## Profile Comparison between http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips vs http://hl7.eu/fhir/eps/StructureDefinition/medicationrequest-obl-eu-eps

Left: | MedicationRequest (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips)
Right: | MedicationRequest - Obligations (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/medicationrequest-obl-eu-eps)

### Messages

Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips' vs 'http://hl7.eu/fhir/eps/StructureDefinition/medicationrequest-obl-eu-eps'
Error | StructureDefinition.version | Values for version differ: '2.0.0' vs '1.0.0-ballot'
Information | StructureDefinition.name | Values for name differ: 'MedicationRequestIPS' vs 'MedicationRequestOblEuEps'
Information | StructureDefinition.title | Values for title differ: 'MedicationRequest (IPS)' vs 'MedicationRequest - Obligations (EPS)'
Information | StructureDefinition.status | Values for status differ: 'active' vs 'draft'
Information | StructureDefinition.date | Values for date differ: '2021-05-14T21:56:28-05:00' vs '2026-06-06T09:06:30+02:00'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Patient Care' vs 'HL7 Europe'
Information | StructureDefinition.jurisdiction | Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
Information | StructureDefinition.jurisdiction | Added the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
Error | StructureDefinition.baseDefinition | Values for baseDefinition differ: 'http://hl7.org/fhir/StructureDefinition/MedicationRequest' vs 'http://hl7.eu/fhir/base/StructureDefinition/medicationRequest-eu-core'
Information | StructureDefinition.short | Values for short differ: 'Language of the resource content' vs 'Language of the request'
Information | StructureDefinition.short | Values for short differ: 'Additional content defined by implementations' vs 'Extension'
Information | StructureDefinition.definition | Values for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension'
Information | StructureDefinition.short | Values for short differ: 'External ids for this request' vs 'Business identifier for this request'
Information | StructureDefinition.short | Values for short differ: 'active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown' vs 'Current state of the order'
Information | StructureDefinition.comment | Values for comment differ: 'In the scope of the IPS the entered-in-error concept is not allowed.' vs 'This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.'
Information | StructureDefinition.short | Values for short differ: 'Reason for current status' vs 'Reason for current status of the order'
Information | StructureDefinition.short | Values for short differ: 'proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option' vs 'Order, proposal or plan'
Information | StructureDefinition.short | Values for short differ: 'Type of medication usage' vs 'Category of the medication request'
Information | StructureDefinition.comment | Values for comment differ: 'In the scope of the IPS MedicationRequest, the doNotPerform concept is not allowed to be set to true. Other sections may be used to convey medications that a patient should or will not take.' vs 'If do not perform is not specified, the request is a positive request e.g. 'do perform'.'
Information | StructureDefinition.definition | Values for definition differ: 'Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code. To improve global interoperability is strongly encouraged that the reference to a medication resource is used, limiting the usage of the medicationCodeableConcept only to the cases in which no other information than a simple code is available.' vs 'Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications.'
Warning | MedicationRequest.medication[x] | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | MedicationRequest.medication[x] | Example/preferred bindings differ at MedicationRequest.medication[x] using binding from MedicationRequestIPS
Warning | MedicationRequest.subject | Elements differ in definition for mustSupport: 'true' vs 'false'
Warning | MedicationRequest.subject.reference | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | MedicationRequest.subject.reference | Element minimum cardinalities differ: '1' vs '0'
Information | StructureDefinition.short | Values for short differ: 'When request was initially authored' vs 'Date when the request was authored'
Information | StructureDefinition.short | Values for short differ: 'Who/What requested the Request' vs 'The individual responsible for ordering the medication'
Error | MedicationRequest.requester | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1]]) vs Reference([CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]])
Information | StructureDefinition.short | Values for short differ: 'Reason or indication for ordering or not ordering the medication' vs 'Reason or indication for this prescription'
Information | StructureDefinition.short | Values for short differ: 'Condition or observation that supports why the prescription is being written' vs 'Condition or observation that supports this prescription'
Information | StructureDefinition.short | Values for short differ: 'Composite request this is part of' vs 'Group identifier'
Information | StructureDefinition.short | Values for short differ: 'How the medication should be taken' vs 'How the medication should be taken.'
Warning | MedicationRequest.dosageInstruction | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | StructureDefinition.short | Values for short differ: 'Free text dosage instructions e.g. SIG' vs 'Free text dosage instructions'
Warning | MedicationRequest.dosageInstruction.text | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | StructureDefinition.short | Values for short differ: 'When medication should be administered' vs 'Administration schedule'
Warning | MedicationRequest.dosageInstruction.timing | Elements differ in definition for mustSupport: 'true' vs 'false'
Information | StructureDefinition.short | Values for short differ: 'How drug should enter body' vs 'Route of administration'
Information | MedicationRequest.dosageInstruction.route | Example/preferred bindings differ at MedicationRequest.dosageInstruction.route using binding from MedicationRequestIPS
Information | StructureDefinition.short | Values for short differ: 'Additional content defined by implementations' vs 'Extension'
Information | StructureDefinition.definition | Values for definition differ: 'May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension'
Information | StructureDefinition.short | Values for short differ: 'Minimum period of time between dispenses' vs 'Interval between dispenses'
Information | StructureDefinition.short | Values for short differ: 'Time period supply is authorized for' vs 'Validity period of the dispense request'
Information | StructureDefinition.short | Values for short differ: 'Number of refills authorized' vs 'Number of repeats allowed'
Information | StructureDefinition.short | Values for short differ: 'Any restrictions on medication substitution' vs 'Whether substitution is allowed'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/MedicationRequest | http://hl7.eu/fhir/base/StructureDefinition/medicationRequest-eu-core | Values Differ
copyright |  | Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0). | Added the item 'Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).'
date | 2021-05-14T21:56:28-05:00 | 2026-06-06T09:06:30+02:00 | Values Differ
description | This profile represents the constraints applied to the MedicationRequest resource by the International Patient Summary (IPS) FHIR Implementation Guide, based on FHIR R4. A record of a medication request is represented in the patient summary as an instance of a MedicationRequest resource constrained by this profile. | This profiles set the IPS obligations on the EU Core MedicationRequest profile. | Values Differ
experimental |  |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | http://unstats.un.org/unsd/methods/m49/m49.htm#001 |  | Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
jurisdiction[1] |  | http://unstats.un.org/unsd/methods/m49/m49.htm#150 | Added the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
kind | resource |
name | MedicationRequestIPS | MedicationRequestOblEuEps | Values Differ
publisher | HL7 International / Patient Care | HL7 Europe | Values Differ
purpose | This profile constrains the representation of a medication request related to the patient, in the context of the international patient summary as specified by the IPS project of HL7 International. |  | Removed the item 'This profile constrains the representation of a medication request related to the patient, in the context of the international patient summary as specified by the IPS project of HL7 International.'
status | active | draft | Values Differ
title | MedicationRequest (IPS) | MedicationRequest - Obligations (EPS) | Values Differ
type | MedicationRequest |
url | http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips | http://hl7.eu/fhir/eps/StructureDefinition/medicationrequest-obl-eu-eps | Values Differ
version | 2.0.0 | 1.0.0-ballot | Values Differ

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest | Ordering of medication for patient or group |  | 0..* | MedicationRequestEuCore | Ordering of medication for patient or group |
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the request Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
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 |  | 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 |  | 0..* | Resource | Contained, inline Resources |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier |  | 0..* | Identifier | External ids for this request |  | 0..* | Identifier | Business identifier for this request |
status | ?!Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: ?? (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. | ?!Σ | 1..1 | code | Current state of the order Binding: ?? (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: ?? (example): Identifies the reasons for a given status. |  | 0..1 | CodeableConcept | Reason for current status of the order Binding: ?? (example): Identifies the reasons for a given status. |
intent | ?!Σ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order. | ?!Σ | 1..1 | code | Order, proposal or plan Binding: ?? (required): The kind of medication order. |
category |  | 0..* | CodeableConcept | Type of medication usage Binding: ?? (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. |  | 0..* | CodeableConcept | Category of the medication request Binding: ?? (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 | Σ | 0..1 | code | routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request. | Σ | 0..1 | code | routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request. |
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action Required Pattern: false | ?!Σ | 0..1 | boolean | True if request is prohibiting action |
reported[x] | Σ | 0..1 | boolean, Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Reported rather than primary record | Σ | 0..1 | boolean, Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Reported rather than primary record |
medication[x] | SO Σ | 1..1 | ??, Reference(Medication (IPS)) | Medication to be taken Binding: ?? (preferred): SNOMED CT medications (Medicinal product) or a code for absent/unknown medication
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| O Σ | 1..1 | CodeableConcept, Reference(Medication (EU core)) | Medication to be taken Binding: ?? (example): A coded concept identifying substance or product that can be ordered.
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| Elements differ in definition for mustSupport: 'true' vs 'false' Example/preferred bindings differ at MedicationRequest.medication[x] using binding from MedicationRequestIPS
subject | SO Σ | 1..1 | Reference(Patient (IPS)) | Who or group medication request is for
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| O Σ | 1..1 | Reference(Patient (EU core) | Group) | Who or group medication request is for
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| Elements differ in definition for mustSupport: 'true' vs 'false'
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
reference | SO Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
| O Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
| Elements differ in definition for mustSupport: 'true' vs 'false' Element minimum cardinalities differ: '1' vs '0'
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). |
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
display | Σ | 0..1 | string | Text alternative for the resource | Σ | 0..1 | string | Text alternative for the resource |
encounter |  | 0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay |  | 0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay |
supportingInformation |  | 0..* | Reference(Resource) | Information to support ordering of the medication |  | 0..* | Reference(Resource) | Information to support ordering of the medication |
authoredOn | Σ | 0..1 | dateTime | When request was initially authored | Σ | 0..1 | dateTime | Date when the request was authored |
requester | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/What requested the Request | Σ | 0..1 | Reference(Patient (EU core) | Practitioner (EU core) | PractitionerRole (EU core) | Organization (EU core) | RelatedPerson) | The individual responsible for ordering the medication | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1]]) vs Reference([CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core], CanonicalType[http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson]])
performer |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration |
performerType | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ?? (example): Identifies the type of individual that is desired to administer the medication. | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ?? (example): Identifies the type of individual that is desired to administer the medication. |
recorder |  | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request |  | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request |
reasonCode |  | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: ?? (example): A coded concept indicating why the medication was ordered. |  | 0..* | CodeableConcept | Reason or indication for this prescription Binding: ?? (example): A coded concept indicating why the medication was ordered.
Additional Bindings | Purpose
?? | Preferred
reasonReference |  | 0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written |  | 0..* | Reference(Condition | Observation) | Condition or observation that supports this prescription |
instantiatesCanonical | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition |
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | Σ | 0..* | uri | Instantiates external protocol or definition |
basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills |
groupIdentifier | Σ | 0..1 | Identifier | Composite request this is part of | Σ | 0..1 | Identifier | Group identifier |
courseOfTherapyType |  | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: ?? (example): Identifies the overall pattern of medication administratio. |  | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: ?? (example): Identifies the overall pattern of medication administratio. |
insurance |  | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage |  | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage |
note |  | 0..* | Annotation | Information about the prescription |  | 0..* | Annotation | Information about the prescription |
id |  |  |  |  |  | 0..1 | string | Unique id for inter-element referencing | Added this element
Slices for extension |  |  |  |  |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | Added this element
author[x] |  |  |  |  | Σ | 0..1 | Reference(Practitioner | Patient | RelatedPerson | Organization), string | Individual responsible for the annotation | Added this element
time |  |  |  |  | Σ | 0..1 | dateTime | When the annotation was made | Added this element
text |  |  |  |  | Σ | 1..1 | markdown | Textual note about the request | Added this element
dosageInstruction | SO | 0..* | Dosage | How the medication should be taken
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| O | 0..* | Dosage | How the medication should be taken.
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| Elements differ in definition for mustSupport: 'true' vs 'false'
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
sequence | Σ | 0..1 | integer | The order of the dosage instructions | Σ | 0..1 | integer | The order of the dosage instructions |
text | SO Σ | 0..1 | string | Free text dosage instructions e.g. SIG
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| O Σ | 0..1 | string | Free text dosage instructions
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| Elements differ in definition for mustSupport: 'true' vs 'false'
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". |
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions | Σ | 0..1 | string | Patient or consumer oriented instructions |
timing | SO Σ | 0..1 | Timing | When medication should be administered
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| O Σ | 0..1 | Timing | Administration schedule
Obligations | Actor
SHALL:populate-if-known | Creator (IPS)
SHALL:handle | Consumer (IPS)
SHOULD:display | Consumer (IPS)
| Elements differ in definition for mustSupport: 'true' vs 'false'
id |  |  |  |  |  | 0..1 | string | Unique id for inter-element referencing | Added this element
Slices for extension |  |  |  |  |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | Added this element
modifierExtension |  |  |  |  | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | Added this element
event |  |  |  |  | Σ | 0..* | dateTime | When the event occurs | Added this element
repeat |  |  |  |  | Σ C | 0..1 | Element | When the event is to occur | Added this element
code |  |  |  |  | Σ | 0..1 | CodeableConcept | A code for the timing schedule. Binding: ?? (preferred): Code for a known / defined timing pattern. | Added this element
asNeeded[x] | Σ | 0..1 | boolean, CodeableConcept | Take "as needed" (for x) Binding: ?? (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | Σ | 0..1 | boolean, CodeableConcept | Take "as needed" (for x) Binding: ?? (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. |
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body. | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body. |
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: ?? (preferred): SNOMED Route Terms
Additional Bindings | Purpose
?? | candidate
| Σ | 0..1 | CodeableConcept | Route of administration Binding: ?? (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | Example/preferred bindings differ at MedicationRequest.dosageInstruction.route using binding from MedicationRequestIPS
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered. | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered. |
doseAndRate | Σ | 0..* | Element | Amount of medication administered | Σ | 0..* | Element | Amount of medication administered |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified. | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified. |
dose[x] | Σ | 0..1 | Range, ?? | Amount of medication per dose | Σ | 0..1 | Range, ?? | Amount of medication per dose Slice: Unordered, Open by type:$this |
rate[x] | Σ | 0..1 | Ratio, Range, ?? | Amount of medication per unit of time | Σ | 0..1 | Ratio, Range, ?? | Amount of medication per unit of time |
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time | Σ | 0..1 | Ratio | Upper limit on medication per unit of time |
maxDosePerAdministration | Σ | 0..1 | ?? | Upper limit on medication per administration | Σ | 0..1 | ?? | Upper limit on medication per administration |
maxDosePerLifetime | Σ | 0..1 | ?? | Upper limit on medication per lifetime of the patient | Σ | 0..1 | ?? | Upper limit on medication per lifetime of the patient |
dispenseRequest |  | 0..1 | BackboneElement | Medication supply authorization |  | 0..1 | BackboneElement | Medication supply authorization |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
initialFill |  | 0..1 | BackboneElement | First fill details |  | 0..1 | BackboneElement | First fill details |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
quantity |  | 0..1 | ?? | First fill quantity |  | 0..1 | ?? | First fill quantity |
duration |  | 0..1 | Duration | First fill duration |  | 0..1 | Duration | First fill duration |
dispenseInterval |  | 0..1 | Duration | Minimum period of time between dispenses |  | 0..1 | Duration | Interval between dispenses |
validityPeriod |  | 0..1 | Period | Time period supply is authorized for |  | 0..1 | Period | Validity period of the dispense request |
numberOfRepeatsAllowed |  | 0..1 | unsignedInt | Number of refills authorized |  | 0..1 | unsignedInt | Number of repeats allowed |
quantity |  | 0..1 | ?? | Amount of medication to supply per dispense |  | 0..1 | ?? | Amount of medication to supply per dispense |
expectedSupplyDuration |  | 0..1 | Duration | Number of days supply per dispense |  | 0..1 | Duration | Number of days supply per dispense |
performer |  | 0..1 | Reference(Organization) | Intended dispenser |  | 0..1 | Reference(Organization) | Intended dispenser |
substitution |  | 0..1 | BackboneElement | Any restrictions on medication substitution |  | 0..1 | BackboneElement | Whether substitution is allowed |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
allowed[x] |  | 1..1 | boolean, CodeableConcept | Whether substitution is allowed or not Binding: ?? (example): Identifies the type of substitution allowed. |  | 1..1 | boolean, CodeableConcept | Whether substitution is allowed or not Binding: ?? (example): Identifies the type of substitution allowed. |
reason |  | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. |  | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. |
priorPrescription |  | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced |  | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced |
detectedIssue |  | 0..* | Reference(DetectedIssue) | Clinical Issue with action |  | 0..* | Reference(DetectedIssue) | Clinical Issue with action |
eventHistory |  | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle |  | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle |
Documentation for this format