Spenser - a developer's companion
1.0.0 - STU1
Spenser - a developer's companion
1.0.0 - STU1
Spenser - a developer's companion, published by Zeora. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/costateixeira/spenser/tree/firmware/key-persistence-ota and changes regularly. See the Directory of published versions
Built from commit d7d58e76. Branch: firmware/key-persistence-ota.
| Official URL: http://costateixeira.github.io/spenser/StructureDefinition/SpenserRequest | Version: 1.0.0 | |||
| Active as of 2026-10-20 | Computable Name: SpenserRequest | |||
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| 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 | |
| contained |
0..* | Resource | Contained, inline Resources | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| status |
1..1 | code | active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown Binding: MedicationrequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Required Pattern: active (extensions allowed) | |
| intent |
1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: MedicationRequestIntent (required): The kind of medication order. Required Pattern: instance-order (extensions allowed) | |
| doNotPerform |
0..1 | boolean | True if patient is to stop taking or not to start taking the medication | |
 medication |
1..1 | CodeableReference(Medication) | Medication to be taken Binding: Spenser Medications - ValueSet (required) | |
 subject |
1..1 | Reference(Patient | Group) | Individual or group for whom the medication has been requested | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.status | Base | required | medicationrequest Status | 📍5.0.0 | FHIR Std. |
| MedicationRequest.intent | Base | required | medicationRequest Intent | 📍5.0.0 | FHIR Std. |
| MedicationRequest.medication | Base | required | Spenser Medications - ValueSet | 📦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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationRequest |
0..* | MedicationRequest | Ordering of medication for patient or group | |
 status |
1..1 | code | active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown Required Pattern: active (extensions allowed) | |
| intent |
1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: instance-order (extensions allowed) | |
 medication |
1..1 | CodeableReference(Medication) | Medication to be taken Binding: Spenser Medications - ValueSet (required) | |
  concept |
||||
 coding |
||||
| code |
1..1 | code | Symbol in syntax defined by the system | |
| dispenseRequest |
||||
| quantity |
||||
| value |
0..1 | decimal | Numerical value (with implicit precision) Required Pattern: 1 (extensions allowed) | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.medication | Base | required | Spenser Medications - ValueSet | 📦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: AllLanguages (required): IETF language tag for 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 | |||||
| basedOn |
0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | A plan or request that is fulfilled in whole or in part by this medication request | |||||
| priorPrescription |
0..1 | Reference(MedicationRequest) | Reference to an order/prescription that is being replaced by this MedicationRequest | |||||
| groupIdentifier |
0..1 | Identifier | Composite request this is part of | |||||
| status |
1..1 | code | active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown Binding: MedicationrequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Required Pattern: active (extensions allowed) | |||||
| statusReason |
0..1 | CodeableConcept | Reason for current status Binding: MedicationRequestStatusReasonCodes (example): Identifies the reasons for a given status. | |||||
| statusChanged |
0..1 | dateTime | When the status was changed | |||||
| intent |
1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: MedicationRequestIntent (required): The kind of medication order. Required Pattern: instance-order (extensions allowed) | |||||
| category |
0..* | CodeableConcept | Grouping or category of medication request Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication is to be consumed or administered. | |||||
| 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 patient is to stop taking or not to start taking the medication | |||||
| medication |
1..1 | CodeableReference(Medication) | Medication to be taken Binding: Spenser Medications - ValueSet (required) | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| concept |
0..1 | CodeableConcept | Reference to a concept (by class) | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
0..* | Coding | Code defined by a terminology system | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
0..1 | uri | Identity of the terminology system | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
C | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
C | 0..1 | string | Representation defined by the system | ||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| reference |
0..1 | Reference() | Reference to a resource (by instance) | |||||
| subject |
1..1 | Reference(Patient | Group) | Individual or group for whom the medication has been requested | |||||
| informationSource |
0..* | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | The person or organization who provided the information about this request, if the source is someone other than the requestor | |||||
| encounter |
0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay | |||||
| supportingInformation |
0..* | Reference(Resource) | Information to support fulfilling of the medication | |||||
| authoredOn |
0..1 | dateTime | When request was initially authored | |||||
| requester |
0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/What requested the Request | |||||
| reported |
0..1 | boolean | Reported rather than primary record | |||||
| performerType |
0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: MedicationIntendedPerformerRole (extensible): Identifies the type of individual that is desired to administer the medication. | |||||
| performer |
0..* | Reference(Practitioner | PractitionerRole | Organization | Patient | DeviceDefinition | RelatedPerson | CareTeam | HealthcareService) | Intended performer of administration | |||||
| device |
0..* | CodeableReference(DeviceDefinition) | Intended type of device for the administration | |||||
| recorder |
0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||
| reason |
0..* | CodeableReference(Condition | Observation) | Reason or indication for ordering or not ordering the medication Binding: ConditionProblemDiagnosisCodes (example): A coded concept indicating why the medication was ordered. | |||||
| courseOfTherapyType |
0..1 | CodeableConcept | Overall pattern of medication administration Binding: MedicationRequestCourseOfTherapyCodes (extensible): Identifies the overall pattern of medication administratio. | |||||
| insurance |
0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
| note |
0..* | Annotation | Information about the prescription | |||||
| renderedDosageInstruction |
0..1 | markdown | Full representation of the dosage instructions | |||||
| effectiveDosePeriod |
0..1 | Period | Period over which the medication is to be taken | |||||
| dosageInstruction |
0..* | Dosage | Specific instructions for 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(5.0.0) | 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(5.0.0) | Amount of medication to supply per dispense Constraints: sqty-1 | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
0..1 | decimal | Numerical value (with implicit precision) Required Pattern: 1 (extensions allowed) | |||||
| unit |
0..1 | string | Unit representation | |||||
| system |
C | 0..1 | uri | System that defines coded unit form | ||||
| code |
C | 0..1 | code | Coded form of the unit | ||||
| expectedSupplyDuration |
0..1 | Duration | Number of days supply per dispense | |||||
| dispenser |
0..1 | Reference(Organization) | Intended performer of dispense | |||||
| dispenserInstruction |
0..* | Annotation | Additional information for the dispenser | |||||
| doseAdministrationAid |
0..1 | CodeableConcept | Type of adherence packaging to use for the dispense Binding: MedicationDoseAids (example) | |||||
| 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 (preferred): Identifies the type of substitution allowed. | ||||||
| allowedBoolean |
boolean | |||||||
| allowedCodeableConcept |
CodeableConcept | |||||||
| reason |
0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): SubstanceAdminSubstitutionReason | |||||
| eventHistory |
0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.language | Base | required | All Languages | 📍5.0.0 | FHIR Std. |
| MedicationRequest.status | Base | required | medicationrequest Status | 📍5.0.0 | FHIR Std. |
| MedicationRequest.statusReason | Base | example | medicationRequest Status Reason Codes | 📍5.0.0 | FHIR Std. |
| MedicationRequest.intent | Base | required | medicationRequest Intent | 📍5.0.0 | FHIR Std. |
| MedicationRequest.category | Base | example | medicationRequest Administration Location Codes | 📍5.0.0 | FHIR Std. |
| MedicationRequest.priority | Base | required | RequestPriority | 📍5.0.0 | FHIR Std. |
| MedicationRequest.medication | Base | required | Spenser Medications - ValueSet | 📦1.0.0 | This IG |
| MedicationRequest.performerType | Base | extensible | Medication Intended Performer Role | 📍5.0.0 | FHIR Std. |
| MedicationRequest.reason | Base | example | Condition/Problem/Diagnosis Codes | 📍5.0.0 | FHIR Std. |
| MedicationRequest.courseOfTherapyType | Base | extensible | medicationRequest Course of Therapy Codes | 📍5.0.0 | FHIR Std. |
| MedicationRequest.dispenseRequest.doseAdministrationAid | Base | example | Medication Dose Aids | 📍5.0.0 | FHIR Std. |
| MedicationRequest.substitution.allowed[x] | Base | preferred | 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
|
This structure is derived from MedicationRequest
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 | |
| contained |
0..* | Resource | Contained, inline Resources | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| status |
1..1 | code | active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown Binding: MedicationrequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Required Pattern: active (extensions allowed) | |
| intent |
1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: MedicationRequestIntent (required): The kind of medication order. Required Pattern: instance-order (extensions allowed) | |
| doNotPerform |
0..1 | boolean | True if patient is to stop taking or not to start taking the medication | |
| medication |
1..1 | CodeableReference(Medication) | Medication to be taken Binding: Spenser Medications - ValueSet (required) | |
| subject |
1..1 | Reference(Patient | Group) | Individual or group for whom the medication has been requested | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.status | Base | required | medicationrequest Status | 📍5.0.0 | FHIR Std. |
| MedicationRequest.intent | Base | required | medicationRequest Intent | 📍5.0.0 | FHIR Std. |
| MedicationRequest.medication | Base | required | Spenser Medications - ValueSet | 📦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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 | ended | stopped | completed | cancelled | entered-in-error | draft | unknown Required Pattern: active (extensions allowed) | |
| intent |
1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: instance-order (extensions allowed) | |
| medication |
1..1 | CodeableReference(Medication) | Medication to be taken Binding: Spenser Medications - ValueSet (required) | |
| concept |
||||
| coding |
||||
| code |
1..1 | code | Symbol in syntax defined by the system | |
| dispenseRequest |
||||
| quantity |
||||
| value |
0..1 | decimal | Numerical value (with implicit precision) Required Pattern: 1 (extensions allowed) | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.medication | Base | required | Spenser Medications - ValueSet | 📦1.0.0 | This IG |
Snapshot View
| 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: AllLanguages (required): IETF language tag for 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 | |||||
| basedOn |
0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | A plan or request that is fulfilled in whole or in part by this medication request | |||||
| priorPrescription |
0..1 | Reference(MedicationRequest) | Reference to an order/prescription that is being replaced by this MedicationRequest | |||||
| groupIdentifier |
0..1 | Identifier | Composite request this is part of | |||||
| status |
1..1 | code | active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown Binding: MedicationrequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Required Pattern: active (extensions allowed) | |||||
| statusReason |
0..1 | CodeableConcept | Reason for current status Binding: MedicationRequestStatusReasonCodes (example): Identifies the reasons for a given status. | |||||
| statusChanged |
0..1 | dateTime | When the status was changed | |||||
| intent |
1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: MedicationRequestIntent (required): The kind of medication order. Required Pattern: instance-order (extensions allowed) | |||||
| category |
0..* | CodeableConcept | Grouping or category of medication request Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication is to be consumed or administered. | |||||
| 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 patient is to stop taking or not to start taking the medication | |||||
| medication |
1..1 | CodeableReference(Medication) | Medication to be taken Binding: Spenser Medications - ValueSet (required) | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| concept |
0..1 | CodeableConcept | Reference to a concept (by class) | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
0..* | Coding | Code defined by a terminology system | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
0..1 | uri | Identity of the terminology system | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
C | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
C | 0..1 | string | Representation defined by the system | ||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| reference |
0..1 | Reference() | Reference to a resource (by instance) | |||||
| subject |
1..1 | Reference(Patient | Group) | Individual or group for whom the medication has been requested | |||||
| informationSource |
0..* | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | The person or organization who provided the information about this request, if the source is someone other than the requestor | |||||
| encounter |
0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay | |||||
| supportingInformation |
0..* | Reference(Resource) | Information to support fulfilling of the medication | |||||
| authoredOn |
0..1 | dateTime | When request was initially authored | |||||
| requester |
0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/What requested the Request | |||||
| reported |
0..1 | boolean | Reported rather than primary record | |||||
| performerType |
0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: MedicationIntendedPerformerRole (extensible): Identifies the type of individual that is desired to administer the medication. | |||||
| performer |
0..* | Reference(Practitioner | PractitionerRole | Organization | Patient | DeviceDefinition | RelatedPerson | CareTeam | HealthcareService) | Intended performer of administration | |||||
| device |
0..* | CodeableReference(DeviceDefinition) | Intended type of device for the administration | |||||
| recorder |
0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||
| reason |
0..* | CodeableReference(Condition | Observation) | Reason or indication for ordering or not ordering the medication Binding: ConditionProblemDiagnosisCodes (example): A coded concept indicating why the medication was ordered. | |||||
| courseOfTherapyType |
0..1 | CodeableConcept | Overall pattern of medication administration Binding: MedicationRequestCourseOfTherapyCodes (extensible): Identifies the overall pattern of medication administratio. | |||||
| insurance |
0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
| note |
0..* | Annotation | Information about the prescription | |||||
| renderedDosageInstruction |
0..1 | markdown | Full representation of the dosage instructions | |||||
| effectiveDosePeriod |
0..1 | Period | Period over which the medication is to be taken | |||||
| dosageInstruction |
0..* | Dosage | Specific instructions for 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(5.0.0) | 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(5.0.0) | Amount of medication to supply per dispense Constraints: sqty-1 | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
0..1 | decimal | Numerical value (with implicit precision) Required Pattern: 1 (extensions allowed) | |||||
| unit |
0..1 | string | Unit representation | |||||
| system |
C | 0..1 | uri | System that defines coded unit form | ||||
| code |
C | 0..1 | code | Coded form of the unit | ||||
| expectedSupplyDuration |
0..1 | Duration | Number of days supply per dispense | |||||
| dispenser |
0..1 | Reference(Organization) | Intended performer of dispense | |||||
| dispenserInstruction |
0..* | Annotation | Additional information for the dispenser | |||||
| doseAdministrationAid |
0..1 | CodeableConcept | Type of adherence packaging to use for the dispense Binding: MedicationDoseAids (example) | |||||
| 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 (preferred): Identifies the type of substitution allowed. | ||||||
| allowedBoolean |
boolean | |||||||
| allowedCodeableConcept |
CodeableConcept | |||||||
| reason |
0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): SubstanceAdminSubstitutionReason | |||||
| eventHistory |
0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.language | Base | required | All Languages | 📍5.0.0 | FHIR Std. |
| MedicationRequest.status | Base | required | medicationrequest Status | 📍5.0.0 | FHIR Std. |
| MedicationRequest.statusReason | Base | example | medicationRequest Status Reason Codes | 📍5.0.0 | FHIR Std. |
| MedicationRequest.intent | Base | required | medicationRequest Intent | 📍5.0.0 | FHIR Std. |
| MedicationRequest.category | Base | example | medicationRequest Administration Location Codes | 📍5.0.0 | FHIR Std. |
| MedicationRequest.priority | Base | required | RequestPriority | 📍5.0.0 | FHIR Std. |
| MedicationRequest.medication | Base | required | Spenser Medications - ValueSet | 📦1.0.0 | This IG |
| MedicationRequest.performerType | Base | extensible | Medication Intended Performer Role | 📍5.0.0 | FHIR Std. |
| MedicationRequest.reason | Base | example | Condition/Problem/Diagnosis Codes | 📍5.0.0 | FHIR Std. |
| MedicationRequest.courseOfTherapyType | Base | extensible | medicationRequest Course of Therapy Codes | 📍5.0.0 | FHIR Std. |
| MedicationRequest.dispenseRequest.doseAdministrationAid | Base | example | Medication Dose Aids | 📍5.0.0 | FHIR Std. |
| MedicationRequest.substitution.allowed[x] | Base | preferred | 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()
|
This structure is derived from MedicationRequest
Other representations of profile: CSV, Excel, Schematron
IG © 2021+ Zeora. Package jct.fhir.spenser#1.0.0 based on FHIR 5.0.0. Generated 2026-10-20
