Eyematics Core Data Set - Local Development build (v2025.0.0-alpha) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: IVI-Medikationsverordnung

Ein MedicationRequest beschreibt die Anordnung und die Anweisungen zur Verabreichung des Medikaments an einen Patienten, in diesem Fall die Gabe eines Medikaments mit einer IVOM-Spritze. Dieses Profil basiert auf dem MII-Medikations-Kerndatensatzprofil.

Usages:

• This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MII_PR_Medikation_MedicationRequest	Ordering of medication for patient or group
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
source	SΣ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	S	0..*	Identifier	Identifikator
status	?!SΣ	1..1	code	Status Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
intent	?!SΣ	1..1	code	Intention Binding: medicationRequest Intent (required): The kind of medication order.
Slices for medication[x]	SΣ	1..1	Reference(IVI-Medikament)	Medikation Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	SΣ	0..1	Reference(MII PR Medikation Medication)	Medication to be taken
medication[x]:medicationCodeableConcept	SΣ	0..1	CodeableConcept	Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
Slices for coding	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:Pharmazentralnummer	SΣN	0..*	Coding	PZN Code Binding: PZN ValueSet (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
coding:atcClassDe	SΣN	0..*	Coding	PZN Code Binding: ATC ValueSet (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
coding:atcClassEn	SΣN	0..*	Coding	PZN Code Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://www.whocc.no/atc
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
subject	SΣC	1..1	Reference(Patient | Group)	Who or group medication request is for Constraints: ref-1
encounter	SC	0..1	Reference(Encounter)	Fall / Kontakt Constraints: ref-1
authoredOn	SΣ	0..1	dateTime	Datum der Verordnung
requester	SΣC	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Anforderer Constraints: ref-1
reasonCode	S	0..*	CodeableConcept	Grund Code Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
reasonReference	SC	0..*	Reference(Condition | Observation)	Grund Referenz Constraints: ref-1
basedOn	SΣC	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	Basiert auf Constraints: ref-1
note	S	0..*	Annotation	Hinweis
dosageInstruction	SC	0..*	Dosage	Dosierungsanweisung Constraints: dsg-1
Slices for extension				Content/Rules for all slices
extension:IVI_TreatmentRegimen		0..1	code	IVI Treatment Regimen Extension URL: https://eyematics.org/fhir/eyematics-kds/StructureDefinition/extension-ivi-treatment-regimen Binding: IVI Treatment Regimen (required)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	SΣ	0..1	integer	The order of the dosage instructions
text	SΣ	0..1	string	Free text dosage instructions e.g. SIG
timing	SΣ	0..1	Timing	When medication should be administered
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	SΣ	0..*	dateTime	When the event occurs
repeat	SΣC	0..1	Element	When the event is to occur Constraints: tim-9, tim-5, tim-6, tim-7, tim-8, tim-1, tim-10, tim-2, tim-4
Slices for bounds[x]	ΣN	0..1		Length/Range of lengths, or (Start and/or end) limits Slice: Unordered, Open by type:$this
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
bounds[x]:boundsDuration	SΣN	0..1	Duration	Length/Range of lengths, or (Start and/or end) limits Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
bounds[x]:boundsRange	SΣN	0..1	Range	Length/Range of lengths, or (Start and/or end) limits
low	SΣCN	0..1	SimpleQuantity	Low limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
high	SΣCN	0..1	SimpleQuantity	High limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
bounds[x]:boundsPeriod	SΣN	0..1	Period	Length/Range of lengths, or (Start and/or end) limits
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
count	SΣ	0..1	positiveInt	Number of times to repeat
countMax	SΣ	0..1	positiveInt	Maximum number of times to repeat
duration	SΣ	0..1	decimal	How long when it happens
durationMax	SΣ	0..1	decimal	How long when it happens (Max)
durationUnit	SΣ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	SΣ	0..1	positiveInt	Event occurs frequency times per period
frequencyMax	SΣ	0..1	positiveInt	Event occurs up to frequencyMax times per period
period	SΣ	0..1	decimal	Event occurs frequency times per period
periodMax	SΣ	0..1	decimal	Upper limit of period (3-4 hours)
periodUnit	SΣ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek	SΣ	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay	SΣ	0..*	time	Time of day for action
when	SΣ	0..*	code	Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset	SΣ	0..1	unsignedInt	Minutes from event (before or after)
Slices for asNeeded[x]	SΣN	0..1		Take "as needed" (for x) Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationAsNeededReasonCodes (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.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
asNeeded[x]:asNeededBoolean	SΣN	0..1	boolean	Take "as needed" (for x)
asNeeded[x]:asNeededCodeableConcept	SΣN	0..1	CodeableConcept	Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (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	SΣ	0..1	CodeableConcept	Verabreichungsort Binding: Eye Laterality (required)
Slices for coding	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:SNOMED	SΣN	0..*	Coding	SNOMED CT Code Binding: Target Site - IPS (example): target site IPS Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
route	SΣ	0..1	CodeableConcept	Verabreichungsweg Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://standardterms.edqm.eu
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 20047000
display		1..1	string	Representation defined by the system Fixed Value: Intravitreal use
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for coding	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:EDQM	SΣN	0..1	Coding	EDQM Code Binding: Medicine Route of Administration - IPS (preferred): EDQM Standard Terms Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://standardterms.edqm.eu
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
coding:SNOMED	SΣN	0..1	Coding	SNOMED CT Code Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
doseAndRate	SΣ	0..*	Element	Amount of medication administered
Slices for dose[x]	SΣN	0..1		Amount of medication per dose Slice: Unordered, Open by type:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseRange	SΣN	0..1	Range	Amount of medication per dose
low	SΣCN	0..1	SimpleQuantity	Low limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
high	SΣCN	0..1	SimpleQuantity	High limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
dose[x]:doseQuantity	SΣCN	0..1	SimpleQuantity	A fixed quantity (no comparator) Constraints: qty-3, sqty-1
Slices for rate[x]	SΣN	0..1		Amount of medication per unit of time Slice: Unordered, Open by type:$this
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
rate[x]:rateRatio	SΣN	0..1	Ratio	Amount of medication per unit of time
numerator	SΣCN	0..1	Quantity	Numerator value Constraints: qty-3 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
denominator	SΣCN	0..1	Quantity	Denominator value Constraints: qty-3 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
rate[x]:rateRange	SΣN	0..1	Range	Amount of medication per unit of time
low	SΣCN	0..1	SimpleQuantity	Low limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
high	SΣCN	0..1	SimpleQuantity	High limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
rate[x]:rateQuantity	SΣCN	0..1	SimpleQuantity	A fixed quantity (no comparator) Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
maxDosePerPeriod	SΣC	0..1	Ratio	Upper limit on medication per unit of time Constraints: rat-1
numerator	SΣC	0..1	Quantity	Numerator value Constraints: qty-3 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
denominator	SΣC	0..1	Quantity	Denominator value Constraints: qty-3 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
maxDosePerAdministration	SΣC	0..1	SimpleQuantity	Upper limit on medication per administration Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
substitution	S	0..1	BackboneElement	Substitution
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for allowed[x]	SN	1..1		Whether substitution is allowed or not Slice: Unordered, Open by type:$this Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
allowed[x]:allowedBoolean	SN	0..1	boolean	Whether substitution is allowed or not
allowed[x]:allowedCodeableConcept	SN	0..1	CodeableConcept	Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
priorPrescription	SC	0..1	Reference(MedicationRequest)	Vorherige Verschreibung Constraints: ref-1
Documentation for this format

Terminology Bindings

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]:medicationCodeableConcept	Base	example	SNOMED CT Medication Codes	📦4.0.1	FHIR Std.
MedicationRequest.medication[x]:medicationCodeableConcept.​coding:Pharmazentralnummer	Base	required	PZN ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
MedicationRequest.medication[x]:medicationCodeableConcept.​coding:atcClassDe	Base	required	ATC ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
MedicationRequest.reasonCode	Base	example	Condition/Problem/Diagnosis Codes	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.bounds[x]:boundsDuration.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.durationUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.dayOfWeek	Base	required	DaysOfWeek	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.when	Base	required	EventTiming	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x]:asNeededCodeableConcept	Base	example	SNOMED CT Medication As Needed Reason Codes	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​site	Base	required	Eye Laterality	📦2025.0.0-alpha	This IG
MedicationRequest.dosageInstruction.​site.coding:SNOMED	Base	example	Target Site - IPS	📦1.1.0	International Patient Summary Implementation Guide v1.1
MedicationRequest.dosageInstruction.​route	Base	example	SNOMED CT Route Codes	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​route.coding:EDQM	Base	preferred	Medicine Route of Administration - IPS	📦1.1.0	International Patient Summary Implementation Guide v1.1
MedicationRequest.dosageInstruction.​doseAndRate.rate[x]:rateRatio.​numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.rate[x]:rateRatio.​denominator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​maxDosePerPeriod.numerator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​maxDosePerPeriod.denominator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MedicationRequest.substitution.​allowed[x]	Base	example	ActSubstanceAdminSubstitutionCode	📦3.0.0	THO v6.5
MedicationRequest.substitution.​allowed[x]:allowedCodeableConcept	Base	example	ActSubstanceAdminSubstitutionCode	📦3.0.0	THO v6.5

Constraints

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()
dsg-1	error	MedicationRequest.dosageInstruction	If present, dosage must include free text or structured data	text.exists() or doseAndRate.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()
qty-3	error	MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.low, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.high, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantity, MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator, MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator, MedicationRequest.dosageInstruction.maxDosePerAdministration	If a code for the unit is present, the system SHALL also be present	code.empty() or system.exists()
rat-1	error	MedicationRequest.dosageInstruction.maxDosePerPeriod	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present	(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
ref-1	error	MedicationRequest.subject, MedicationRequest.encounter, MedicationRequest.requester, MedicationRequest.reasonReference, MedicationRequest.basedOn, MedicationRequest.priorPrescription	SHALL have a contained resource if a local reference is provided	reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
sqty-1	error	MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.low, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.high, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantity, MedicationRequest.dosageInstruction.maxDosePerAdministration	The comparator is not used on a SimpleQuantity	comparator.empty()
tim-1	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a duration, there needs to be duration units	duration.empty() or durationUnit.exists()
tim-2	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a period, there needs to be period units	period.empty() or periodUnit.exists()
tim-4	error	MedicationRequest.dosageInstruction.timing.repeat	duration SHALL be a non-negative value	duration.exists() implies duration >= 0
tim-5	error	MedicationRequest.dosageInstruction.timing.repeat	period SHALL be a non-negative value	period.exists() implies period >= 0
tim-6	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a periodMax, there must be a period	periodMax.empty() or period.exists()
tim-7	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a durationMax, there must be a duration	durationMax.empty() or duration.exists()
tim-8	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a countMax, there must be a count	countMax.empty() or count.exists()
tim-9	error	MedicationRequest.dosageInstruction.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV)	offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa	timeOfDay.empty() or when.empty()

This structure is derived from MII_PR_Medikation_MedicationRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MII_PR_Medikation_MedicationRequest	Ordering of medication for patient or group
medication[x]		1..1	Reference(IVI-Medikament)	Medikation
dosageInstruction
Slices for extension				Content/Rules for all slices
extension:IVI_TreatmentRegimen		0..1	code	IVI Treatment Regimen Extension URL: https://eyematics.org/fhir/eyematics-kds/StructureDefinition/extension-ivi-treatment-regimen Binding: IVI Treatment Regimen (required)
site		0..1	CodeableConcept	Verabreichungsort Binding: Eye Laterality (required)
route		0..1	CodeableConcept	Verabreichungsweg Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://standardterms.edqm.eu
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 20047000
display		1..1	string	Representation defined by the system Fixed Value: Intravitreal use
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.dosageInstruction.​site	Base	required	Eye Laterality	📦2025.0.0-alpha	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MII_PR_Medikation_MedicationRequest	Ordering of medication for patient or group
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	SΣ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	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. Additional Bindings Purpose AllLanguages 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
contained		0..*	Resource	Contained, inline Resources
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	S	0..*	Identifier	Identifikator
status	?!SΣ	1..1	code	Status 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	?!SΣ	1..1	code	Intention 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	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
reported[x]	Σ	0..1		Reported rather than primary record
reportedBoolean			boolean
reportedReference			Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
Slices for medication[x]	SΣ	1..1	Reference(IVI-Medikament)	Medikation Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	SΣ	0..1	Reference(MII PR Medikation Medication)	Medication to be taken
medication[x]:medicationCodeableConcept	SΣ	0..1	CodeableConcept	Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:Pharmazentralnummer	SΣN	0..*	Coding	PZN Code Binding: PZN ValueSet (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:atcClassDe	SΣN	0..*	Coding	PZN Code Binding: ATC ValueSet (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:atcClassEn	SΣN	0..*	Coding	PZN Code Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://www.whocc.no/atc
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
subject	SΣC	1..1	Reference(Patient | Group)	Who or group medication request is for Constraints: ref-1
encounter	SC	0..1	Reference(Encounter)	Fall / Kontakt Constraints: ref-1
supportingInformation	C	0..*	Reference(Resource)	Information to support ordering of the medication Constraints: ref-1
authoredOn	SΣ	0..1	dateTime	Datum der Verordnung
requester	SΣC	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Anforderer Constraints: ref-1
performer	C	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration Constraints: ref-1
performerType	Σ	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	C	0..1	Reference(Practitioner | PractitionerRole)	Auftragserfasser Constraints: ref-1
reasonCode	S	0..*	CodeableConcept	Grund Code Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
reasonReference	SC	0..*	Reference(Condition | Observation)	Grund Referenz Constraints: ref-1
instantiatesCanonical	Σ	0..*	canonical()	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	SΣC	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	Basiert auf Constraints: ref-1
groupIdentifier	Σ	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	C	0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage Constraints: ref-1
note	S	0..*	Annotation	Hinweis
dosageInstruction	SC	0..*	Dosage	Dosierungsanweisung Constraints: dsg-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:IVI_TreatmentRegimen		0..1	code	IVI Treatment Regimen Extension URL: https://eyematics.org/fhir/eyematics-kds/StructureDefinition/extension-ivi-treatment-regimen Binding: IVI Treatment Regimen (required)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	SΣ	0..1	integer	The order of the dosage instructions
text	SΣ	0..1	string	Free text dosage instructions e.g. SIG
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (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
timing	SΣ	0..1	Timing	When medication should be administered
id		0..1	string	Unique id for inter-element referencing
extension	N	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
event	SΣ	0..*	dateTime	When the event occurs
repeat	SΣC	0..1	Element	When the event is to occur Constraints: tim-9, tim-5, tim-6, tim-7, tim-8, tim-1, tim-10, tim-2, tim-4
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for bounds[x]	ΣN	0..1		Length/Range of lengths, or (Start and/or end) limits Slice: Unordered, Open by type:$this
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
bounds[x]:boundsDuration	SΣN	0..1	Duration	Length/Range of lengths, or (Start and/or end) limits Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
bounds[x]:boundsRange	SΣN	0..1	Range	Length/Range of lengths, or (Start and/or end) limits
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
low	SΣCN	0..1	SimpleQuantity	Low limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
high	SΣCN	0..1	SimpleQuantity	High limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
bounds[x]:boundsPeriod	SΣN	0..1	Period	Length/Range of lengths, or (Start and/or end) limits
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
count	SΣ	0..1	positiveInt	Number of times to repeat
countMax	SΣ	0..1	positiveInt	Maximum number of times to repeat
duration	SΣ	0..1	decimal	How long when it happens
durationMax	SΣ	0..1	decimal	How long when it happens (Max)
durationUnit	SΣ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	SΣ	0..1	positiveInt	Event occurs frequency times per period
frequencyMax	SΣ	0..1	positiveInt	Event occurs up to frequencyMax times per period
period	SΣ	0..1	decimal	Event occurs frequency times per period
periodMax	SΣ	0..1	decimal	Upper limit of period (3-4 hours)
periodUnit	SΣ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek	SΣ	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay	SΣ	0..*	time	Time of day for action
when	SΣ	0..*	code	Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset	SΣ	0..1	unsignedInt	Minutes from event (before or after)
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
Slices for asNeeded[x]	SΣN	0..1		Take "as needed" (for x) Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationAsNeededReasonCodes (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.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
asNeeded[x]:asNeededBoolean	SΣN	0..1	boolean	Take "as needed" (for x)
asNeeded[x]:asNeededCodeableConcept	SΣN	0..1	CodeableConcept	Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (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	SΣ	0..1	CodeableConcept	Verabreichungsort Binding: Eye Laterality (required)
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:SNOMED	SΣN	0..*	Coding	SNOMED CT Code Binding: Target Site - IPS (example): target site IPS Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
route	SΣ	0..1	CodeableConcept	Verabreichungsweg Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://standardterms.edqm.eu
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 20047000
display		1..1	string	Representation defined by the system Fixed Value: Intravitreal use
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:EDQM	SΣN	0..1	Coding	EDQM Code Binding: Medicine Route of Administration - IPS (preferred): EDQM Standard Terms Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://standardterms.edqm.eu
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:SNOMED	SΣN	0..1	Coding	SNOMED CT Code Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	SΣ	0..*	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension	N	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: DoseAndRateType (example): The kind of dose or rate specified.
Slices for dose[x]	SΣN	0..1		Amount of medication per dose Slice: Unordered, Open by type:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseRange	SΣN	0..1	Range	Amount of medication per dose
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
low	SΣCN	0..1	SimpleQuantity	Low limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
high	SΣCN	0..1	SimpleQuantity	High limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
dose[x]:doseQuantity	SΣCN	0..1	SimpleQuantity	A fixed quantity (no comparator) Constraints: qty-3, sqty-1
Slices for rate[x]	SΣN	0..1		Amount of medication per unit of time Slice: Unordered, Open by type:$this
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
rate[x]:rateRatio	SΣN	0..1	Ratio	Amount of medication per unit of time
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
numerator	SΣCN	0..1	Quantity	Numerator value Constraints: qty-3 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
denominator	SΣCN	0..1	Quantity	Denominator value Constraints: qty-3 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
rate[x]:rateRange	SΣN	0..1	Range	Amount of medication per unit of time
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
low	SΣCN	0..1	SimpleQuantity	Low limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
high	SΣCN	0..1	SimpleQuantity	High limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
rate[x]:rateQuantity	SΣCN	0..1	SimpleQuantity	A fixed quantity (no comparator) Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
maxDosePerPeriod	SΣC	0..1	Ratio	Upper limit on medication per unit of time Constraints: rat-1
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
numerator	SΣC	0..1	Quantity	Numerator value Constraints: qty-3 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
denominator	SΣC	0..1	Quantity	Denominator value Constraints: qty-3 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
maxDosePerAdministration	SΣC	0..1	SimpleQuantity	Upper limit on medication per administration Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
maxDosePerLifetime	ΣC	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient Constraints: qty-3, sqty-1
dispenseRequest		0..1	BackboneElement	Medication supply authorization
id		0..1	string	Unique id for inter-element referencing
extension	N	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
initialFill		0..1	BackboneElement	First fill details
id		0..1	string	Unique id for inter-element referencing
extension	N	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
quantity	C	0..1	SimpleQuantity	First fill quantity Constraints: qty-3, sqty-1
duration	C	0..1	Duration	First fill duration Constraints: qty-3, drt-1
dispenseInterval	C	0..1	Duration	Minimum period of time between dispenses Constraints: qty-3, drt-1
validityPeriod	C	0..1	Period	Time period supply is authorized for Constraints: per-1
numberOfRepeatsAllowed		0..1	unsignedInt	Number of refills authorized
quantity	C	0..1	SimpleQuantity	Amount of medication to supply per dispense Constraints: qty-3, sqty-1
expectedSupplyDuration	C	0..1	Duration	Number of days supply per dispense Constraints: qty-3, drt-1
performer	C	0..1	Reference(Organization)	Intended dispenser Constraints: ref-1
substitution	S	0..1	BackboneElement	Substitution
id		0..1	string	Unique id for inter-element referencing
extension	N	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
Slices for allowed[x]	SN	1..1		Whether substitution is allowed or not Slice: Unordered, Open by type:$this Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
allowed[x]:allowedBoolean	SN	0..1	boolean	Whether substitution is allowed or not
allowed[x]:allowedCodeableConcept	SN	0..1	CodeableConcept	Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
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	SC	0..1	Reference(MedicationRequest)	Vorherige Verschreibung Constraints: ref-1
detectedIssue	C	0..*	Reference(DetectedIssue)	Erkannte Probleme Constraints: ref-1
eventHistory	C	0..*	Reference(Provenance)	A list of events of interest in the lifecycle Constraints: ref-1
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.meta.​security	Base	extensible	SecurityLabels	📦4.0.1	FHIR Std.
MedicationRequest.meta.​tag	Base	example	Common Tags	📦4.0.1	FHIR Std.
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]:medicationCodeableConcept	Base	example	SNOMED CT Medication Codes	📦4.0.1	FHIR Std.
MedicationRequest.medication[x]:medicationCodeableConcept.​coding:Pharmazentralnummer	Base	required	PZN ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
MedicationRequest.medication[x]:medicationCodeableConcept.​coding:atcClassDe	Base	required	ATC ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
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.dosageInstruction.​additionalInstruction	Base	example	SNOMED CT Additional Dosage Instructions	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.bounds[x]:boundsDuration.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.durationUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.dayOfWeek	Base	required	DaysOfWeek	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.when	Base	required	EventTiming	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.code	Base	preferred	TimingAbbreviation	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x]:asNeededCodeableConcept	Base	example	SNOMED CT Medication As Needed Reason Codes	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​site	Base	required	Eye Laterality	📦2025.0.0-alpha	This IG
MedicationRequest.dosageInstruction.​site.coding:SNOMED	Base	example	Target Site - IPS	📦1.1.0	International Patient Summary Implementation Guide v1.1
MedicationRequest.dosageInstruction.​route	Base	example	SNOMED CT Route Codes	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​route.coding:EDQM	Base	preferred	Medicine Route of Administration - IPS	📦1.1.0	International Patient Summary Implementation Guide v1.1
MedicationRequest.dosageInstruction.​method	Base	example	SNOMED CT Administration Method Codes	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.type	Base	example	DoseAndRateType	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.rate[x]:rateRatio.​numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.rate[x]:rateRatio.​denominator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​maxDosePerPeriod.numerator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​maxDosePerPeriod.denominator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MedicationRequest.substitution.​allowed[x]	Base	example	ActSubstanceAdminSubstitutionCode	📦3.0.0	THO v6.5
MedicationRequest.substitution.​allowed[x]:allowedCodeableConcept	Base	example	ActSubstanceAdminSubstitutionCode	📦3.0.0	THO v6.5
MedicationRequest.substitution.​reason	Base	example	SubstanceAdminSubstitutionReason	📦3.0.0	THO v6.5

Constraints

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()
drt-1	error	MedicationRequest.dispenseRequest.initialFill.duration, MedicationRequest.dispenseRequest.dispenseInterval, MedicationRequest.dispenseRequest.expectedSupplyDuration	There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.	code.exists() implies ((system = %ucum) and value.exists())
dsg-1	error	MedicationRequest.dosageInstruction	If present, dosage must include free text or structured data	text.exists() or doseAndRate.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()
per-1	error	MedicationRequest.dispenseRequest.validityPeriod	If present, start SHALL have a lower value than end	start.hasValue().not() or end.hasValue().not() or (start <= end)
qty-3	error	MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.low, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.high, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantity, MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator, MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator, MedicationRequest.dosageInstruction.maxDosePerAdministration, MedicationRequest.dosageInstruction.maxDosePerLifetime, MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.initialFill.duration, MedicationRequest.dispenseRequest.dispenseInterval, MedicationRequest.dispenseRequest.quantity, MedicationRequest.dispenseRequest.expectedSupplyDuration	If a code for the unit is present, the system SHALL also be present	code.empty() or system.exists()
rat-1	error	MedicationRequest.dosageInstruction.maxDosePerPeriod	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present	(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
ref-1	error	MedicationRequest.subject, MedicationRequest.encounter, MedicationRequest.supportingInformation, MedicationRequest.requester, MedicationRequest.performer, MedicationRequest.recorder, MedicationRequest.reasonReference, MedicationRequest.basedOn, MedicationRequest.insurance, MedicationRequest.dispenseRequest.performer, MedicationRequest.priorPrescription, MedicationRequest.detectedIssue, MedicationRequest.eventHistory	SHALL have a contained resource if a local reference is provided	reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
sqty-1	error	MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.low, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.high, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantity, MedicationRequest.dosageInstruction.maxDosePerAdministration, MedicationRequest.dosageInstruction.maxDosePerLifetime, MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity	The comparator is not used on a SimpleQuantity	comparator.empty()
tim-1	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a duration, there needs to be duration units	duration.empty() or durationUnit.exists()
tim-2	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a period, there needs to be period units	period.empty() or periodUnit.exists()
tim-4	error	MedicationRequest.dosageInstruction.timing.repeat	duration SHALL be a non-negative value	duration.exists() implies duration >= 0
tim-5	error	MedicationRequest.dosageInstruction.timing.repeat	period SHALL be a non-negative value	period.exists() implies period >= 0
tim-6	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a periodMax, there must be a period	periodMax.empty() or period.exists()
tim-7	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a durationMax, there must be a duration	durationMax.empty() or duration.exists()
tim-8	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a countMax, there must be a count	countMax.empty() or count.exists()
tim-9	error	MedicationRequest.dosageInstruction.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV)	offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa	timeOfDay.empty() or when.empty()

This structure is derived from MII_PR_Medikation_MedicationRequest

Summary

Structures

This structure refers to these other structures:

• IVI-Medikament (https://eyematics.org/fhir/eyematics-kds/StructureDefinition/mii-eyematics-ivom-medication)

Extensions

This structure refers to these extensions:

• https://eyematics.org/fhir/eyematics-kds/StructureDefinition/extension-ivi-treatment-regimen

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MII_PR_Medikation_MedicationRequest	Ordering of medication for patient or group
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
source	SΣ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	S	0..*	Identifier	Identifikator
status	?!SΣ	1..1	code	Status Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
intent	?!SΣ	1..1	code	Intention Binding: medicationRequest Intent (required): The kind of medication order.
Slices for medication[x]	SΣ	1..1	Reference(IVI-Medikament)	Medikation Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	SΣ	0..1	Reference(MII PR Medikation Medication)	Medication to be taken
medication[x]:medicationCodeableConcept	SΣ	0..1	CodeableConcept	Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
Slices for coding	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:Pharmazentralnummer	SΣN	0..*	Coding	PZN Code Binding: PZN ValueSet (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
coding:atcClassDe	SΣN	0..*	Coding	PZN Code Binding: ATC ValueSet (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
coding:atcClassEn	SΣN	0..*	Coding	PZN Code Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://www.whocc.no/atc
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
subject	SΣC	1..1	Reference(Patient | Group)	Who or group medication request is for Constraints: ref-1
encounter	SC	0..1	Reference(Encounter)	Fall / Kontakt Constraints: ref-1
authoredOn	SΣ	0..1	dateTime	Datum der Verordnung
requester	SΣC	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Anforderer Constraints: ref-1
reasonCode	S	0..*	CodeableConcept	Grund Code Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
reasonReference	SC	0..*	Reference(Condition | Observation)	Grund Referenz Constraints: ref-1
basedOn	SΣC	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	Basiert auf Constraints: ref-1
note	S	0..*	Annotation	Hinweis
dosageInstruction	SC	0..*	Dosage	Dosierungsanweisung Constraints: dsg-1
Slices for extension				Content/Rules for all slices
extension:IVI_TreatmentRegimen		0..1	code	IVI Treatment Regimen Extension URL: https://eyematics.org/fhir/eyematics-kds/StructureDefinition/extension-ivi-treatment-regimen Binding: IVI Treatment Regimen (required)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	SΣ	0..1	integer	The order of the dosage instructions
text	SΣ	0..1	string	Free text dosage instructions e.g. SIG
timing	SΣ	0..1	Timing	When medication should be administered
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
event	SΣ	0..*	dateTime	When the event occurs
repeat	SΣC	0..1	Element	When the event is to occur Constraints: tim-9, tim-5, tim-6, tim-7, tim-8, tim-1, tim-10, tim-2, tim-4
Slices for bounds[x]	ΣN	0..1		Length/Range of lengths, or (Start and/or end) limits Slice: Unordered, Open by type:$this
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
bounds[x]:boundsDuration	SΣN	0..1	Duration	Length/Range of lengths, or (Start and/or end) limits Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
bounds[x]:boundsRange	SΣN	0..1	Range	Length/Range of lengths, or (Start and/or end) limits
low	SΣCN	0..1	SimpleQuantity	Low limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
high	SΣCN	0..1	SimpleQuantity	High limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
bounds[x]:boundsPeriod	SΣN	0..1	Period	Length/Range of lengths, or (Start and/or end) limits
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
count	SΣ	0..1	positiveInt	Number of times to repeat
countMax	SΣ	0..1	positiveInt	Maximum number of times to repeat
duration	SΣ	0..1	decimal	How long when it happens
durationMax	SΣ	0..1	decimal	How long when it happens (Max)
durationUnit	SΣ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	SΣ	0..1	positiveInt	Event occurs frequency times per period
frequencyMax	SΣ	0..1	positiveInt	Event occurs up to frequencyMax times per period
period	SΣ	0..1	decimal	Event occurs frequency times per period
periodMax	SΣ	0..1	decimal	Upper limit of period (3-4 hours)
periodUnit	SΣ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek	SΣ	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay	SΣ	0..*	time	Time of day for action
when	SΣ	0..*	code	Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset	SΣ	0..1	unsignedInt	Minutes from event (before or after)
Slices for asNeeded[x]	SΣN	0..1		Take "as needed" (for x) Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationAsNeededReasonCodes (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.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
asNeeded[x]:asNeededBoolean	SΣN	0..1	boolean	Take "as needed" (for x)
asNeeded[x]:asNeededCodeableConcept	SΣN	0..1	CodeableConcept	Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (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	SΣ	0..1	CodeableConcept	Verabreichungsort Binding: Eye Laterality (required)
Slices for coding	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:SNOMED	SΣN	0..*	Coding	SNOMED CT Code Binding: Target Site - IPS (example): target site IPS Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
route	SΣ	0..1	CodeableConcept	Verabreichungsweg Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://standardterms.edqm.eu
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 20047000
display		1..1	string	Representation defined by the system Fixed Value: Intravitreal use
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for coding	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:EDQM	SΣN	0..1	Coding	EDQM Code Binding: Medicine Route of Administration - IPS (preferred): EDQM Standard Terms Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://standardterms.edqm.eu
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
coding:SNOMED	SΣN	0..1	Coding	SNOMED CT Code Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
doseAndRate	SΣ	0..*	Element	Amount of medication administered
Slices for dose[x]	SΣN	0..1		Amount of medication per dose Slice: Unordered, Open by type:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseRange	SΣN	0..1	Range	Amount of medication per dose
low	SΣCN	0..1	SimpleQuantity	Low limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
high	SΣCN	0..1	SimpleQuantity	High limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
dose[x]:doseQuantity	SΣCN	0..1	SimpleQuantity	A fixed quantity (no comparator) Constraints: qty-3, sqty-1
Slices for rate[x]	SΣN	0..1		Amount of medication per unit of time Slice: Unordered, Open by type:$this
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
rate[x]:rateRatio	SΣN	0..1	Ratio	Amount of medication per unit of time
numerator	SΣCN	0..1	Quantity	Numerator value Constraints: qty-3 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
denominator	SΣCN	0..1	Quantity	Denominator value Constraints: qty-3 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
rate[x]:rateRange	SΣN	0..1	Range	Amount of medication per unit of time
low	SΣCN	0..1	SimpleQuantity	Low limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
high	SΣCN	0..1	SimpleQuantity	High limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
rate[x]:rateQuantity	SΣCN	0..1	SimpleQuantity	A fixed quantity (no comparator) Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
maxDosePerPeriod	SΣC	0..1	Ratio	Upper limit on medication per unit of time Constraints: rat-1
numerator	SΣC	0..1	Quantity	Numerator value Constraints: qty-3 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
denominator	SΣC	0..1	Quantity	Denominator value Constraints: qty-3 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
maxDosePerAdministration	SΣC	0..1	SimpleQuantity	Upper limit on medication per administration Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
substitution	S	0..1	BackboneElement	Substitution
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for allowed[x]	SN	1..1		Whether substitution is allowed or not Slice: Unordered, Open by type:$this Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
allowed[x]:allowedBoolean	SN	0..1	boolean	Whether substitution is allowed or not
allowed[x]:allowedCodeableConcept	SN	0..1	CodeableConcept	Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
priorPrescription	SC	0..1	Reference(MedicationRequest)	Vorherige Verschreibung Constraints: ref-1
Documentation for this format

Terminology Bindings

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]:medicationCodeableConcept	Base	example	SNOMED CT Medication Codes	📦4.0.1	FHIR Std.
MedicationRequest.medication[x]:medicationCodeableConcept.​coding:Pharmazentralnummer	Base	required	PZN ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
MedicationRequest.medication[x]:medicationCodeableConcept.​coding:atcClassDe	Base	required	ATC ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
MedicationRequest.reasonCode	Base	example	Condition/Problem/Diagnosis Codes	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.bounds[x]:boundsDuration.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.durationUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.dayOfWeek	Base	required	DaysOfWeek	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.when	Base	required	EventTiming	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x]:asNeededCodeableConcept	Base	example	SNOMED CT Medication As Needed Reason Codes	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​site	Base	required	Eye Laterality	📦2025.0.0-alpha	This IG
MedicationRequest.dosageInstruction.​site.coding:SNOMED	Base	example	Target Site - IPS	📦1.1.0	International Patient Summary Implementation Guide v1.1
MedicationRequest.dosageInstruction.​route	Base	example	SNOMED CT Route Codes	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​route.coding:EDQM	Base	preferred	Medicine Route of Administration - IPS	📦1.1.0	International Patient Summary Implementation Guide v1.1
MedicationRequest.dosageInstruction.​doseAndRate.rate[x]:rateRatio.​numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.rate[x]:rateRatio.​denominator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​maxDosePerPeriod.numerator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​maxDosePerPeriod.denominator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MedicationRequest.substitution.​allowed[x]	Base	example	ActSubstanceAdminSubstitutionCode	📦3.0.0	THO v6.5
MedicationRequest.substitution.​allowed[x]:allowedCodeableConcept	Base	example	ActSubstanceAdminSubstitutionCode	📦3.0.0	THO v6.5

Constraints

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()
dsg-1	error	MedicationRequest.dosageInstruction	If present, dosage must include free text or structured data	text.exists() or doseAndRate.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()
qty-3	error	MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.low, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.high, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantity, MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator, MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator, MedicationRequest.dosageInstruction.maxDosePerAdministration	If a code for the unit is present, the system SHALL also be present	code.empty() or system.exists()
rat-1	error	MedicationRequest.dosageInstruction.maxDosePerPeriod	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present	(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
ref-1	error	MedicationRequest.subject, MedicationRequest.encounter, MedicationRequest.requester, MedicationRequest.reasonReference, MedicationRequest.basedOn, MedicationRequest.priorPrescription	SHALL have a contained resource if a local reference is provided	reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
sqty-1	error	MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.low, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.high, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantity, MedicationRequest.dosageInstruction.maxDosePerAdministration	The comparator is not used on a SimpleQuantity	comparator.empty()
tim-1	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a duration, there needs to be duration units	duration.empty() or durationUnit.exists()
tim-2	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a period, there needs to be period units	period.empty() or periodUnit.exists()
tim-4	error	MedicationRequest.dosageInstruction.timing.repeat	duration SHALL be a non-negative value	duration.exists() implies duration >= 0
tim-5	error	MedicationRequest.dosageInstruction.timing.repeat	period SHALL be a non-negative value	period.exists() implies period >= 0
tim-6	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a periodMax, there must be a period	periodMax.empty() or period.exists()
tim-7	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a durationMax, there must be a duration	durationMax.empty() or duration.exists()
tim-8	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a countMax, there must be a count	countMax.empty() or count.exists()
tim-9	error	MedicationRequest.dosageInstruction.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV)	offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa	timeOfDay.empty() or when.empty()

Differential View

This structure is derived from MII_PR_Medikation_MedicationRequest

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MII_PR_Medikation_MedicationRequest	Ordering of medication for patient or group
medication[x]		1..1	Reference(IVI-Medikament)	Medikation
dosageInstruction
Slices for extension				Content/Rules for all slices
extension:IVI_TreatmentRegimen		0..1	code	IVI Treatment Regimen Extension URL: https://eyematics.org/fhir/eyematics-kds/StructureDefinition/extension-ivi-treatment-regimen Binding: IVI Treatment Regimen (required)
site		0..1	CodeableConcept	Verabreichungsort Binding: Eye Laterality (required)
route		0..1	CodeableConcept	Verabreichungsweg Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://standardterms.edqm.eu
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 20047000
display		1..1	string	Representation defined by the system Fixed Value: Intravitreal use
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.dosageInstruction.​site	Base	required	Eye Laterality	📦2025.0.0-alpha	This IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationRequest		0..*	MII_PR_Medikation_MedicationRequest	Ordering of medication for patient or group
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	SΣ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	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. Additional Bindings Purpose AllLanguages 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
contained		0..*	Resource	Contained, inline Resources
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	S	0..*	Identifier	Identifikator
status	?!SΣ	1..1	code	Status 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	?!SΣ	1..1	code	Intention 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	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
reported[x]	Σ	0..1		Reported rather than primary record
reportedBoolean			boolean
reportedReference			Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
Slices for medication[x]	SΣ	1..1	Reference(IVI-Medikament)	Medikation Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	SΣ	0..1	Reference(MII PR Medikation Medication)	Medication to be taken
medication[x]:medicationCodeableConcept	SΣ	0..1	CodeableConcept	Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:Pharmazentralnummer	SΣN	0..*	Coding	PZN Code Binding: PZN ValueSet (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:atcClassDe	SΣN	0..*	Coding	PZN Code Binding: ATC ValueSet (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:atcClassEn	SΣN	0..*	Coding	PZN Code Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://www.whocc.no/atc
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Plain text representation of the concept
subject	SΣC	1..1	Reference(Patient | Group)	Who or group medication request is for Constraints: ref-1
encounter	SC	0..1	Reference(Encounter)	Fall / Kontakt Constraints: ref-1
supportingInformation	C	0..*	Reference(Resource)	Information to support ordering of the medication Constraints: ref-1
authoredOn	SΣ	0..1	dateTime	Datum der Verordnung
requester	SΣC	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	Anforderer Constraints: ref-1
performer	C	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration Constraints: ref-1
performerType	Σ	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	C	0..1	Reference(Practitioner | PractitionerRole)	Auftragserfasser Constraints: ref-1
reasonCode	S	0..*	CodeableConcept	Grund Code Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
reasonReference	SC	0..*	Reference(Condition | Observation)	Grund Referenz Constraints: ref-1
instantiatesCanonical	Σ	0..*	canonical()	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	SΣC	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	Basiert auf Constraints: ref-1
groupIdentifier	Σ	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	C	0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage Constraints: ref-1
note	S	0..*	Annotation	Hinweis
dosageInstruction	SC	0..*	Dosage	Dosierungsanweisung Constraints: dsg-1
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:IVI_TreatmentRegimen		0..1	code	IVI Treatment Regimen Extension URL: https://eyematics.org/fhir/eyematics-kds/StructureDefinition/extension-ivi-treatment-regimen Binding: IVI Treatment Regimen (required)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	SΣ	0..1	integer	The order of the dosage instructions
text	SΣ	0..1	string	Free text dosage instructions e.g. SIG
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (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
timing	SΣ	0..1	Timing	When medication should be administered
id		0..1	string	Unique id for inter-element referencing
extension	N	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
event	SΣ	0..*	dateTime	When the event occurs
repeat	SΣC	0..1	Element	When the event is to occur Constraints: tim-9, tim-5, tim-6, tim-7, tim-8, tim-1, tim-10, tim-2, tim-4
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for bounds[x]	ΣN	0..1		Length/Range of lengths, or (Start and/or end) limits Slice: Unordered, Open by type:$this
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
bounds[x]:boundsDuration	SΣN	0..1	Duration	Length/Range of lengths, or (Start and/or end) limits Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
bounds[x]:boundsRange	SΣN	0..1	Range	Length/Range of lengths, or (Start and/or end) limits
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
low	SΣCN	0..1	SimpleQuantity	Low limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
high	SΣCN	0..1	SimpleQuantity	High limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
bounds[x]:boundsPeriod	SΣN	0..1	Period	Length/Range of lengths, or (Start and/or end) limits
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	0..1	dateTime	Starting time with inclusive boundary
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
count	SΣ	0..1	positiveInt	Number of times to repeat
countMax	SΣ	0..1	positiveInt	Maximum number of times to repeat
duration	SΣ	0..1	decimal	How long when it happens
durationMax	SΣ	0..1	decimal	How long when it happens (Max)
durationUnit	SΣ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	SΣ	0..1	positiveInt	Event occurs frequency times per period
frequencyMax	SΣ	0..1	positiveInt	Event occurs up to frequencyMax times per period
period	SΣ	0..1	decimal	Event occurs frequency times per period
periodMax	SΣ	0..1	decimal	Upper limit of period (3-4 hours)
periodUnit	SΣ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM).
dayOfWeek	SΣ	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required)
timeOfDay	SΣ	0..*	time	Time of day for action
when	SΣ	0..*	code	Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule.
offset	SΣ	0..1	unsignedInt	Minutes from event (before or after)
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
Slices for asNeeded[x]	SΣN	0..1		Take "as needed" (for x) Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationAsNeededReasonCodes (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.
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept
asNeeded[x]:asNeededBoolean	SΣN	0..1	boolean	Take "as needed" (for x)
asNeeded[x]:asNeededCodeableConcept	SΣN	0..1	CodeableConcept	Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (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	SΣ	0..1	CodeableConcept	Verabreichungsort Binding: Eye Laterality (required)
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:SNOMED	SΣN	0..*	Coding	SNOMED CT Code Binding: Target Site - IPS (example): target site IPS Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
route	SΣ	0..1	CodeableConcept	Verabreichungsweg Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://standardterms.edqm.eu
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 20047000
display		1..1	string	Representation defined by the system Fixed Value: Intravitreal use
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣN	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:EDQM	SΣN	0..1	Coding	EDQM Code Binding: Medicine Route of Administration - IPS (preferred): EDQM Standard Terms Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://standardterms.edqm.eu
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:SNOMED	SΣN	0..1	Coding	SNOMED CT Code Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	SΣ	0..*	Element	Amount of medication administered
id		0..1	string	Unique id for inter-element referencing
extension	N	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: DoseAndRateType (example): The kind of dose or rate specified.
Slices for dose[x]	SΣN	0..1		Amount of medication per dose Slice: Unordered, Open by type:$this
doseRange			Range
doseQuantity			Quantity(SimpleQuantity)
dose[x]:doseRange	SΣN	0..1	Range	Amount of medication per dose
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
low	SΣCN	0..1	SimpleQuantity	Low limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
high	SΣCN	0..1	SimpleQuantity	High limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
dose[x]:doseQuantity	SΣCN	0..1	SimpleQuantity	A fixed quantity (no comparator) Constraints: qty-3, sqty-1
Slices for rate[x]	SΣN	0..1		Amount of medication per unit of time Slice: Unordered, Open by type:$this
rateRatio			Ratio
rateRange			Range
rateQuantity			Quantity(SimpleQuantity)
rate[x]:rateRatio	SΣN	0..1	Ratio	Amount of medication per unit of time
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
numerator	SΣCN	0..1	Quantity	Numerator value Constraints: qty-3 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
denominator	SΣCN	0..1	Quantity	Denominator value Constraints: qty-3 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
rate[x]:rateRange	SΣN	0..1	Range	Amount of medication per unit of time
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
low	SΣCN	0..1	SimpleQuantity	Low limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
high	SΣCN	0..1	SimpleQuantity	High limit Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
rate[x]:rateQuantity	SΣCN	0..1	SimpleQuantity	A fixed quantity (no comparator) Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
maxDosePerPeriod	SΣC	0..1	Ratio	Upper limit on medication per unit of time Constraints: rat-1
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
numerator	SΣC	0..1	Quantity	Numerator value Constraints: qty-3 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
denominator	SΣC	0..1	Quantity	Denominator value Constraints: qty-3 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
maxDosePerAdministration	SΣC	0..1	SimpleQuantity	Upper limit on medication per administration Constraints: qty-3, sqty-1 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
maxDosePerLifetime	ΣC	0..1	SimpleQuantity	Upper limit on medication per lifetime of the patient Constraints: qty-3, sqty-1
dispenseRequest		0..1	BackboneElement	Medication supply authorization
id		0..1	string	Unique id for inter-element referencing
extension	N	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
initialFill		0..1	BackboneElement	First fill details
id		0..1	string	Unique id for inter-element referencing
extension	N	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
quantity	C	0..1	SimpleQuantity	First fill quantity Constraints: qty-3, sqty-1
duration	C	0..1	Duration	First fill duration Constraints: qty-3, drt-1
dispenseInterval	C	0..1	Duration	Minimum period of time between dispenses Constraints: qty-3, drt-1
validityPeriod	C	0..1	Period	Time period supply is authorized for Constraints: per-1
numberOfRepeatsAllowed		0..1	unsignedInt	Number of refills authorized
quantity	C	0..1	SimpleQuantity	Amount of medication to supply per dispense Constraints: qty-3, sqty-1
expectedSupplyDuration	C	0..1	Duration	Number of days supply per dispense Constraints: qty-3, drt-1
performer	C	0..1	Reference(Organization)	Intended dispenser Constraints: ref-1
substitution	S	0..1	BackboneElement	Substitution
id		0..1	string	Unique id for inter-element referencing
extension	N	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
Slices for allowed[x]	SN	1..1		Whether substitution is allowed or not Slice: Unordered, Open by type:$this Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowedBoolean			boolean
allowedCodeableConcept			CodeableConcept
allowed[x]:allowedBoolean	SN	0..1	boolean	Whether substitution is allowed or not
allowed[x]:allowedCodeableConcept	SN	0..1	CodeableConcept	Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
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	SC	0..1	Reference(MedicationRequest)	Vorherige Verschreibung Constraints: ref-1
detectedIssue	C	0..*	Reference(DetectedIssue)	Erkannte Probleme Constraints: ref-1
eventHistory	C	0..*	Reference(Provenance)	A list of events of interest in the lifecycle Constraints: ref-1
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
MedicationRequest.meta.​security	Base	extensible	SecurityLabels	📦4.0.1	FHIR Std.
MedicationRequest.meta.​tag	Base	example	Common Tags	📦4.0.1	FHIR Std.
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]:medicationCodeableConcept	Base	example	SNOMED CT Medication Codes	📦4.0.1	FHIR Std.
MedicationRequest.medication[x]:medicationCodeableConcept.​coding:Pharmazentralnummer	Base	required	PZN ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
MedicationRequest.medication[x]:medicationCodeableConcept.​coding:atcClassDe	Base	required	ATC ValueSet	📦1.5.4	de.basisprofil.r4 v1.5
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.dosageInstruction.​additionalInstruction	Base	example	SNOMED CT Additional Dosage Instructions	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.bounds[x]:boundsDuration.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.durationUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit	Base	required	UnitsOfTime	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.dayOfWeek	Base	required	DaysOfWeek	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.when	Base	required	EventTiming	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​timing.code	Base	preferred	TimingAbbreviation	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x]	Base	example	SNOMED CT Medication As Needed Reason Codes	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x]:asNeededCodeableConcept	Base	example	SNOMED CT Medication As Needed Reason Codes	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​site	Base	required	Eye Laterality	📦2025.0.0-alpha	This IG
MedicationRequest.dosageInstruction.​site.coding:SNOMED	Base	example	Target Site - IPS	📦1.1.0	International Patient Summary Implementation Guide v1.1
MedicationRequest.dosageInstruction.​route	Base	example	SNOMED CT Route Codes	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​route.coding:EDQM	Base	preferred	Medicine Route of Administration - IPS	📦1.1.0	International Patient Summary Implementation Guide v1.1
MedicationRequest.dosageInstruction.​method	Base	example	SNOMED CT Administration Method Codes	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.type	Base	example	DoseAndRateType	📦4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.rate[x]:rateRatio.​numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.rate[x]:rateRatio.​denominator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​maxDosePerPeriod.numerator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MedicationRequest.dosageInstruction.​maxDosePerPeriod.denominator.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
MedicationRequest.substitution.​allowed[x]	Base	example	ActSubstanceAdminSubstitutionCode	📦3.0.0	THO v6.5
MedicationRequest.substitution.​allowed[x]:allowedCodeableConcept	Base	example	ActSubstanceAdminSubstitutionCode	📦3.0.0	THO v6.5
MedicationRequest.substitution.​reason	Base	example	SubstanceAdminSubstitutionReason	📦3.0.0	THO v6.5

Constraints

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()
drt-1	error	MedicationRequest.dispenseRequest.initialFill.duration, MedicationRequest.dispenseRequest.dispenseInterval, MedicationRequest.dispenseRequest.expectedSupplyDuration	There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.	code.exists() implies ((system = %ucum) and value.exists())
dsg-1	error	MedicationRequest.dosageInstruction	If present, dosage must include free text or structured data	text.exists() or doseAndRate.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()
per-1	error	MedicationRequest.dispenseRequest.validityPeriod	If present, start SHALL have a lower value than end	start.hasValue().not() or end.hasValue().not() or (start <= end)
qty-3	error	MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.numerator, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRatio.denominator, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.low, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.high, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantity, MedicationRequest.dosageInstruction.maxDosePerPeriod.numerator, MedicationRequest.dosageInstruction.maxDosePerPeriod.denominator, MedicationRequest.dosageInstruction.maxDosePerAdministration, MedicationRequest.dosageInstruction.maxDosePerLifetime, MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.initialFill.duration, MedicationRequest.dispenseRequest.dispenseInterval, MedicationRequest.dispenseRequest.quantity, MedicationRequest.dispenseRequest.expectedSupplyDuration	If a code for the unit is present, the system SHALL also be present	code.empty() or system.exists()
rat-1	error	MedicationRequest.dosageInstruction.maxDosePerPeriod	Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present	(numerator.empty() xor denominator.exists()) and (numerator.exists() or extension.exists())
ref-1	error	MedicationRequest.subject, MedicationRequest.encounter, MedicationRequest.supportingInformation, MedicationRequest.requester, MedicationRequest.performer, MedicationRequest.recorder, MedicationRequest.reasonReference, MedicationRequest.basedOn, MedicationRequest.insurance, MedicationRequest.dispenseRequest.performer, MedicationRequest.priorPrescription, MedicationRequest.detectedIssue, MedicationRequest.eventHistory	SHALL have a contained resource if a local reference is provided	reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
sqty-1	error	MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.low, MedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsRange.high, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.low, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseRange.high, MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.low, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateRange.high, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantity, MedicationRequest.dosageInstruction.maxDosePerAdministration, MedicationRequest.dosageInstruction.maxDosePerLifetime, MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity	The comparator is not used on a SimpleQuantity	comparator.empty()
tim-1	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a duration, there needs to be duration units	duration.empty() or durationUnit.exists()
tim-2	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a period, there needs to be period units	period.empty() or periodUnit.exists()
tim-4	error	MedicationRequest.dosageInstruction.timing.repeat	duration SHALL be a non-negative value	duration.exists() implies duration >= 0
tim-5	error	MedicationRequest.dosageInstruction.timing.repeat	period SHALL be a non-negative value	period.exists() implies period >= 0
tim-6	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a periodMax, there must be a period	periodMax.empty() or period.exists()
tim-7	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a durationMax, there must be a duration	durationMax.empty() or duration.exists()
tim-8	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a countMax, there must be a count	countMax.empty() or count.exists()
tim-9	error	MedicationRequest.dosageInstruction.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV)	offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa	timeOfDay.empty() or when.empty()

This structure is derived from MII_PR_Medikation_MedicationRequest

Summary

Structures

This structure refers to these other structures:

• IVI-Medikament (https://eyematics.org/fhir/eyematics-kds/StructureDefinition/mii-eyematics-ivom-medication)

Extensions

This structure refers to these extensions:

• https://eyematics.org/fhir/eyematics-kds/StructureDefinition/extension-ivi-treatment-regimen