NP Core MedicationRequest

Sets minimum expectations for representing a medication prescription or order in Nepal.

Canonical URL: http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-medicationrequest
Resource / type: MedicationRequest
Based on: http://hl7.org/fhir/StructureDefinition/MedicationRequest
Claim conformance: Put the canonical URL in meta.profile of each instance.

Required elements

“Always” means the element must be present in every instance. Otherwise it is required only when its parent element is present.

Element	Card.	When
`MedicationRequest.status` active \| on-hold \| cancelled \| completed \| entered-in-error \| stopped \| draft \| unknown	1..1	Always
`MedicationRequest.intent` proposal \| plan \| order \| original-order \| reflex-order \| filler-order \| instance-order \| option	1..1	Always
`MedicationRequest.medication[x]` Medication to be taken	1..1	Always
`MedicationRequest.subject` Who or group medication request is for	1..1	Always
`MedicationRequest.substitution.allowed[x]` Whether substitution is allowed or not	1..1	If parent present

Must-support elements

If your system has this data it SHALL send it, and receivers SHALL process it. Must-support does not by itself make an element mandatory.

MedicationRequest.status
MedicationRequest.intent
MedicationRequest.medication[x]
MedicationRequest.medication[x]:medicationReference
MedicationRequest.medication[x]:medicationCodeableConcept
MedicationRequest.subject
MedicationRequest.encounter
MedicationRequest.requester
MedicationRequest.reasonReference

Terminology bindings

required: codes SHALL come from the value set · extensible: use the value set if a suitable code exists · preferred / example: guidance only.

Element	Strength	Value set
`MedicationRequest.language`	preferred	http://hl7.org/fhir/ValueSet/languages
`MedicationRequest.status`	required	http://hl7.org/fhir/ValueSet/medicationrequest-status
`MedicationRequest.statusReason`	example	http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
`MedicationRequest.intent`	required	http://hl7.org/fhir/ValueSet/medicationrequest-intent
`MedicationRequest.category`	example	http://hl7.org/fhir/ValueSet/medicationrequest-category
`MedicationRequest.priority`	required	http://hl7.org/fhir/ValueSet/request-priority
`MedicationRequest.medication[x]`	example	http://hl7.org/fhir/ValueSet/medication-codes
`MedicationRequest.medication[x]:medicationCodeableConcept`	preferred	Nepal Drug Value Set http://fhir.digitalhealth.gov.np/core/ValueSet/nepal-drug-vs
`MedicationRequest.performerType`	example	http://hl7.org/fhir/ValueSet/performer-role
`MedicationRequest.reasonCode`	example	http://hl7.org/fhir/ValueSet/condition-code
`MedicationRequest.courseOfTherapyType`	example	http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
`MedicationRequest.substitution.allowed[x]`	example	http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
`MedicationRequest.substitution.reason`	example	http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Official examples

MedicationRequest/ExampleNPCoreMedicationRequest

View in IG ↗

{
  "resourceType": "MedicationRequest",
  "id": "ExampleNPCoreMedicationRequest",
  "meta": {
    "profile": [
      "http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-medicationrequest"
    ]
  },
  "status": "active",
  "intent": "order",
  "medicationReference": {
    "reference": "Medication/ExampleNPCoreMedication"
  },
  "subject": {
    "reference": "Patient/ExampleNPCorePatient"
  },
  "encounter": {
    "reference": "Encounter/ExampleNPCoreEncounter"
  },
  "authoredOn": "2026-05-10",
  "requester": {
    "reference": "Practitioner/ExampleNPCorePractitioner"
  },
  "reasonReference": [
    {
      "reference": "Condition/ExampleNPCoreCondition"
    }
  ],
  "dosageInstruction": [
    {
      "text": "Take one tablet by mouth once daily",
      "timing": {
        "repeat": {
          "frequency": 1,
          "period": 1,
          "periodUnit": "d"
        }
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "26643006",
            "display": "Oral route"
          }
        ]
      },
      "doseAndRate": [
        {
          "doseQuantity": {
            "value": 1,
            "unit": "tablet",
            "system": "http://snomed.info/sct",
            "code": "385055001"
          }
        }
      ]
    }
  ],
  "dispenseRequest": {
    "quantity": {
      "value": 30,
      "unit": "tablet",
      "system": "http://snomed.info/sct",
      "code": "385055001"
    }
  }
}

Narrative (text) removed for readability.