# MedicationRequest (EU core) - HL7 Europe Base and Core FHIR IG v2.0.0-ballot

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **MedicationRequest (EU core)**

## Resource Profile: MedicationRequest (EU core) 

| | | |
| :--- | :--- | :--- |
| *Official URL*:http://hl7.eu/fhir/base/StructureDefinition/medicationRequest-eu-core | *Version*:2.0.0-ballot | |
| *Standards status:*[Draft](http://hl7.org/fhir/R4/versions.html#std-process) | [Maturity Level](http://hl7.org/fhir/versions.html#maturity): 1 | *Computable Name*:MedicationRequestEuCore |
| **Copyright/Legal**: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0). | | |

 
This profile sets minimum expectations for the MedicationRequest resource common to most of the use cases. This profile is adapted from the MPD work. 

**Usages:**

* Examples for this Profile: [MedicationRequest/400C-prescription-cefuroxime-singleline](MedicationRequest-400C-prescription-cefuroxime-singleline.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/hl7.fhir.eu.base|current/StructureDefinition/medicationRequest-eu-core)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-medicationRequest-eu-core.csv), [Excel](StructureDefinition-medicationRequest-eu-core.xlsx), [Schematron](StructureDefinition-medicationRequest-eu-core.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "medicationRequest-eu-core",
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 1
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "draft"
    }
  ],
  "url" : "http://hl7.eu/fhir/base/StructureDefinition/medicationRequest-eu-core",
  "version" : "2.0.0-ballot",
  "name" : "MedicationRequestEuCore",
  "title" : "MedicationRequest (EU core)",
  "status" : "active",
  "date" : "2025-12-19T18:28:31+01:00",
  "publisher" : "HL7 Europe",
  "contact" : [
    {
      "name" : "HL7 Europe",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://hl7.eu"
        }
      ]
    }
  ],
  "description" : "This profile sets minimum expectations for the MedicationRequest resource common to most of the use cases.\nThis profile is adapted from the MPD work.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "150",
          "display" : "Europe"
        }
      ]
    }
  ],
  "copyright" : "Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).",
  "fhirVersion" : "4.0.1",
  "mapping" : [
    {
      "identity" : "workflow",
      "uri" : "http://hl7.org/fhir/workflow",
      "name" : "Workflow Pattern"
    },
    {
      "identity" : "script10.6",
      "uri" : "http://ncpdp.org/SCRIPT10_6",
      "name" : "Mapping to NCPDP SCRIPT 10.6"
    },
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    },
    {
      "identity" : "w5",
      "uri" : "http://hl7.org/fhir/fivews",
      "name" : "FiveWs Pattern Mapping"
    },
    {
      "identity" : "v2",
      "uri" : "http://hl7.org/v2",
      "name" : "HL7 v2 Mapping"
    }
  ],
  "kind" : "resource",
  "abstract" : false,
  "type" : "MedicationRequest",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "MedicationRequest",
        "path" : "MedicationRequest"
      },
      {
        "id" : "MedicationRequest.extension",
        "path" : "MedicationRequest.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        }
      },
      {
        "id" : "MedicationRequest.extension:effectiveDosePeriod",
        "path" : "MedicationRequest.extension",
        "sliceName" : "effectiveDosePeriod",
        "short" : "Period over which the medication should be taken.",
        "definition" : "Period over which the medication should be taken. Where there are multiple dosageInstruction lines (for example, tapering doses), this is the earliest date and the latest end date of the dosageInstructions.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod"
            ]
          }
        ]
      },
      {
        "id" : "MedicationRequest.extension:renderedDosageInstruction",
        "path" : "MedicationRequest.extension",
        "sliceName" : "renderedDosageInstruction",
        "short" : "Full representation of the dosage instructions",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.renderedDosageInstruction"
            ]
          }
        ]
      },
      {
        "id" : "MedicationRequest.identifier",
        "path" : "MedicationRequest.identifier",
        "short" : "Business identifier for this request"
      },
      {
        "id" : "MedicationRequest.status",
        "path" : "MedicationRequest.status",
        "short" : "Current state of the order"
      },
      {
        "id" : "MedicationRequest.intent",
        "path" : "MedicationRequest.intent",
        "short" : "Order, proposal or plan"
      },
      {
        "id" : "MedicationRequest.medication[x]",
        "path" : "MedicationRequest.medication[x]",
        "type" : [
          {
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.eu/fhir/base/StructureDefinition/medication-eu-core"
            ]
          }
        ]
      },
      {
        "id" : "MedicationRequest.subject",
        "path" : "MedicationRequest.subject",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core",
              "http://hl7.org/fhir/StructureDefinition/Group"
            ]
          }
        ]
      },
      {
        "id" : "MedicationRequest.authoredOn",
        "path" : "MedicationRequest.authoredOn",
        "short" : "Date when the request was authored"
      },
      {
        "id" : "MedicationRequest.requester",
        "path" : "MedicationRequest.requester",
        "short" : "The individual responsible for ordering the medication",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core",
              "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core",
              "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core",
              "http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
            ]
          }
        ]
      },
      {
        "id" : "MedicationRequest.reasonCode",
        "path" : "MedicationRequest.reasonCode",
        "short" : "Reason or indication for this prescription",
        "binding" : {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "purpose",
                  "valueCode" : "candidate"
                },
                {
                  "url" : "valueSet",
                  "valueCanonical" : "http://terminology.ehdsi.eu/ValueSet/eHDSIIllnessandDisorder"
                },
                {
                  "url" : "documentation",
                  "valueMarkdown" : "MyHealth@EU crossborder value set for diagnoses. Based on WHO ICD 10."
                }
              ],
              "url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
            }
          ],
          "strength" : "example",
          "description" : "A coded concept indicating why the medication was ordered.",
          "valueSet" : "http://hl7.org/fhir/ValueSet/condition-code"
        }
      },
      {
        "id" : "MedicationRequest.reasonReference",
        "path" : "MedicationRequest.reasonReference",
        "short" : "Condition or observation that supports this prescription"
      },
      {
        "id" : "MedicationRequest.dosageInstruction",
        "path" : "MedicationRequest.dosageInstruction",
        "short" : "How the medication should be taken."
      },
      {
        "id" : "MedicationRequest.dosageInstruction.text",
        "path" : "MedicationRequest.dosageInstruction.text",
        "short" : "Free text dosage instructions"
      },
      {
        "id" : "MedicationRequest.dosageInstruction.timing",
        "path" : "MedicationRequest.dosageInstruction.timing",
        "short" : "Administration schedule"
      },
      {
        "id" : "MedicationRequest.dosageInstruction.timing.repeat.duration",
        "path" : "MedicationRequest.dosageInstruction.timing.repeat.duration",
        "short" : "Duration of the treatment"
      },
      {
        "id" : "MedicationRequest.dosageInstruction.timing.repeat.frequency",
        "path" : "MedicationRequest.dosageInstruction.timing.repeat.frequency",
        "short" : "Frequency times per period"
      },
      {
        "id" : "MedicationRequest.dosageInstruction.timing.repeat.period",
        "path" : "MedicationRequest.dosageInstruction.timing.repeat.period",
        "short" : "Duration of time over which repetitions are to occur"
      },
      {
        "id" : "MedicationRequest.dosageInstruction.timing.repeat.periodUnit",
        "path" : "MedicationRequest.dosageInstruction.timing.repeat.periodUnit",
        "short" : "Unit of the period (e.g. day)"
      },
      {
        "id" : "MedicationRequest.dosageInstruction.timing.code",
        "path" : "MedicationRequest.dosageInstruction.timing.code",
        "short" : "A code for the timing schedule."
      },
      {
        "id" : "MedicationRequest.dosageInstruction.route",
        "path" : "MedicationRequest.dosageInstruction.route",
        "short" : "Route of administration"
      },
      {
        "id" : "MedicationRequest.dosageInstruction.doseAndRate.dose[x]",
        "path" : "MedicationRequest.dosageInstruction.doseAndRate.dose[x]",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "type",
              "path" : "$this"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        }
      },
      {
        "id" : "MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity",
        "path" : "MedicationRequest.dosageInstruction.doseAndRate.dose[x]",
        "sliceName" : "doseQuantity",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }
        ]
      },
      {
        "id" : "MedicationRequest.dispenseRequest.extension",
        "path" : "MedicationRequest.dispenseRequest.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "ordered" : false,
          "rules" : "open"
        }
      },
      {
        "id" : "MedicationRequest.dispenseRequest.extension:prescribedQuantity",
        "path" : "MedicationRequest.dispenseRequest.extension",
        "sliceName" : "prescribedQuantity",
        "short" : "Overall amount of product prescribed, independent from the number of repeats.",
        "definition" : "When Medication resource implies a pack size, prescribedQuantity should convey number of packages. When the Medication does not imply an amount, overall amount could be in tablets or millilitres.",
        "min" : 0,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : [
              "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medicationrequest-prescribedQuantity"
            ]
          }
        ]
      }
    ]
  }
}

```
