MedicationRequest
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.
Properties
| Name | Required | Type | Description |
|---|---|---|---|
| identifier | No | Identifier[] | External ids for this request |
| status | Yes | code | active / on-hold / cancelled / completed / entered-in-error / stopped / draft / unknown |
| statusReason | No | CodeableConcept | Reason for current status |
| intent | Yes | code | proposal / plan / order / original-order / reflex-order / filler-order / instance-order / option |
| category | No | CodeableConcept[] | Type of medication usage |
| priority | No | code | routine / urgent / asap / stat |
| doNotPerform | No | boolean | True if request is prohibiting action |
| reported[x] | No | boolean, Reference<Patient / Practitioner / PractitionerRole / RelatedPerson / Organization> | Reported rather than primary record |
| medication[x] | Yes | CodeableConcept, Reference<Medication> | Medication to be taken |
| subject | Yes | Reference<Patient / Group> | Who or group medication request is for |
| encounter | No | Reference<Encounter> | Encounter created as part of encounter/admission/stay |
| supportingInformation | No | Reference<Resource>[] | Information to support ordering of the medication |
| authoredOn | No | dateTime | When request was initially authored |
| requester | No | Reference<Practitioner / PractitionerRole / Organization / Patient / RelatedPerson / Device> | Who/What requested the Request |
| performer | No | Reference<Practitioner / PractitionerRole / Organization / Patient / Device / RelatedPerson / CareTeam> | Intended performer of administration |
| performerType | No | CodeableConcept | Desired kind of performer of the medication administration |
| recorder | No | Reference<Practitioner / PractitionerRole> | Person who entered the request |
| reasonCode | No | CodeableConcept[] | Reason or indication for ordering or not ordering the medication |
| reasonReference | No | Reference<Condition / Observation>[] | Condition or observation that supports why the prescription is being written |
| instantiatesCanonical | No | canonical[] | Instantiates FHIR protocol or definition |
| instantiatesUri | No | uri[] | Instantiates external protocol or definition |
| basedOn | No | Reference<CarePlan / MedicationRequest / ServiceRequest / ImmunizationRecommendation>[] | What request fulfills |
| groupIdentifier | No | Identifier | Composite request this is part of |
| courseOfTherapyType | No | CodeableConcept | Overall pattern of medication administration |
| insurance | No | Reference<Coverage / ClaimResponse>[] | Associated insurance coverage |
| note | No | Annotation[] | Information about the prescription |
| dosageInstruction | No | Dosage[] | How the medication should be taken |
| dispenseRequest | No | MedicationRequestDispenseRequest | Medication supply authorization |
| - id | No | string | Unique id for inter-element referencing |
| - extension | No | Extension[] | Additional content defined by implementations |
| - modifierExtension | No | Extension[] | Extensions that cannot be ignored even if unrecognized |
| - initialFill | No | MedicationRequestDispenseRequestInitialFill | First fill details |
| - id | No | string | Unique id for inter-element referencing |
| - extension | No | Extension[] | Additional content defined by implementations |
| - modifierExtension | No | Extension[] | Extensions that cannot be ignored even if unrecognized |
| - quantity | No | Quantity | First fill quantity |
| - duration | No | Duration | First fill duration |
| - dispenseInterval | No | Duration | Minimum period of time between dispenses |
| - validityPeriod | No | Period | Time period supply is authorized for |
| - numberOfRepeatsAllowed | No | unsignedInt | Number of refills authorized |
| - quantity | No | Quantity | Amount of medication to supply per dispense |
| - expectedSupplyDuration | No | Duration | Number of days supply per dispense |
| - performer | No | Reference<Organization> | Intended dispenser |
| substitution | No | MedicationRequestSubstitution | Any restrictions on medication substitution |
| - id | No | string | Unique id for inter-element referencing |
| - extension | No | Extension[] | Additional content defined by implementations |
| - modifierExtension | No | Extension[] | Extensions that cannot be ignored even if unrecognized |
| - allowed[x] | Yes | boolean, CodeableConcept | Whether substitution is allowed or not |
| - reason | No | CodeableConcept | Why should (not) substitution be made |
| priorPrescription | No | Reference<MedicationRequest> | An order/prescription that is being replaced |
| detectedIssue | No | Reference<DetectedIssue>[] | Clinical Issue with action |
| eventHistory | No | Reference<Provenance>[] | A list of events of interest in the lifecycle |
Search Parameters
| Name | Type | Description | Expression |
|---|---|---|---|
| code | token | Return prescriptions of this medication code | MedicationRequest.medication |
| identifier | token | Return prescriptions with this external identifier | MedicationRequest.identifier |
| patient | reference | Returns prescriptions for a specific patient | MedicationRequest.subject |
| medication | reference | Return prescriptions for this medication reference | MedicationRequest.medication |
| status | token | Status of the prescription | MedicationRequest.status |
| authoredon | date | Return prescriptions written on this date | MedicationRequest.authoredOn |
| category | token | Returns prescriptions with different categories | MedicationRequest.category |
| date | date | Returns medication request to be administered on a specific date | MedicationRequest.dosageInstruction.timing.event |
| encounter | reference | Return prescriptions with this encounter identifier | MedicationRequest.encounter |
| intended-dispenser | reference | Returns prescriptions intended to be dispensed by this Organization | MedicationRequest.dispenseRequest.performer |
| intended-performer | reference | Returns the intended performer of the administration of the medication request | MedicationRequest.performer |
| intended-performertype | token | Returns requests for a specific type of performer | MedicationRequest.performerType |
| intent | token | Returns prescriptions with different intents | MedicationRequest.intent |
| priority | token | Returns prescriptions with different priorities | MedicationRequest.priority |
| requester | reference | Returns prescriptions prescribed by this prescriber | MedicationRequest.requester |
| subject | reference | The identity of a patient to list orders for | MedicationRequest.subject |
Inherited Properties
| Name | Required | Type | Description |
|---|---|---|---|
| id | No | string | Logical id of this artifact |
| meta | No | Meta | Metadata about the resource |
| implicitRules | No | uri | A set of rules under which this content was created |
| language | No | code | Language of the resource content |
| text | No | Narrative | Text summary of the resource, for human interpretation |
| contained | No | Resource[] | Contained, inline Resources |
| extension | No | Extension[] | Additional content defined by implementations |
| modifierExtension | No | Extension[] | Extensions that cannot be ignored |
To view the FHIR specification for this resource, see MedicationRequest.
MedicationRequest
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.
Properties
| Name | Required | Type | Description |
|---|---|---|---|
| identifier | No | Identifier[] | External ids for this request |
| status | Yes | code | active / on-hold / cancelled / completed / entered-in-error / stopped / draft / unknown |
| statusReason | No | CodeableConcept | Reason for current status |
| intent | Yes | code | proposal / plan / order / original-order / reflex-order / filler-order / instance-order / option |
| category | No | CodeableConcept[] | Type of medication usage |
| priority | No | code | routine / urgent / asap / stat |
| doNotPerform | No | boolean | True if request is prohibiting action |
| reported[x] | No | boolean, Reference<Patient / Practitioner / PractitionerRole / RelatedPerson / Organization> | Reported rather than primary record |
| medication[x] | Yes | CodeableConcept, Reference<Medication> | Medication to be taken |
| subject | Yes | Reference<Patient / Group> | Who or group medication request is for |
| encounter | No | Reference<Encounter> | Encounter created as part of encounter/admission/stay |
| supportingInformation | No | Reference<Resource>[] | Information to support ordering of the medication |
| authoredOn | No | dateTime | When request was initially authored |
| requester | No | Reference<Practitioner / PractitionerRole / Organization / Patient / RelatedPerson / Device> | Who/What requested the Request |
| performer | No | Reference<Practitioner / PractitionerRole / Organization / Patient / Device / RelatedPerson / CareTeam> | Intended performer of administration |
| performerType | No | CodeableConcept | Desired kind of performer of the medication administration |
| recorder | No | Reference<Practitioner / PractitionerRole> | Person who entered the request |
| reasonCode | No | CodeableConcept[] | Reason or indication for ordering or not ordering the medication |
| reasonReference | No | Reference<Condition / Observation>[] | Condition or observation that supports why the prescription is being written |
| instantiatesCanonical | No | canonical[] | Instantiates FHIR protocol or definition |
| instantiatesUri | No | uri[] | Instantiates external protocol or definition |
| basedOn | No | Reference<CarePlan / MedicationRequest / ServiceRequest / ImmunizationRecommendation>[] | What request fulfills |
| groupIdentifier | No | Identifier | Composite request this is part of |
| courseOfTherapyType | No | CodeableConcept | Overall pattern of medication administration |
| insurance | No | Reference<Coverage / ClaimResponse>[] | Associated insurance coverage |
| note | No | Annotation[] | Information about the prescription |
| dosageInstruction | No | Dosage[] | How the medication should be taken |
| dispenseRequest | No | MedicationRequestDispenseRequest | Medication supply authorization |
| - id | No | string | Unique id for inter-element referencing |
| - extension | No | Extension[] | Additional content defined by implementations |
| - modifierExtension | No | Extension[] | Extensions that cannot be ignored even if unrecognized |
| - initialFill | No | MedicationRequestDispenseRequestInitialFill | First fill details |
| - id | No | string | Unique id for inter-element referencing |
| - extension | No | Extension[] | Additional content defined by implementations |
| - modifierExtension | No | Extension[] | Extensions that cannot be ignored even if unrecognized |
| - quantity | No | Quantity | First fill quantity |
| - duration | No | Duration | First fill duration |
| - dispenseInterval | No | Duration | Minimum period of time between dispenses |
| - validityPeriod | No | Period | Time period supply is authorized for |
| - numberOfRepeatsAllowed | No | unsignedInt | Number of refills authorized |
| - quantity | No | Quantity | Amount of medication to supply per dispense |
| - expectedSupplyDuration | No | Duration | Number of days supply per dispense |
| - performer | No | Reference<Organization> | Intended dispenser |
| substitution | No | MedicationRequestSubstitution | Any restrictions on medication substitution |
| - id | No | string | Unique id for inter-element referencing |
| - extension | No | Extension[] | Additional content defined by implementations |
| - modifierExtension | No | Extension[] | Extensions that cannot be ignored even if unrecognized |
| - allowed[x] | Yes | boolean, CodeableConcept | Whether substitution is allowed or not |
| - reason | No | CodeableConcept | Why should (not) substitution be made |
| priorPrescription | No | Reference<MedicationRequest> | An order/prescription that is being replaced |
| detectedIssue | No | Reference<DetectedIssue>[] | Clinical Issue with action |
| eventHistory | No | Reference<Provenance>[] | A list of events of interest in the lifecycle |
Search Parameters
| Name | Type | Description | Expression |
|---|---|---|---|
| code | token | Return prescriptions of this medication code | MedicationRequest.medication |
| identifier | token | Return prescriptions with this external identifier | MedicationRequest.identifier |
| patient | reference | Returns prescriptions for a specific patient | MedicationRequest.subject |
| medication | reference | Return prescriptions for this medication reference | MedicationRequest.medication |
| status | token | Status of the prescription | MedicationRequest.status |
| authoredon | date | Return prescriptions written on this date | MedicationRequest.authoredOn |
| category | token | Returns prescriptions with different categories | MedicationRequest.category |
| date | date | Returns medication request to be administered on a specific date | MedicationRequest.dosageInstruction.timing.event |
| encounter | reference | Return prescriptions with this encounter identifier | MedicationRequest.encounter |
| intended-dispenser | reference | Returns prescriptions intended to be dispensed by this Organization | MedicationRequest.dispenseRequest.performer |
| intended-performer | reference | Returns the intended performer of the administration of the medication request | MedicationRequest.performer |
| intended-performertype | token | Returns requests for a specific type of performer | MedicationRequest.performerType |
| intent | token | Returns prescriptions with different intents | MedicationRequest.intent |
| priority | token | Returns prescriptions with different priorities | MedicationRequest.priority |
| requester | reference | Returns prescriptions prescribed by this prescriber | MedicationRequest.requester |
| subject | reference | The identity of a patient to list orders for | MedicationRequest.subject |
Inherited Properties
| Name | Required | Type | Description |
|---|---|---|---|
| id | No | string | Logical id of this artifact |
| meta | No | Meta | Metadata about the resource |
| implicitRules | No | uri | A set of rules under which this content was created |
| language | No | code | Language of the resource content |
| text | No | Narrative | Text summary of the resource, for human interpretation |
| contained | No | Resource[] | Contained, inline Resources |
| extension | No | Extension[] | Additional content defined by implementations |
| modifierExtension | No | Extension[] | Extensions that cannot be ignored |
To view the FHIR specification for this resource, see MedicationRequest.