FHIR Release 3 (STU) CI-Build

This page is part of the FHIR Specification (v3.0.2: STU 3). The current version which supercedes this version is 5.0.0 . For a full list Continuous Integration Build of available versions, see FHIR (will be incorrect/inconsistent at times).
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Medicationrequest.shex

Maturity Level : N/A
Responsible Owner: Pharmacy Work Group Ballot Standards Status : Informative Compartments : Encounter , Group , Patient , Practitioner

Raw ShEx

ShEx statement for medicationrequest

PREFIX fhir: <http://hl7.org/fhir/> PREFIX fhirvs: <http://hl7.org/fhir/ValueSet/> PREFIX xsd: <http://www.w3.org/2001/XMLSchema#> BASE <http://hl7.org/fhir/shape/> start=@<MedicationRequest> AND {fhir:nodeRole [fhir:treeRoot]} # Ordering of medication for patient or group <MedicationRequest> CLOSED { a [fhir:MedicationRequest]; fhir:nodeRole [fhir:treeRoot]?; fhir:Resource.id @<id>?; # Logical id of this artifact fhir:Resource.meta @<Meta>?; # Metadata about the resource fhir:Resource.implicitRules @<uri>?; # A set of rules under which this # content was created fhir:Resource.language @<code>?; # Language of the resource content fhir:DomainResource.text @<Narrative>?; # Text summary of the resource, for # human interpretation fhir:DomainResource.contained @<Resource>*; # Contained, inline Resources fhir:DomainResource.extension @<Extension>*; # Additional Content defined by # implementations fhir:DomainResource.modifierExtension @<Extension>*; # Extensions that cannot be ignored fhir:MedicationRequest.identifier @<Identifier>*; # External ids for this request fhir:MedicationRequest.definition # Protocol or definition ( @<ActivityDefinitionReference> OR @<PlanDefinitionReference> )*; fhir:MedicationRequest.basedOn # What request fulfills ( @<CarePlanReference> OR @<MedicationRequestReference> OR @<ProcedureRequestReference> OR @<ReferralRequestReference> )*; fhir:MedicationRequest.groupIdentifier @<Identifier>?; # Composite request this is part of fhir:MedicationRequest.status @<code> AND {fhir:value @fhirvs:medication-request-status}?; # active | on-hold | cancelled | # completed | entered-in-error | # stopped | draft | unknown fhir:MedicationRequest.intent @<code> AND {fhir:value @fhirvs:medication-request-intent}; # proposal | plan | order | # instance-order fhir:MedicationRequest.category @<CodeableConcept>?; # Type of medication usage fhir:MedicationRequest.priority @<code> AND {fhir:value @fhirvs:medication-request-priority}?; # routine | urgent | stat | asap ( # Medication to be taken fhir:MedicationRequest.medicationCodeableConcept @<CodeableConcept> | fhir:MedicationRequest.medicationReference @<Reference> ); fhir:MedicationRequest.subject # Who or group medication request is # for ( @<PatientReference> OR @<GroupReference> ); fhir:MedicationRequest.context # Created during # encounter/admission/stay ( @<EncounterReference> OR @<EpisodeOfCareReference> )?; fhir:MedicationRequest.supportingInformation @<Reference>*; # Information to support ordering of # the medication fhir:MedicationRequest.authoredOn @<dateTime>?; # When request was initially authored fhir:MedicationRequest.requester @<MedicationRequest.requester>?; # Who/What requested the Request fhir:MedicationRequest.recorder @<Reference>?; # Person who entered the request fhir:MedicationRequest.reasonCode @<CodeableConcept>*; # Reason or indication for writing # the prescription fhir:MedicationRequest.reasonReference # Condition or Observation that # supports why the prescription is # being written ( @<ConditionReference> OR @<ObservationReference> )*; fhir:MedicationRequest.note @<Annotation>*; # Information about the prescription fhir:MedicationRequest.dosageInstruction @<Dosage>*; # How the medication should be taken fhir:MedicationRequest.dispenseRequest @<MedicationRequest.dispenseRequest>?; # Medication supply authorization fhir:MedicationRequest.substitution @<MedicationRequest.substitution>?; # Any restrictions on medication # substitution fhir:MedicationRequest.priorPrescription @<Reference>?; # An order/prescription that is # being replaced fhir:MedicationRequest.detectedIssue @<Reference>*; # Clinical Issue with action fhir:MedicationRequest.eventHistory @<Reference>*; # A list of events of interest in # the lifecycle fhir:index xsd:integer? # Relative position in a list } # Any restrictions on medication substitution <MedicationRequest.substitution> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:BackboneElement.modifierExtension @<Extension>*; # Extensions that cannot be ignored fhir:MedicationRequest.substitution.allowed @<boolean>; # Whether substitution is allowed or # not fhir:MedicationRequest.substitution.reason @<CodeableConcept>?; # Why should (not) substitution be # made fhir:index xsd:integer? # Relative position in a list } # Medication supply authorization <MedicationRequest.dispenseRequest> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:BackboneElement.modifierExtension @<Extension>*; # Extensions that cannot be ignored fhir:MedicationRequest.dispenseRequest.validityPeriod @<Period>?; # Time period supply is authorized # for fhir:MedicationRequest.dispenseRequest.numberOfRepeatsAllowed @<positiveInt>?; # Number of refills authorized fhir:MedicationRequest.dispenseRequest.quantity @<SimpleQuantity>?; # Amount of medication to supply per # dispense fhir:MedicationRequest.dispenseRequest.expectedSupplyDuration @<Duration>?; # Number of days supply per dispense fhir:MedicationRequest.dispenseRequest.performer @<Reference>?; # Intended dispenser fhir:index xsd:integer? # Relative position in a list } # Who/What requested the Request <MedicationRequest.requester> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:BackboneElement.modifierExtension @<Extension>*; # Extensions that cannot be ignored fhir:MedicationRequest.requester.agent # Who ordered the initial # medication(s) ( @<PractitionerReference> OR @<OrganizationReference> OR @<PatientReference> OR @<RelatedPersonReference> OR @<DeviceReference> ); fhir:MedicationRequest.requester.onBehalfOf @<Reference>?; # Organization agent is acting for fhir:index xsd:integer? # Relative position in a list } #---------------------- Data Types ------------------- # Primitive Type dateTime <dateTime> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:value xsd:gYear OR xsd:gYearMonth OR xsd:date OR xsd:dateTime?; # Primitive value for dateTime fhir:index xsd:integer? # Relative position in a list } # Metadata about a resource <Meta> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:Meta.versionId @<id>?; # Version specific identifier fhir:Meta.lastUpdated @<instant>?; # When the resource version last # changed fhir:Meta.profile @<uri>*; # Profiles this resource claims to # conform to fhir:Meta.security @<Coding>*; # Security Labels applied to this # resource fhir:Meta.tag @<Coding>*; # Tags applied to this resource fhir:index xsd:integer? # Relative position in a list } # Primitive Type code <code> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:value xsd:string?; # Primitive value for code fhir:index xsd:integer? # Relative position in a list } # Primitive Type string <string> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:value xsd:string MAXLENGTH 1048576?; # Primitive value for string fhir:index xsd:integer? # Relative position in a list } # A reference from one resource to another <Reference> CLOSED { fhir:link IRI?; fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:Reference.reference @<string>?; # Literal reference, Relative, # internal or absolute URL fhir:Reference.identifier @<Identifier>?; # Logical reference, when literal # reference is not known fhir:Reference.display @<string>?; # Text alternative for the resource fhir:index xsd:integer? # Relative position in a list } # Base Resource <Resource> {a .+; fhir:Resource.id @<id>?; # Logical id of this artifact fhir:Resource.meta @<Meta>?; # Metadata about the resource fhir:Resource.implicitRules @<uri>?; # A set of rules under which this # content was created fhir:Resource.language @<code>?; # Language of the resource content fhir:index xsd:integer? } # A fixed quantity (no comparator) <SimpleQuantity> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:Quantity.value @<decimal>?; # Numerical value (with implicit # precision) fhir:Quantity.unit @<string>?; # Unit representation fhir:Quantity.system @<uri>?; # System that defines coded unit form fhir:Quantity.code @<code>?; # Coded form of the unit fhir:index xsd:integer? # Relative position in a list } # Time range defined by start and end date/time <Period> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:Period.start @<dateTime>?; # Starting time with inclusive # boundary fhir:Period.end @<dateTime>?; # End time with inclusive boundary, # if not ongoing fhir:index xsd:integer? # Relative position in a list } # A length of time <Duration> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:Quantity.value @<decimal>?; # Numerical value (with implicit # precision) fhir:Quantity.comparator @<code> AND {fhir:value @fhirvs:quantity-comparator}?; # < | <= | >= | > - how to # understand the value fhir:Quantity.unit @<string>?; # Unit representation fhir:Quantity.system @<uri>?; # System that defines coded unit form fhir:Quantity.code @<code>?; # Coded form of the unit fhir:index xsd:integer? # Relative position in a list } # How the medication is/was taken or should be taken <Dosage> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:Dosage.sequence @<integer>?; # The order of the dosage # instructions fhir:Dosage.text @<string>?; # Free text dosage instructions e.g. # SIG fhir:Dosage.additionalInstruction @<CodeableConcept>*; # Supplemental instruction - e.g. # "with meals" fhir:Dosage.patientInstruction @<string>?; # Patient or consumer oriented # instructions fhir:Dosage.timing @<Timing>?; # When medication should be # administered ( # Take "as needed" (for x) fhir:Dosage.asNeededBoolean @<boolean> | fhir:Dosage.asNeededCodeableConcept @<CodeableConcept> )?; fhir:Dosage.site @<CodeableConcept>?; # Body site to administer to fhir:Dosage.route @<CodeableConcept>?; # How drug should enter body fhir:Dosage.method @<CodeableConcept>?; # Technique for administering # medication ( # Amount of medication per dose fhir:Dosage.doseRange @<Range> | fhir:Dosage.doseQuantity @<SimpleQuantity> )?; fhir:Dosage.maxDosePerPeriod @<Ratio>?; # Upper limit on medication per unit # of time fhir:Dosage.maxDosePerAdministration @<SimpleQuantity>?; # Upper limit on medication per # administration fhir:Dosage.maxDosePerLifetime @<SimpleQuantity>?; # Upper limit on medication per # lifetime of the patient ( # Amount of medication per unit of # time fhir:Dosage.rateRatio @<Ratio> | fhir:Dosage.rateRange @<Range> | fhir:Dosage.rateQuantity @<SimpleQuantity> )?; fhir:index xsd:integer? # Relative position in a list } # Primitive Type uri <uri> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:value xsd:string?; # Primitive value for uri fhir:index xsd:integer? # Relative position in a list } # Text node with attribution <Annotation> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations ( # Individual responsible for the # annotation fhir:Annotation.authorReference @<Reference> | fhir:Annotation.authorReference @<Reference> | fhir:Annotation.authorReference @<Reference> | fhir:Annotation.authorString @<string> )?; fhir:Annotation.time @<dateTime>?; # When the annotation was made fhir:Annotation.text @<string>; # The annotation - text content fhir:index xsd:integer? # Relative position in a list } # Optional Extensions Element <Extension> CLOSED { fhir:Element.id @<string>?; fhir:Element.extension @<Extension>*; fhir:Extension.url @<uri>; ( fhir:Extension.valueBase64Binary @<base64Binary> | fhir:Extension.valueBoolean @<boolean> | fhir:Extension.valueCode @<code> | fhir:Extension.valueDate @<date> | fhir:Extension.valueDateTime @<dateTime> | fhir:Extension.valueDecimal @<decimal> | fhir:Extension.valueId @<id> | fhir:Extension.valueInstant @<instant> | fhir:Extension.valueInteger @<integer> | fhir:Extension.valueMarkdown @<markdown> | fhir:Extension.valueOid @<oid> | fhir:Extension.valuePositiveInt @<positiveInt> | fhir:Extension.valueString @<string> | fhir:Extension.valueTime @<time> | fhir:Extension.valueUnsignedInt @<unsignedInt> | fhir:Extension.valueUri @<uri> | fhir:Extension.valueAddress @<Address> | fhir:Extension.valueAge @<Age> | fhir:Extension.valueAnnotation @<Annotation> | fhir:Extension.valueAttachment @<Attachment> | fhir:Extension.valueCodeableConcept @<CodeableConcept> | fhir:Extension.valueCoding @<Coding> | fhir:Extension.valueContactPoint @<ContactPoint> | fhir:Extension.valueCount @<Count> | fhir:Extension.valueDistance @<Distance> | fhir:Extension.valueDuration @<Duration> | fhir:Extension.valueHumanName @<HumanName> | fhir:Extension.valueIdentifier @<Identifier> | fhir:Extension.valueMoney @<Money> | fhir:Extension.valuePeriod @<Period> | fhir:Extension.valueQuantity @<Quantity> | fhir:Extension.valueRange @<Range> | fhir:Extension.valueRatio @<Ratio> | fhir:Extension.valueReference @<Reference> | fhir:Extension.valueSampledData @<SampledData> | fhir:Extension.valueSignature @<Signature> | fhir:Extension.valueTiming @<Timing> | fhir:Extension.valueMeta @<Meta> )?; fhir:index xsd:integer? # Relative position in a list } # An identifier intended for computation <Identifier> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:Identifier.use @<code> AND {fhir:value @fhirvs:identifier-use}?; # usual | official | temp | # secondary (If known) fhir:Identifier.type @<CodeableConcept>?; # Description of identifier fhir:Identifier.system @<uri>?; # The namespace for the identifier # value fhir:Identifier.value @<string>?; # The value that is unique fhir:Identifier.period @<Period>?; # Time period when id is/was valid # for use fhir:Identifier.assigner @<Reference>?; # Organization that issued id (may # be just text) fhir:index xsd:integer? # Relative position in a list } # Primitive Type boolean <boolean> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:value xsd:boolean?; # Primitive value for boolean fhir:index xsd:integer? # Relative position in a list } # A human-readable formatted text, including images <Narrative> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:Narrative.status @<code> AND {fhir:value @fhirvs:narrative-status}; # generated | extensions | # additional | empty fhir:Narrative.div xsd:string; # Limited xhtml content fhir:index xsd:integer? # Relative position in a list } # Primitive Type id <id> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:value xsd:string?; # Primitive value for id fhir:index xsd:integer? # Relative position in a list } # Primitive Type positiveInt <positiveInt> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:value xsd:positiveInteger?; # Primitive value for positiveInt fhir:index xsd:integer? # Relative position in a list } # Concept - reference to a terminology or just text <CodeableConcept> CLOSED { a NONLITERAL*; fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:CodeableConcept.coding @<Coding>*; # Code defined by a terminology # system fhir:CodeableConcept.text @<string>?; # Plain text representation of the # concept fhir:index xsd:integer? # Relative position in a list } # Primitive Type date <date> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:value xsd:gYear OR xsd:gYearMonth OR xsd:date?; # Primitive value for date fhir:index xsd:integer? # Relative position in a list } # An address expressed using postal conventions (as opposed to GPS or other location definition formats) <Address> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:Address.use @<code> AND {fhir:value @fhirvs:address-use}?; # home | work | temp | old - purpose # of this address fhir:Address.type @<code> AND {fhir:value @fhirvs:address-type}?; # postal | physical | both fhir:Address.text @<string>?; # Text representation of the address fhir:Address.line @<string>*; # Street name, number, direction & # P.O. Box etc. fhir:Address.city @<string>?; # Name of city, town etc. fhir:Address.district @<string>?; # District name (aka county) fhir:Address.state @<string>?; # Sub-unit of country (abbreviations # ok) fhir:Address.postalCode @<string>?; # Postal code for area fhir:Address.country @<string>?; # Country (e.g. can be ISO 3166 2 or # 3 letter code) fhir:Address.period @<Period>?; # Time period when address was/is in # use fhir:index xsd:integer? # Relative position in a list } # Content in a format defined elsewhere <Attachment> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:Attachment.contentType @<code>?; # Mime type of the content, with # charset etc. fhir:Attachment.language @<code>?; # Human language of the content # (BCP-47) fhir:Attachment.data @<base64Binary>?; # Data inline, base64ed fhir:Attachment.url @<uri>?; # Uri where the data can be found fhir:Attachment.size @<unsignedInt>?; # Number of bytes of content (if url # provided) fhir:Attachment.hash @<base64Binary>?; # Hash of the data (sha-1, base64ed) fhir:Attachment.title @<string>?; # Label to display in place of the # data fhir:Attachment.creation @<dateTime>?; # Date attachment was first created fhir:index xsd:integer? # Relative position in a list } # Primitive Type integer <integer> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:value xsd:integer MININCLUSIVE "-2147483648"^^xsd:integer MAXINCLUSIVE "2147483647"^^xsd:integer?; # Primitive value for integer fhir:index xsd:integer? # Relative position in a list } # Primitive Type oid <oid> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:value xsd:string?; # Primitive value for oid fhir:index xsd:integer? # Relative position in a list } # A measured or measurable amount <Count> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:Quantity.value @<decimal>?; # Numerical value (with implicit # precision) fhir:Quantity.comparator @<code> AND {fhir:value @fhirvs:quantity-comparator}?; # < | <= | >= | > - how to # understand the value fhir:Quantity.unit @<string>?; # Unit representation fhir:Quantity.system @<uri>?; # System that defines coded unit form fhir:Quantity.code @<code>?; # Coded form of the unit fhir:index xsd:integer? # Relative position in a list } # Primitive Type instant <instant> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:value xsd:dateTime?; # Primitive value for instant fhir:index xsd:integer? # Relative position in a list } # Details of a Technology mediated contact point (phone, fax, email, etc.) <ContactPoint> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:ContactPoint.system @<code> AND {fhir:value @fhirvs:contact-point-system}?; # phone | fax | email | pager | url # | sms | other fhir:ContactPoint.value @<string>?; # The actual contact point details fhir:ContactPoint.use @<code> AND {fhir:value @fhirvs:contact-point-use}?; # home | work | temp | old | mobile # - purpose of this contact point fhir:ContactPoint.rank @<positiveInt>?; # Specify preferred order of use (1 # = highest) fhir:ContactPoint.period @<Period>?; # Time period when the contact point # was/is in use fhir:index xsd:integer? # Relative position in a list } # Name of a human - parts and usage <HumanName> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:HumanName.use @<code> AND {fhir:value @fhirvs:name-use}?; # usual | official | temp | nickname # | anonymous | old | maiden fhir:HumanName.text @<string>?; # Text representation of the full # name fhir:HumanName.family @<string>?; # Family name (often called # 'Surname') fhir:HumanName.given @<string>*; # Given names (not always 'first'). # Includes middle names fhir:HumanName.prefix @<string>*; # Parts that come before the name fhir:HumanName.suffix @<string>*; # Parts that come after the name fhir:HumanName.period @<Period>?; # Time period when name was/is in use fhir:index xsd:integer? # Relative position in a list } # An amount of economic utility in some recognized currency <Money> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:Quantity.value @<decimal>?; # Numerical value (with implicit # precision) fhir:Quantity.comparator @<code> AND {fhir:value @fhirvs:quantity-comparator}?; # < | <= | >= | > - how to # understand the value fhir:Quantity.unit @<string>?; # Unit representation fhir:Quantity.system @<uri>?; # System that defines coded unit form fhir:Quantity.code @<code>?; # Coded form of the unit fhir:index xsd:integer? # Relative position in a list } # A reference to a code defined by a terminology system <Coding> CLOSED { a NONLITERAL?; fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:Coding.system @<uri>?; # Identity of the terminology system fhir:Coding.version @<string>?; # Version of the system - if relevant fhir:Coding.code @<code>?; # Symbol in syntax defined by the # system fhir:Coding.display @<string>?; # Representation defined by the # system fhir:Coding.userSelected @<boolean>?; # If this coding was chosen directly # by the user fhir:index xsd:integer? # Relative position in a list } # Primitive Type markdown <markdown> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:value xsd:string?; # Primitive value for markdown fhir:index xsd:integer? # Relative position in a list } # A series of measurements taken by a device <SampledData> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:SampledData.origin @<SimpleQuantity>; # Zero value and units fhir:SampledData.period @<decimal>; # Number of milliseconds between # samples fhir:SampledData.factor @<decimal>?; # Multiply data by this before # adding to origin fhir:SampledData.lowerLimit @<decimal>?; # Lower limit of detection fhir:SampledData.upperLimit @<decimal>?; # Upper limit of detection fhir:SampledData.dimensions @<positiveInt>; # Number of sample points at each # time point fhir:SampledData.data @<string>; # Decimal values with spaces, or "E" # | "U" | "L" fhir:index xsd:integer? # Relative position in a list } # A ratio of two Quantity values - a numerator and a denominator <Ratio> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:Ratio.numerator @<Quantity>?; # Numerator value fhir:Ratio.denominator @<Quantity>?; # Denominator value fhir:index xsd:integer? # Relative position in a list } # A duration of time during which an organism (or a process) has existed <Age> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:Quantity.value @<decimal>?; # Numerical value (with implicit # precision) fhir:Quantity.comparator @<code> AND {fhir:value @fhirvs:quantity-comparator}?; # < | <= | >= | > - how to # understand the value fhir:Quantity.unit @<string>?; # Unit representation fhir:Quantity.system @<uri>?; # System that defines coded unit form fhir:Quantity.code @<code>?; # Coded form of the unit fhir:index xsd:integer? # Relative position in a list } # A length - a value with a unit that is a physical distance <Distance> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:Quantity.value @<decimal>?; # Numerical value (with implicit # precision) fhir:Quantity.comparator @<code> AND {fhir:value @fhirvs:quantity-comparator}?; # < | <= | >= | > - how to # understand the value fhir:Quantity.unit @<string>?; # Unit representation fhir:Quantity.system @<uri>?; # System that defines coded unit form fhir:Quantity.code @<code>?; # Coded form of the unit fhir:index xsd:integer? # Relative position in a list } # A measured or measurable amount <Quantity> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:Quantity.value @<decimal>?; # Numerical value (with implicit # precision) fhir:Quantity.comparator @<code> AND {fhir:value @fhirvs:quantity-comparator}?; # < | <= | >= | > - how to # understand the value fhir:Quantity.unit @<string>?; # Unit representation fhir:Quantity.system @<uri>?; # System that defines coded unit form fhir:Quantity.code @<code>?; # Coded form of the unit fhir:index xsd:integer? # Relative position in a list } # Set of values bounded by low and high <Range> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:Range.low @<SimpleQuantity>?; # Low limit fhir:Range.high @<SimpleQuantity>?; # High limit fhir:index xsd:integer? # Relative position in a list } # Primitive Type base64Binary <base64Binary> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:value xsd:base64Binary?; # Primitive value for base64Binary fhir:index xsd:integer? # Relative position in a list } # A digital Signature - XML DigSig, JWT, Graphical image of signature, etc. <Signature> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:Signature.type @<Coding>+; # Indication of the reason the # entity signed the object(s) fhir:Signature.when @<instant>; # When the signature was created ( # Who signed fhir:Signature.whoUri @<uri> | fhir:Signature.whoReference @<Reference> | fhir:Signature.whoReference @<Reference> | fhir:Signature.whoReference @<Reference> | fhir:Signature.whoReference @<Reference> | fhir:Signature.whoReference @<Reference> ); ( # The party represented fhir:Signature.onBehalfOfUri @<uri> | fhir:Signature.onBehalfOfReference @<Reference> | fhir:Signature.onBehalfOfReference @<Reference> | fhir:Signature.onBehalfOfReference @<Reference> | fhir:Signature.onBehalfOfReference @<Reference> | fhir:Signature.onBehalfOfReference @<Reference> )?; fhir:Signature.contentType @<code>?; # The technical format of the # signature fhir:Signature.blob @<base64Binary>?; # The actual signature content (XML # DigSig. JWT, picture, etc.) fhir:index xsd:integer? # Relative position in a list } # Primitive Type unsignedInt <unsignedInt> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:value xsd:nonNegativeInteger?; # Primitive value for unsignedInt fhir:index xsd:integer? # Relative position in a list } # A timing schedule that specifies an event that may occur multiple times <Timing> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:Timing.event @<dateTime>*; # When the event occurs fhir:Timing.repeat @<Timing.repeat>?; # When the event is to occur fhir:Timing.code @<CodeableConcept>?; # BID | TID | QID | AM | PM | QD | # QOD | Q4H | Q6H + fhir:index xsd:integer? # Relative position in a list } # Primitive Type time <time> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:value xsd:time?; # Primitive value for time fhir:index xsd:integer? # Relative position in a list } # Primitive Type decimal <decimal> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations fhir:value xsd:decimal?; # Primitive value for decimal fhir:index xsd:integer? # Relative position in a list } # When the event is to occur <Timing.repeat> CLOSED { fhir:Element.id @<string>?; # xml:id (or equivalent in JSON) fhir:Element.extension @<Extension>*; # Additional Content defined by # implementations ( # Length/Range of lengths, or (Start # and/or end) limits fhir:Timing.repeat.boundsDuration @<Duration> | fhir:Timing.repeat.boundsRange @<Range> | fhir:Timing.repeat.boundsPeriod @<Period> )?; fhir:Timing.repeat.count @<integer>?; # Number of times to repeat fhir:Timing.repeat.countMax @<integer>?; # Maximum number of times to repeat fhir:Timing.repeat.duration @<decimal>?; # How long when it happens fhir:Timing.repeat.durationMax @<decimal>?; # How long when it happens (Max) fhir:Timing.repeat.durationUnit @<code> AND {fhir:value @fhirvs:units-of-time}?; # s | min | h | d | wk | mo | a - # unit of time (UCUM) fhir:Timing.repeat.frequency @<integer>?; # Event occurs frequency times per # period fhir:Timing.repeat.frequencyMax @<integer>?; # Event occurs up to frequencyMax # times per period fhir:Timing.repeat.period @<decimal>?; # Event occurs frequency times per # period fhir:Timing.repeat.periodMax @<decimal>?; # Upper limit of period (3-4 hours) fhir:Timing.repeat.periodUnit @<code> AND {fhir:value @fhirvs:units-of-time}?; # s | min | h | d | wk | mo | a - # unit of time (UCUM) fhir:Timing.repeat.dayOfWeek @<code> AND {fhir:value @fhirvs:days-of-week}*; # mon | tue | wed | thu | fri | sat # | sun fhir:Timing.repeat.timeOfDay @<time>*; # Time of day for action fhir:Timing.repeat.when @<code> AND {fhir:value @fhirvs:event-timing}*; # Regular life events the event is # tied to fhir:Timing.repeat.offset @<unsignedInt>?; # Minutes from event (before or # after) fhir:index xsd:integer? # Relative position in a list } #---------------------- Reference Types ------------------- <ConditionReference> CLOSED { fhir:Element.id @<id>?; fhir:Element.extension @<Extension>*; fhir:link @<Condition> OR CLOSED {a [fhir:Condition]}?; fhir:Reference.reference @<string>?; fhir:Reference.display @<string>?; fhir:index xsd:integer? } <Condition> { a [fhir:Condition]; fhir:nodeRole [fhir:treeRoot]? } <ReferralRequestReference> CLOSED { fhir:Element.id @<id>?; fhir:Element.extension @<Extension>*; fhir:link @<ReferralRequest> OR CLOSED {a [fhir:ReferralRequest]}?; fhir:Reference.reference @<string>?; fhir:Reference.display @<string>?; fhir:index xsd:integer? } <ReferralRequest> { a [fhir:ReferralRequest]; fhir:nodeRole [fhir:treeRoot]? } <GroupReference> CLOSED { fhir:Element.id @<id>?; fhir:Element.extension @<Extension>*; fhir:link @<Group> OR CLOSED {a [fhir:Group]}?; fhir:Reference.reference @<string>?; fhir:Reference.display @<string>?; fhir:index xsd:integer? } <Group> { a [fhir:Group]; fhir:nodeRole [fhir:treeRoot]? } <MedicationRequestReference> CLOSED { fhir:Element.id @<id>?; fhir:Element.extension @<Extension>*; fhir:link @<MedicationRequest> OR CLOSED {a [fhir:MedicationRequest]}?; fhir:Reference.reference @<string>?; fhir:Reference.display @<string>?; fhir:index xsd:integer? } <OrganizationReference> CLOSED { fhir:Element.id @<id>?; fhir:Element.extension @<Extension>*; fhir:link @<Organization> OR CLOSED {a [fhir:Organization]}?; fhir:Reference.reference @<string>?; fhir:Reference.display @<string>?; fhir:index xsd:integer? } <Organization> { a [fhir:Organization]; fhir:nodeRole [fhir:treeRoot]? } <DeviceReference> CLOSED { fhir:Element.id @<id>?; fhir:Element.extension @<Extension>*; fhir:link @<Device> OR CLOSED {a [fhir:Device]}?; fhir:Reference.reference @<string>?; fhir:Reference.display @<string>?; fhir:index xsd:integer? } <Device> { a [fhir:Device]; fhir:nodeRole [fhir:treeRoot]? } <ProcedureRequestReference> CLOSED { fhir:Element.id @<id>?; fhir:Element.extension @<Extension>*; fhir:link @<ProcedureRequest> OR CLOSED {a [fhir:ProcedureRequest]}?; fhir:Reference.reference @<string>?; fhir:Reference.display @<string>?; fhir:index xsd:integer? } <ProcedureRequest> { a [fhir:ProcedureRequest]; fhir:nodeRole [fhir:treeRoot]? } <PatientReference> CLOSED { fhir:Element.id @<id>?; fhir:Element.extension @<Extension>*; fhir:link @<Patient> OR CLOSED {a [fhir:Patient]}?; fhir:Reference.reference @<string>?; fhir:Reference.display @<string>?; fhir:index xsd:integer? } <Patient> { a [fhir:Patient]; fhir:nodeRole [fhir:treeRoot]? } <RelatedPersonReference> CLOSED { fhir:Element.id @<id>?; fhir:Element.extension @<Extension>*; fhir:link @<RelatedPerson> OR CLOSED {a [fhir:RelatedPerson]}?; fhir:Reference.reference @<string>?; fhir:Reference.display @<string>?; fhir:index xsd:integer? } <RelatedPerson> { a [fhir:RelatedPerson]; fhir:nodeRole [fhir:treeRoot]? } <PractitionerReference> CLOSED { fhir:Element.id @<id>?; fhir:Element.extension @<Extension>*; fhir:link @<Practitioner> OR CLOSED {a [fhir:Practitioner]}?; fhir:Reference.reference @<string>?; fhir:Reference.display @<string>?; fhir:index xsd:integer? } <Practitioner> { a [fhir:Practitioner]; fhir:nodeRole [fhir:treeRoot]? } <CarePlanReference> CLOSED { fhir:Element.id @<id>?; fhir:Element.extension @<Extension>*; fhir:link @<CarePlan> OR CLOSED {a [fhir:CarePlan]}?; fhir:Reference.reference @<string>?; fhir:Reference.display @<string>?; fhir:index xsd:integer? } <CarePlan> { a [fhir:CarePlan]; fhir:nodeRole [fhir:treeRoot]? } <EpisodeOfCareReference> CLOSED { fhir:Element.id @<id>?; fhir:Element.extension @<Extension>*; fhir:link @<EpisodeOfCare> OR CLOSED {a [fhir:EpisodeOfCare]}?; fhir:Reference.reference @<string>?; fhir:Reference.display @<string>?; fhir:index xsd:integer? } <EpisodeOfCare> { a [fhir:EpisodeOfCare]; fhir:nodeRole [fhir:treeRoot]? } <ObservationReference> CLOSED { fhir:Element.id @<id>?; fhir:Element.extension @<Extension>*; fhir:link @<Observation> OR CLOSED {a [fhir:Observation]}?; fhir:Reference.reference @<string>?; fhir:Reference.display @<string>?; fhir:index xsd:integer? } <Observation> { a [fhir:Observation]; fhir:nodeRole [fhir:treeRoot]? } <PlanDefinitionReference> CLOSED { fhir:Element.id @<id>?; fhir:Element.extension @<Extension>*; fhir:link @<PlanDefinition> OR CLOSED {a [fhir:PlanDefinition]}?; fhir:Reference.reference @<string>?; fhir:Reference.display @<string>?; fhir:index xsd:integer? } <PlanDefinition> { a [fhir:PlanDefinition]; fhir:nodeRole [fhir:treeRoot]? } <EncounterReference> CLOSED { fhir:Element.id @<id>?; fhir:Element.extension @<Extension>*; fhir:link @<Encounter> OR CLOSED {a [fhir:Encounter]}?; fhir:Reference.reference @<string>?; fhir:Reference.display @<string>?; fhir:index xsd:integer? } <Encounter> { a [fhir:Encounter]; fhir:nodeRole [fhir:treeRoot]? } <ActivityDefinitionReference> CLOSED { fhir:Element.id @<id>?; fhir:Element.extension @<Extension>*; fhir:link @<ActivityDefinition> OR CLOSED {a [fhir:ActivityDefinition]}?; fhir:Reference.reference @<string>?; fhir:Reference.display @<string>?; fhir:index xsd:integer? } <ActivityDefinition> { a [fhir:ActivityDefinition]; fhir:nodeRole [fhir:treeRoot]? } #---------------------- Value Sets ------------------------ # The status of a resource narrative fhirvs:narrative-status ["generated" "extensions" "additional" "empty"] # Use of contact point fhirvs:contact-point-use ["home" "work" "temp" "old" "mobile"] # The kind of medication order fhirvs:medication-request-intent ["proposal" "plan" "order" "instance-order"] # The days of the week. fhirvs:days-of-week ["mon" "tue" "wed" "thu" "fri" "sat" "sun"] # How the Quantity should be understood and represented. fhirvs:quantity-comparator ["<" "<=" ">=" ">"] # Identifies the level of importance to be assigned to actioning the request fhirvs:medication-request-priority ["routine" "urgent" "stat" "asap"] # The type of an address (physical / postal) fhirvs:address-type ["postal" "physical" "both"] # Real world event relating to the schedule. fhirvs:event-timing ["MORN" "AFT" "EVE" "NIGHT" "PHS" "HS" "WAKE" "C" "CM" "CD" "CV" "AC" "ACM" "ACD" "ACV" "PC" "PCM" "PCD" "PCV"] # Identifies the purpose for this identifier, if known . fhirvs:identifier-use ["usual" "official" "temp" "secondary"] # A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription fhirvs:medication-request-status ["active" "on-hold" "cancelled" "completed" "entered-in-error" "stopped" "draft" "unknown"] # A unit of time (units from UCUM). fhirvs:units-of-time ["s" "min" "h" "d" "wk" "mo" "a"] # The use of an address fhirvs:address-use ["home" "work" "temp" "old"] # The use of a human name fhirvs:name-use ["usual" "official" "temp" "nickname" "anonymous" "old" "maiden"] # Telecommunications form for contact point fhirvs:contact-point-system ["phone" "fax" "email" "pager" "url" "sms" "other"]
PREFIX fhir: <http://hl7.org/fhir/> 
PREFIX fhirvs: <http://hl7.org/fhir/ValueSet/>
PREFIX xsd: <http://www.w3.org/2001/XMLSchema#> 
PREFIX rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> 
# ShEx Version 2.2
IMPORT <Code.shex>
IMPORT <Group.shex>
IMPORT <Range.shex>
IMPORT <Device.shex>
IMPORT <Period.shex>
IMPORT <Boolean.shex>
IMPORT <Patient.shex>
IMPORT <DateTime.shex>
IMPORT <Duration.shex>
IMPORT <Quantity.shex>
IMPORT <Location.shex>
IMPORT <CarePlan.shex>
IMPORT <Resource.shex>
IMPORT <CareTeam.shex>
IMPORT <Coverage.shex>
IMPORT <Reference.shex>
IMPORT <Encounter.shex>
IMPORT <Identifier.shex>
IMPORT <Annotation.shex>
IMPORT <Provenance.shex>
IMPORT <UnsignedInt.shex>
IMPORT <Organization.shex>
IMPORT <Practitioner.shex>
IMPORT <RelatedPerson.shex>
IMPORT <DosageDetails.shex>
IMPORT <ClaimResponse.shex>
IMPORT <DomainResource.shex>
IMPORT <ServiceRequest.shex>
IMPORT <CodeableConcept.shex>
IMPORT <BackboneElement.shex>
IMPORT <PractitionerRole.shex>
IMPORT <DeviceDefinition.shex>
IMPORT <CodeableReference.shex>
IMPORT <HealthcareService.shex>
IMPORT <RequestOrchestration.shex>
start=@<MedicationRequest> AND {fhir:nodeRole [fhir:treeRoot]}
# Ordering of medication for patient or group
<MedicationRequest> EXTENDS @<DomainResource> CLOSED {   
    a [fhir:MedicationRequest]?;fhir:nodeRole [fhir:treeRoot]?;
    fhir:identifier @<OneOrMore_Identifier>?;  # External ids for this request
    fhir:basedOn @<OneOrMore_Reference_CarePlan_OR_MedicationRequest_OR_RequestOrchestration_OR_ServiceRequest>?;  # A plan or request that is 
                                            # fulfilled in whole or in part by 
                                            # this medication request 
    fhir:priorPrescription @<Reference> AND {fhir:l 
    			@<MedicationRequest> ? }?;  # Reference to an order/prescription 
                                            # that is being replaced by this 
                                            # MedicationRequest 
    fhir:groupIdentifier @<Identifier>?;    # Composite request this is part of
    fhir:status @<Code> AND
    	{fhir:v @fhirvs:medicationrequest-status};  # active | on-hold | ended | stopped 
                                            # | completed | cancelled | 
                                            # entered-in-error | draft | unknown 
    fhir:statusReason @<CodeableConcept>?;  # Reason for current status
    fhir:statusChanged @<DateTime>?;        # When the status was changed
    fhir:intent @<Code> AND
    	{fhir:v @fhirvs:medicationrequest-intent};  # proposal | plan | order | 
                                            # original-order | reflex-order | 
                                            # filler-order | instance-order | 
                                            # option (immutable) 
    fhir:category @<OneOrMore_CodeableConcept>?;  # Grouping or category of medication 
                                            # request 
    fhir:priority @<Code> AND
    	{fhir:v @fhirvs:request-priority}?;  # routine | urgent | asap | stat
    fhir:doNotPerform @<Boolean>?;          # If true, indicates the provider is 
                                            # ordering a patient should not take 
                                            # the specified medication 
    fhir:medication @<CodeableReference>;   # Medication to be taken
    fhir:subject @<Reference> AND {fhir:l 
    			@<Group> OR 
    			@<Patient> ? };  # Individual or group for whom the 
                                            # medication has been requested 
    fhir:informationSource @<OneOrMore_Reference_Group_OR_Organization_OR_Patient_OR_Practitioner_OR_PractitionerRole_OR_RelatedPerson>?;  # The person or organization who 
                                            # provided the information about 
                                            # this request, if the source is 
                                            # someone other than the requestor 
    fhir:encounter @<Reference> AND {fhir:l 
    			@<Encounter> ? }?;  # Encounter created as part of 
                                            # encounter/admission/stay 
    fhir:supportingInformation @<OneOrMore_Reference_Resource>?;  # Information to support fulfilling 
                                            # of the medication 
    fhir:authoredOn @<DateTime>?;           # When request was initially authored
    fhir:requester @<Reference> AND {fhir:l 
    			@<Device> OR 
    			@<Organization> OR 
    			@<Patient> OR 
    			@<Practitioner> OR 
    			@<PractitionerRole> OR 
    			@<RelatedPerson> ? }?;  # Who/What requested the Request
    fhir:isRecordOfRequest @<Boolean>?;     # Whether this is record of a 
                                            # Medication Request or the actual 
                                            # request itself 
    fhir:performerType @<CodeableConcept>?;  # Desired kind of performer of the 
                                            # medication administration 
    fhir:performer @<OneOrMore_Reference_CareTeam_OR_DeviceDefinition_OR_Group_OR_HealthcareService_OR_Organization_OR_Patient_OR_Practitioner_OR_PractitionerRole_OR_RelatedPerson>?;  # Intended performer of 
                                            # administration 
    fhir:device @<OneOrMore_CodeableReference>?;  # Intended type of device for the 
                                            # administration 
    fhir:recorder @<Reference> AND {fhir:l 
    			@<Practitioner> OR 
    			@<PractitionerRole> ? }?;  # Person who entered the request
    fhir:reason @<OneOrMore_CodeableReference>?;  # Reason or indication for ordering 
                                            # or not ordering the medication 
    fhir:courseOfTherapyType @<CodeableConcept>?;  # Overall pattern of medication 
                                            # administration 
    fhir:insurance @<OneOrMore_Reference_ClaimResponse_OR_Coverage>?;  # Associated insurance coverage
    fhir:note @<OneOrMore_Annotation>?;     # Information about the prescription
    fhir:effectiveTiming @<Duration>  OR 
    			@<Range>  OR 
    			@<Period>  ?;  # Period over which the medication 
                                            # is to be taken, can be specified 
                                            # as a duration or a range 
    fhir:dosageInstruction @<DosageDetails>?;  # Specific instructions for how the 
                                            # medication should be taken 
    fhir:dispenseRequest @<MedicationRequest.dispenseRequest>?;  # Medication supply authorization
    fhir:substitution @<MedicationRequest.substitution>?;  # Any restrictions on medication 
                                            # substitution 
    fhir:eventHistory @<OneOrMore_Reference_Provenance>?;  # A list of events of interest in 
                                            # the lifecycle 
}  
# Medication supply authorization
<MedicationRequest.dispenseRequest> EXTENDS @<BackboneElement> CLOSED {   
    fhir:initialFill @<MedicationRequest.dispenseRequest.initialFill>?;  # First fill details
    fhir:dispenseInterval @<Duration>?;     # Minimum period of time between 
                                            # dispenses 
    fhir:validityPeriod @<Period>?;         # Time period supply is authorized 
                                            # for 
    fhir:numberOfRepeatsAllowed @<UnsignedInt>?;  # Number of refills authorized
    fhir:quantity @<Quantity>?;             # Amount of medication to supply per 
                                            # dispense 
    fhir:expectedSupplyDuration @<Duration>?;  # Number of days supply per dispense
    fhir:dispenser @<Reference> AND {fhir:l 
    			@<Organization> ? }?;  # Intended performer of dispense
    fhir:dispenserInstruction @<OneOrMore_CodeableConcept>?;  # Additional information for the 
                                            # dispenser 
    fhir:doseAdministrationAid @<CodeableConcept>?;  # Type of adherence packaging to use 
                                            # for the dispense 
    fhir:destination @<Reference> AND {fhir:l 
    			@<Location> ? }?;  # Where the medication is expected 
                                            # to be delivered 
}  
# First fill details
<MedicationRequest.dispenseRequest.initialFill> EXTENDS @<BackboneElement> CLOSED {   
    fhir:quantity @<Quantity>?;             # First fill quantity
    fhir:duration @<Duration>?;             # First fill duration
}  
# Any restrictions on medication substitution
<MedicationRequest.substitution> EXTENDS @<BackboneElement> CLOSED {   
    fhir:allowed @<Boolean>  OR 
    			@<CodeableConcept>  ;  # Whether substitution is allowed or 
                                            # not 
    fhir:reason @<CodeableConcept>?;        # Why should (not) substitution be 
                                            # made 
}  
#---------------------- Cardinality Types (OneOrMore) -------------------
<OneOrMore_Identifier> CLOSED {
    rdf:first @<Identifier>  ;
    rdf:rest [rdf:nil] OR @<OneOrMore_Identifier> 
}
<OneOrMore_Reference_CarePlan_OR_MedicationRequest_OR_RequestOrchestration_OR_ServiceRequest> CLOSED {
    rdf:first @<Reference> AND {fhir:l 
			@<CarePlan> OR 
			@<MedicationRequest> OR 
			@<RequestOrchestration> OR 
			@<ServiceRequest> } ;
    rdf:rest [rdf:nil] OR @<OneOrMore_Reference_CarePlan_OR_MedicationRequest_OR_RequestOrchestration_OR_ServiceRequest> 
}
<OneOrMore_CodeableConcept> CLOSED {
    rdf:first @<CodeableConcept>  ;
    rdf:rest [rdf:nil] OR @<OneOrMore_CodeableConcept> 
}
<OneOrMore_Reference_Group_OR_Organization_OR_Patient_OR_Practitioner_OR_PractitionerRole_OR_RelatedPerson> CLOSED {
    rdf:first @<Reference> AND {fhir:l 
			@<Group> OR 
			@<Organization> OR 
			@<Patient> OR 
			@<Practitioner> OR 
			@<PractitionerRole> OR 
			@<RelatedPerson> } ;
    rdf:rest [rdf:nil] OR @<OneOrMore_Reference_Group_OR_Organization_OR_Patient_OR_Practitioner_OR_PractitionerRole_OR_RelatedPerson> 
}
<OneOrMore_Reference_Resource> CLOSED {
    rdf:first @<Reference> AND {fhir:l 
			@<Resource> } ;
    rdf:rest [rdf:nil] OR @<OneOrMore_Reference_Resource> 
}
<OneOrMore_Reference_CareTeam_OR_DeviceDefinition_OR_Group_OR_HealthcareService_OR_Organization_OR_Patient_OR_Practitioner_OR_PractitionerRole_OR_RelatedPerson> CLOSED {
    rdf:first @<Reference> AND {fhir:l 
			@<CareTeam> OR 
			@<DeviceDefinition> OR 
			@<Group> OR 
			@<HealthcareService> OR 
			@<Organization> OR 
			@<Patient> OR 
			@<Practitioner> OR 
			@<PractitionerRole> OR 
			@<RelatedPerson> } ;
    rdf:rest [rdf:nil] OR @<OneOrMore_Reference_CareTeam_OR_DeviceDefinition_OR_Group_OR_HealthcareService_OR_Organization_OR_Patient_OR_Practitioner_OR_PractitionerRole_OR_RelatedPerson> 
}
<OneOrMore_CodeableReference> CLOSED {
    rdf:first @<CodeableReference>  ;
    rdf:rest [rdf:nil] OR @<OneOrMore_CodeableReference> 
}
<OneOrMore_Reference_ClaimResponse_OR_Coverage> CLOSED {
    rdf:first @<Reference> AND {fhir:l 
			@<ClaimResponse> OR 
			@<Coverage> } ;
    rdf:rest [rdf:nil] OR @<OneOrMore_Reference_ClaimResponse_OR_Coverage> 
}
<OneOrMore_Annotation> CLOSED {
    rdf:first @<Annotation>  ;
    rdf:rest [rdf:nil] OR @<OneOrMore_Annotation> 
}
<OneOrMore_Reference_Provenance> CLOSED {
    rdf:first @<Reference> AND {fhir:l 
			@<Provenance> } ;
    rdf:rest [rdf:nil] OR @<OneOrMore_Reference_Provenance> 
}
#---------------------- Value Sets ------------------------
# MedicationRequest Intent Codes
fhirvs:medicationrequest-intent ["proposal" "plan" "order" "original-order" "reflex-order" "filler-order" "instance-order" "option"]
# MedicationRequest Status Codes
fhirvs:medicationrequest-status ["active" "on-hold" "ended" "stopped" "completed" "cancelled" "entered-in-error" "draft" "unknown"]
# Identifies the level of importance to be assigned to actioning the request.
fhirvs:request-priority ["routine" "urgent" "asap" "stat"]


Usage note: every effort has been made to ensure that the ShEx files are correct and useful, but they are not a normative part of the specification.