir:MedicationRequest.identifier [ Identifier ], ... ; # 0..* External ids for this request fhir:MedicationRequest.status [ code ]; # 1..1 active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown fhir:MedicationRequest.statusReason [ CodeableConcept ]; # 0..1 Reason for current status fhir:MedicationRequest.intent [ code ]; # 1..1 proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
fhir:fhir:MedicationRequest.category [ CodeableConcept ], ... ; # 0..* Grouping or category of medication request fhir:MedicationRequest.priority [ code ]; # 0..1 routine | urgent | asap | statfhir: # . One of these 2 fhir: ] fhir:) ] # . One of these 2 fhir: ] fhir:) ] fhir:fhir:MedicationRequest.doNotPerform [ boolean ]; # 0..1 True if patient is to stop taking or not to start taking the medication fhir:MedicationRequest.reported [ boolean ]; # 0..1 Reported rather than primary record fhir:MedicationRequest.informationSource [ Reference(Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) ]; # 0..1 The person or organization who provided the information about this request, if the source is someone other than the requestor fhir:MedicationRequest.medication [ CodeableReference(Medication) ]; # 1..1 Medication to be taken fhir:MedicationRequest.subject [ Reference(Group|Patient) ]; # 1..1 Who or group medication request is for fhir:MedicationRequest.encounter [ Reference(Encounter) ]; # 0..1 Encounter created as part of encounter/admission/stayfhir:fhir:MedicationRequest.supportingInformation [ Reference(Any) ], ... ; # 0..* Information to support ordering of the medication fhir:MedicationRequest.authoredOn [ dateTime ]; # 0..1 When request was initially authoredfhir: fhir:fhir:MedicationRequest.requester [ Reference(Device|Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) ]; # 0..1 Who/What requested the Request fhir:MedicationRequest.performer [ Reference(CareTeam|Device|HealthcareService|Organization|Patient|Practitioner| PractitionerRole|RelatedPerson) ]; # 0..1 Intended performer of administration fhir:MedicationRequest.performerType [ CodeableConcept ]; # 0..1 Desired kind of performer of the medication administration fhir:MedicationRequest.recorder [ Reference(Practitioner|PractitionerRole) ]; # 0..1 Person who entered the requestfhir: fhir: fhir:fhir:MedicationRequest.reason [ CodeableReference(Condition|Observation) ], ... ; # 0..* Reason or indication for ordering or not ordering the medication fhir:MedicationRequest.instantiatesCanonical [ canonical(ActivityDefinition|PlanDefinition) ], ... ; # 0..* Instantiates FHIR protocol or definition fhir:MedicationRequest.instantiatesUri [ uri ], ... ; # 0..* Instantiates external protocol or definitionfhir:fhir:MedicationRequest.basedOn [ Reference(CarePlan|ImmunizationRecommendation|MedicationRequest|ServiceRequest) ], ... ; # 0..* What request fulfills fhir:MedicationRequest.groupIdentifier [ Identifier ]; # 0..1 Composite request this is part offhir: fhir:fhir:MedicationRequest.courseOfTherapyType [ CodeableConcept ]; # 0..1 Overall pattern of medication administration fhir:MedicationRequest.insurance [ Reference(ClaimResponse|Coverage) ], ... ; # 0..* Associated insurance coverage fhir:MedicationRequest.note [ Annotation ], ... ; # 0..* Information about the prescription fhir:MedicationRequest.renderedDosageInstruction [ string ]; # 0..1 Full representation of the dosage instructions fhir:MedicationRequest.dosageInstruction [ Dosage ], ... ; # 0..* How the medication should be taken fhir:MedicationRequest.dispenseRequest [ # 0..1 Medication supply authorization fhir:MedicationRequest.dispenseRequest.initialFill [ # 0..1 First fill details fhir:MedicationRequest.dispenseRequest.initialFill.quantity [ Quantity(SimpleQuantity) ]; # 0..1 First fill quantity fhir:MedicationRequest.dispenseRequest.initialFill.duration [ Duration ]; # 0..1 First fill duration ]; fhir:MedicationRequest.dispenseRequest.dispenseInterval [ Duration ]; # 0..1 Minimum period of time between dispenses fhir:MedicationRequest.dispenseRequest.validityPeriod [ Period ]; # 0..1 Time period supply is authorized for fhir:MedicationRequest.dispenseRequest.numberOfRepeatsAllowed [ unsignedInt ]; # 0..1 Number of refills authorized fhir:MedicationRequest.dispenseRequest.quantity [ Quantity(SimpleQuantity) ]; # 0..1 Amount of medication to supply per dispense fhir:MedicationRequest.dispenseRequest.expectedSupplyDuration [ Duration ]; # 0..1 Number of days supply per dispensefhir:fhir:MedicationRequest.dispenseRequest.dispenser [ Reference(Organization) ]; # 0..1 Intended performer of dispense fhir:MedicationRequest.dispenseRequest.dispenserInstruction [ Annotation ], ... ; # 0..* Additional information for the dispenser ]; fhir:MedicationRequest.substitution [ # 0..1 Any restrictions on medication substitution # MedicationRequest.substitution.allowed[x] : 1..1 Whether substitution is allowed or not. One of these 2 fhir:MedicationRequest.substitution.allowedBoolean [ boolean ] fhir:MedicationRequest.substitution.allowedCodeableConcept [ CodeableConcept ] fhir:MedicationRequest.substitution.reason [ CodeableConcept ]; # 0..1 Why should (not) substitution be made ]; fhir:MedicationRequest.priorPrescription [ Reference(MedicationRequest) ]; # 0..1 An order/prescription that is being replaced fhir:MedicationRequest.detectedIssue [ Reference(DetectedIssue) ], ... ; # 0..* Clinical Issue with action fhir:MedicationRequest.eventHistory [ Reference(Provenance) ], ... ; # 0..* A list of events of interest in the lifecycle ]
Changes since Release 3
MedicationRequest | |
MedicationRequest.status |
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MedicationRequest.intent |
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MedicationRequest.priority |
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See the Full Difference for further information
This analysis is available as XML or JSON .
See R3 <--> R4 Conversion Maps (status = 36 tests that all execute ok. 8 fail round-trip testing and 36 r3 resources are invalid (0 errors). )
See the Profiles & Extensions and the alternate definitions: Master Definition XML + JSON , XML Schema / Schematron + JSON Schema , ShEx (for Turtle ) + see the extensions , the spreadsheet version & the dependency analysis a
Path | Definition | Type | Reference |
---|---|---|---|
MedicationRequest.status |
| Required | medicationrequest Status |
MedicationRequest.statusReason |
| Example | medicationRequest Status Reason Codes |
MedicationRequest.intent |
| Required | medicationRequest Intent |
MedicationRequest.category |
| Example |
medicationRequest
|
MedicationRequest.priority |
| Required | RequestPriority |
|
| Example | SNOMEDCTMedicationCodes |
MedicationRequest.performerType |
| Example | ProcedurePerformerRoleCodes |
|
| Example | Condition/Problem/DiagnosisCodes |
MedicationRequest.courseOfTherapyType |
| Example | medicationRequest Course of Therapy Codes |
MedicationRequest.substitution.allowed[x] |
| Example |
![]() |
MedicationRequest.substitution.reason | A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | Example |
![]() |
Free text dosage instructions can be used for cases where the instructions are too complex to code. The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated. If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing.
In general, each prescribed drug will be a separate Medication Request.
When drug orders are grouped together at the time of order entry, but each of the drugs can be manipulated independently e.g. changing the status of one order to "completed" or "cancelled", changing another order status to "on-hold", the method to "group" all of the medication requests together is to use MedicationRequest.groupIdentifier element. All of the orders grouped together in this manner will have the same groupIdentifier, and separately, each order in the group may have a unique identifier.
There are cases that require grouping of Medication orders together when it is necessary to specify optionality e.g. order two drugs at one time, but stating either of these drugs may be used to treat the patient. The use of a RequestGroup should be used as a parent for the Medication orders that require this type of grouping. An example when it may be necessary to group medication orders together is when you specify:
Note that one should NOT use the List or Composition resource to accomplish the above requirements. You may use List or Composition for other business requirements, but not to address the specific requirements of grouping medication orders.
Search parameters for this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.
Name | Type | Description | Expression | In Common |
authoredon N | date | Return prescriptions written on this date | MedicationRequest.authoredOn | |
category | token | Returns prescriptions with different categories | MedicationRequest.category | |
code D | token | Return prescriptions of this medication code |
|
|
| date | Returns medication request to be administered on a specific date or within a date range | MedicationRequest.dosageInstruction.timing.event | (MedicationRequest.dosageInstruction.timing.repeat.bounds as Period) |
|
encounter | reference | Return prescriptions with this encounter identifier |
MedicationRequest.encounter
( Encounter ) |
|
identifier | token | Return prescriptions with this external identifier | MedicationRequest.identifier |
|
intended-dispenser | reference | Returns prescriptions intended to be dispensed by this Organization |
( Organization ) | |
intended-performer | reference | Returns the intended performer of the administration of the medication request |
MedicationRequest.performer
( Practitioner , Organization , CareTeam , Device , Patient , HealthcareService , PractitionerRole , RelatedPerson ) | |
intended-performertype | token | Returns requests for a specific type of performer | MedicationRequest.performerType | |
intent N | token | Returns prescriptions with different intents | MedicationRequest.intent | |
medication D | reference | Return prescriptions for this medication reference |
|
|
patient | reference | Returns prescriptions for a specific patient |
MedicationRequest.subject.where(resolve()
is
Patient)
( Group , Patient ) |
|
priority N | token | Returns prescriptions with different priorities | MedicationRequest.priority | |
requester | reference | Returns prescriptions prescribed by this prescriber |
MedicationRequest.requester
( Practitioner , Organization , Device , Patient , PractitionerRole , RelatedPerson ) | |
status N | token | Status of the prescription | MedicationRequest.status |
|
subject | reference | The identity of a patient to list orders for |
MedicationRequest.subject
( Group , Patient ) |