NP Core Implementation Guide
1.0.0 - Release
NP Core Implementation Guide
1.0.0 - Release
NP Core Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-medicationrequest | Version: 1.0.0 | ||||
| Active as of 2026-10-14 | Computable Name: NPCoreMedicationRequest | ||||
Sets minimum expectations for representing a medication prescription or order in Nepal.
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:  | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
  MedicationRequest |
0..* | MedicationRequest | Ordering of medication for patient or group | |||||||||
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| status |
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.
| |||||||||
| intent |
1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order.
| |||||||||
| doNotPerform |
0..1 | boolean | True if request is prohibiting action | |||||||||
  Slices for medication[x] |
1..1 | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
   medicationCodeableConcept |
CodeableConcept | |||||||||||
 medicationReference |
Reference(Medication) | |||||||||||
 medication[x]:medicationReference |
0..1 | Reference(NP Core Medication) | Medication to be taken | |||||||||
 medication[x]:medicationCodeableConcept |
0..1 | CodeableConcept | Medication to be taken Binding: Nepal Drug Value Set (preferred) | |||||||||
| subject |
1..1 | Reference(NP Core Patient | Group) | Who or group medication request is for
| |||||||||
| encounter |
0..1 | Reference(NP Core Encounter) | Encounter created as part of encounter/admission/stay
| |||||||||
| requester |
0..1 | Reference(NP Core Practitioner | NP Core PractitionerRole | NP Core Organization | NP Core Patient | NP Core RelatedPerson | NP Core Device) | Who/What requested the Request
| |||||||||
| reasonReference |
0..* | Reference(NP Core Condition | NP Core Observation) | Condition or observation that supports why the prescription is being written
| |||||||||
 priorPrescription |
0..1 | Reference(NP Core MedicationRequest) | An order/prescription that is being replaced | |||||||||
| Documentation for this format | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| MedicationRequest |
|||
| status |
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| intent |
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| Slices for medication[x] |
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| subject |
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| encounter |
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| requester |
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| reasonReference |
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| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | FHIR Std. |
| MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | FHIR Std. |
| MedicationRequest.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.medication[x]:medicationCodeableConcept | Base | preferred | Nepal Drug Value Set | 📦1.0.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| 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()
|
| 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()
|
This structure is derived from MedicationRequest
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| MedicationRequest |
|||
 status |
|
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|
| intent |
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| Slices for medication[x] |
|
|
|
| subject |
|
|
|
| encounter |
|
|
|
| requester |
|
|
|
| reasonReference |
|
|
|
| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.medication[x]:medicationCodeableConcept | Base | preferred | Nepal Drug Value Set | 📦1.0.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
0..* | MedicationRequest | Ordering of medication for patient or group | |||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules |
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.
| |||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier |
0..* | Identifier | External ids for this request | |||||||||
| status |
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 |
0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||||||
| intent |
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 |
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 |
0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | |||||||||
| doNotPerform |
0..1 | boolean | True if request is prohibiting action | |||||||||
 reported[x] |
0..1 | Reported rather than primary record | ||||||||||
| reportedBoolean |
boolean | |||||||||||
| reportedReference |
Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||||||||||
| Slices for medication[x] |
1..1 | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||||
| medicationReference |
Reference(Medication) | |||||||||||
| medication[x]:medicationReference |
0..1 | Reference(NP Core Medication) | Medication to be taken | |||||||||
| medication[x]:medicationCodeableConcept |
0..1 | CodeableConcept | Medication to be taken Binding: Nepal Drug Value Set (preferred) | |||||||||
| subject |
1..1 | Reference(NP Core Patient | Group) | Who or group medication request is for
| |||||||||
| encounter |
0..1 | Reference(NP Core Encounter) | Encounter created as part of encounter/admission/stay
| |||||||||
| supportingInformation |
0..* | Reference(Resource) | Information to support ordering of the medication | |||||||||
| authoredOn |
0..1 | dateTime | When request was initially authored | |||||||||
| requester |
0..1 | Reference(NP Core Practitioner | NP Core PractitionerRole | NP Core Organization | NP Core Patient | NP Core RelatedPerson | NP Core Device) | Who/What requested the Request
| |||||||||
| performer |
0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||||||
| performerType |
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 |
0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||||||
| reasonCode |
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 |
0..* | Reference(NP Core Condition | NP Core Observation) | Condition or observation that supports why the prescription is being written
| |||||||||
| instantiatesCanonical |
0..* | canonical() | Instantiates FHIR protocol or definition | |||||||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||||||
| basedOn |
0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | |||||||||
| groupIdentifier |
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 |
0..* | Annotation | Information about the prescription | |||||||||
| dosageInstruction |
0..* | Dosage | How the medication should be taken | |||||||||
| dispenseRequest |
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 |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| quantity |
C | 0..1 | SimpleQuantity(4.0.1) | First fill quantity Constraints: sqty-1 | ||||||||
| duration |
0..1 | Duration | First fill duration | |||||||||
| dispenseInterval |
0..1 | Duration | Minimum period of time between dispenses | |||||||||
| validityPeriod |
0..1 | Period | Time period supply is authorized for | |||||||||
| numberOfRepeatsAllowed |
0..1 | unsignedInt | Number of refills authorized | |||||||||
| quantity |
C | 0..1 | SimpleQuantity(4.0.1) | Amount of medication to supply per dispense Constraints: sqty-1 | ||||||||
| expectedSupplyDuration |
0..1 | Duration | Number of days supply per dispense | |||||||||
| performer |
0..1 | Reference(Organization) | Intended dispenser | |||||||||
| substitution |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| allowed[x] |
1..1 | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||||||||||
| allowedBoolean |
boolean | |||||||||||
| allowedCodeableConcept |
CodeableConcept | |||||||||||
| reason |
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(NP Core 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 | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| MedicationRequest |
|||
| status |
|
|
|
| intent |
|
|
|
| Slices for medication[x] |
|
|
|
| subject |
|
|
|
| encounter |
|
|
|
| requester |
|
|
|
| reasonReference |
|
|
|
| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | FHIR Std. |
| MedicationRequest.statusReason | Base | example | Medication request status reason codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | FHIR Std. |
| MedicationRequest.category | Base | example | Medication request category codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| MedicationRequest.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.medication[x]:medicationCodeableConcept | Base | preferred | Nepal Drug Value Set | 📦1.0.0 | This IG |
| MedicationRequest.performerType | Base | example | Procedure Performer Role Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.courseOfTherapyType | Base | example | Medication request course of therapy codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.substitution.allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.4 |
| MedicationRequest.substitution.reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v7.4 |
| Id | Grade | Path(s) | Description | Expression |
| 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()
|
| 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()
|
| sqty-1 | error | MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| MedicationRequest |
|||
| status |
|
|
|
| intent |
|
|
|
| Slices for medication[x] |
|
|
|
| subject |
|
|
|
| encounter |
|
|
|
| requester |
|
|
|
| reasonReference |
|
|
|
| Documentation for this format | |||
This structure is derived from MedicationRequest
Summary
Must-Support: 9 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
0..* | MedicationRequest | Ordering of medication for patient or group | |||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| status |
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.
| |||||||||
| intent |
1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order.
| |||||||||
| doNotPerform |
0..1 | boolean | True if request is prohibiting action | |||||||||
| Slices for medication[x] |
1..1 | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||||
| medicationReference |
Reference(Medication) | |||||||||||
| medication[x]:medicationReference |
0..1 | Reference(NP Core Medication) | Medication to be taken | |||||||||
| medication[x]:medicationCodeableConcept |
0..1 | CodeableConcept | Medication to be taken Binding: Nepal Drug Value Set (preferred) | |||||||||
| subject |
1..1 | Reference(NP Core Patient | Group) | Who or group medication request is for
| |||||||||
| encounter |
0..1 | Reference(NP Core Encounter) | Encounter created as part of encounter/admission/stay
| |||||||||
| requester |
0..1 | Reference(NP Core Practitioner | NP Core PractitionerRole | NP Core Organization | NP Core Patient | NP Core RelatedPerson | NP Core Device) | Who/What requested the Request
| |||||||||
| reasonReference |
0..* | Reference(NP Core Condition | NP Core Observation) | Condition or observation that supports why the prescription is being written
| |||||||||
| priorPrescription |
0..1 | Reference(NP Core MedicationRequest) | An order/prescription that is being replaced | |||||||||
| Documentation for this format | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| MedicationRequest |
|||
| status |
|
|
|
| intent |
|
|
|
| Slices for medication[x] |
|
|
|
| subject |
|
|
|
| encounter |
|
|
|
| requester |
|
|
|
| reasonReference |
|
|
|
| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | FHIR Std. |
| MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | FHIR Std. |
| MedicationRequest.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.medication[x]:medicationCodeableConcept | Base | preferred | Nepal Drug Value Set | 📦1.0.0 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| 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()
|
| 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()
|
Differential View
This structure is derived from MedicationRequest
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
0..* | MedicationRequest | Ordering of medication for patient or group | |||||||||
| status |
1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
| |||||||||
| intent |
1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
| |||||||||
| Slices for medication[x] |
1..1 | CodeableConcept, Reference(Medication) | Medication to be taken Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| medication[x]:medicationReference |
0..1 | Reference(NP Core Medication) | Medication to be taken | |||||||||
| medication[x]:medicationCodeableConcept |
0..1 | CodeableConcept | Medication to be taken Binding: Nepal Drug Value Set (preferred) | |||||||||
| subject |
1..1 | Reference(NP Core Patient | Group) | Who or group medication request is for
| |||||||||
| encounter |
0..1 | Reference(NP Core Encounter) | Encounter created as part of encounter/admission/stay
| |||||||||
| requester |
0..1 | Reference(NP Core Practitioner | NP Core PractitionerRole | NP Core Organization | NP Core Patient | NP Core RelatedPerson | NP Core Device) | Who/What requested the Request
| |||||||||
| reasonReference |
0..* | Reference(NP Core Condition | NP Core Observation) | Condition or observation that supports why the prescription is being written
| |||||||||
| priorPrescription |
0..1 | Reference(NP Core MedicationRequest) | An order/prescription that is being replaced | |||||||||
| Documentation for this format | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| MedicationRequest |
|||
| status |
|
|
|
| intent |
|
|
|
| Slices for medication[x] |
|
|
|
| subject |
|
|
|
| encounter |
|
|
|
| requester |
|
|
|
| reasonReference |
|
|
|
| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.medication[x]:medicationCodeableConcept | Base | preferred | Nepal Drug Value Set | 📦1.0.0 | This IG |
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
0..* | MedicationRequest | Ordering of medication for patient or group | |||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules |
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.
| |||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier |
0..* | Identifier | External ids for this request | |||||||||
| status |
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 |
0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||||||
| intent |
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 |
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 |
0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | |||||||||
| doNotPerform |
0..1 | boolean | True if request is prohibiting action | |||||||||
| reported[x] |
0..1 | Reported rather than primary record | ||||||||||
| reportedBoolean |
boolean | |||||||||||
| reportedReference |
Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||||||||||
| Slices for medication[x] |
1..1 | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||||
| medicationReference |
Reference(Medication) | |||||||||||
| medication[x]:medicationReference |
0..1 | Reference(NP Core Medication) | Medication to be taken | |||||||||
| medication[x]:medicationCodeableConcept |
0..1 | CodeableConcept | Medication to be taken Binding: Nepal Drug Value Set (preferred) | |||||||||
| subject |
1..1 | Reference(NP Core Patient | Group) | Who or group medication request is for
| |||||||||
| encounter |
0..1 | Reference(NP Core Encounter) | Encounter created as part of encounter/admission/stay
| |||||||||
| supportingInformation |
0..* | Reference(Resource) | Information to support ordering of the medication | |||||||||
| authoredOn |
0..1 | dateTime | When request was initially authored | |||||||||
| requester |
0..1 | Reference(NP Core Practitioner | NP Core PractitionerRole | NP Core Organization | NP Core Patient | NP Core RelatedPerson | NP Core Device) | Who/What requested the Request
| |||||||||
| performer |
0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||||||
| performerType |
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 |
0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||||||
| reasonCode |
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 |
0..* | Reference(NP Core Condition | NP Core Observation) | Condition or observation that supports why the prescription is being written
| |||||||||
| instantiatesCanonical |
0..* | canonical() | Instantiates FHIR protocol or definition | |||||||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||||||
| basedOn |
0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | |||||||||
| groupIdentifier |
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 |
0..* | Annotation | Information about the prescription | |||||||||
| dosageInstruction |
0..* | Dosage | How the medication should be taken | |||||||||
| dispenseRequest |
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 |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| quantity |
C | 0..1 | SimpleQuantity(4.0.1) | First fill quantity Constraints: sqty-1 | ||||||||
| duration |
0..1 | Duration | First fill duration | |||||||||
| dispenseInterval |
0..1 | Duration | Minimum period of time between dispenses | |||||||||
| validityPeriod |
0..1 | Period | Time period supply is authorized for | |||||||||
| numberOfRepeatsAllowed |
0..1 | unsignedInt | Number of refills authorized | |||||||||
| quantity |
C | 0..1 | SimpleQuantity(4.0.1) | Amount of medication to supply per dispense Constraints: sqty-1 | ||||||||
| expectedSupplyDuration |
0..1 | Duration | Number of days supply per dispense | |||||||||
| performer |
0..1 | Reference(Organization) | Intended dispenser | |||||||||
| substitution |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| allowed[x] |
1..1 | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||||||||||
| allowedBoolean |
boolean | |||||||||||
| allowedCodeableConcept |
CodeableConcept | |||||||||||
| reason |
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(NP Core 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 | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| MedicationRequest |
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| intent |
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| Slices for medication[x] |
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| subject |
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| encounter |
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| requester |
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| reasonReference |
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| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| MedicationRequest.status | Base | required | Medicationrequest status | 📍4.0.1 | FHIR Std. |
| MedicationRequest.statusReason | Base | example | Medication request status reason codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.intent | Base | required | Medication request intent | 📍4.0.1 | FHIR Std. |
| MedicationRequest.category | Base | example | Medication request category codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| MedicationRequest.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.medication[x]:medicationCodeableConcept | Base | preferred | Nepal Drug Value Set | 📦1.0.0 | This IG |
| MedicationRequest.performerType | Base | example | Procedure Performer Role Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.courseOfTherapyType | Base | example | Medication request course of therapy codes | 📍4.0.1 | FHIR Std. |
| MedicationRequest.substitution.allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📦3.0.0 | THO v7.4 |
| MedicationRequest.substitution.reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v7.4 |
| Id | Grade | Path(s) | Description | Expression |
| 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()
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| 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()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
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| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| sqty-1 | error | MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| MedicationRequest |
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| status |
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| intent |
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| Slices for medication[x] |
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| subject |
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| encounter |
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| requester |
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| reasonReference |
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| Documentation for this format | |||
This structure is derived from MedicationRequest
Summary
Must-Support: 9 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron