Item
Medication Request Status
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C0449438 (UMLS CUI [1,3])
Code List
Medication Request Status
CL Item
Active (active)
The prescription is 'actionable', but not all actions that are implied by it have occurred yet. (Comment:en)
CL Item
On Hold (on-hold)
Actions implied by the prescription are to be temporarily halted, but are expected to continue later. May also be called 'suspended'. (Comment:en)
CL Item
Cancelled (cancelled)
The prescription has been withdrawn before any administrations have occurred (Comment:en)
CL Item
Completed (completed)
All actions that are implied by the prescription have occurred. (Comment:en)
CL Item
Entered in Error (entered-in-error)
Some of the actions that are implied by the medication request may have occurred. For example, the medication may have been dispensed and the patient may have taken some of the medication. Clinical decision support systems should take this status into account (Comment:en)
CL Item
Stopped (stopped)
Actions implied by the prescription are to be permanently halted, before all of the administrations occurred. This should not be used if the original order was entered in error (Comment:en)
CL Item
Draft (draft)
The prescription is not yet 'actionable', e.g. it is a work in progress, requires sign-off, verification or needs to be run through decision support process. (Comment:en)
CL Item
Unknown (unknown)
The authoring/source system does not know which of the status values currently applies for this observation. Note: This concept is not to be used for 'other' - one of the listed statuses is presumed to apply, but the authoring/source system does not know which. (Comment:en)
Item
Reason for the current state of the medication request
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C0449438 (UMLS CUI [1,3])
C0566251 (UMLS CUI [1,4])
Code List
Reason for the current state of the medication request
CL Item
Try another treatment first (altchoice)
This therapy has been ordered as a backup to a preferred therapy. This order will be released when and if the preferred therapy is unsuccessful. (Comment:en)
CL Item
Prescription requires clarification (clarif)
Clarification is required before the order can be acted upon. (Comment:en)
CL Item
Drug level too high (drughigh)
The current level of the medication in the patient's system is too high. The medication is suspended to allow the level to subside to a safer level. (Comment:en)
CL Item
Admission to hospital (hospadm)
The patient has been admitted to a care facility and their community medications are suspended until hospital discharge. (Comment:en)
CL Item
Lab interference issues (labint)
The therapy would interfere with a planned lab test and the therapy is being withdrawn until the test is completed. (Comment:en)
CL Item
Patient not available (non-avail)
Patient not available for a period of time due to a scheduled therapy, leave of absence or other reason. (Comment:en)
CL Item
Parent is pregnant/breast feeding (preg)
The patient is pregnant or breast feeding. The therapy will be resumed when the pregnancy is complete and the patient is no longer breastfeeding. (Comment:en)
CL Item
Allergy (salg)
The patient is believed to be allergic to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm. (Comment:en)
CL Item
Drug interacts with another drug (sddi)
The drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete. (Comment:en)
CL Item
Duplicate therapy (sdupther)
The drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete. (Comment:en)
CL Item
Suspected intolerance (sintol)
The drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete. (Comment:en)
CL Item
Patient scheduled for surgery. (surg)
The drug is contraindicated for patients receiving surgery and the patient is scheduled to be admitted for surgery in the near future. The drug will be resumed when the patient has sufficiently recovered from the surgery. (Comment:en)
CL Item
Waiting for old drug to wash out (washout)
The patient was previously receiving a medication contraindicated with the current medication. The current medication will remain on hold until the prior medication has been cleansed from their system. (Comment:en)
Item
Intention of the request
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C0162425 (UMLS CUI [1,3])
Code List
Intention of the request
CL Item
Proposal (proposal)
The request is a suggestion made by someone/something that doesn't have an intention to ensure it occurs and without providing an authorization to act (Comment:en)
CL Item
Plan (plan)
The request represents an intention to ensure something occurs without providing an authorization for others to act. (Comment:en)
CL Item
Order (order)
The request represents a request/demand and authorization for action (Comment:en)
CL Item
Original Order (original-order)
The request represents the original authorization for the medication request. (Comment:en)
CL Item
Reflex Order (reflex-order)
The request represents an automatically generated supplemental authorization for action based on a parent authorization together with initial results of the action taken against that parent authorization.. (Comment:en)
CL Item
Filler Order (filler-order)
The request represents the view of an authorization instantiated by a fulfilling system representing the details of the fulfiller's intention to act upon a submitted order. (Comment:en)
CL Item
Instance Order (instance-order)
The request represents an instance for the particular order, for example a medication administration record. (Comment:en)
CL Item
Option (option)
The request represents a component or option for a RequestGroup that establishes timing, conditionality and/or other constraints among a set of requests. (Comment:en)
Item
Type of medication request
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
Code List
Type of medication request
CL Item
Inpatient (inpatient)
Includes requests for medications to be administered or consumed in an inpatient or acute care setting (Comment:en)
CL Item
Outpatient (outpatient)
Includes requests for medications to be administered or consumed in an outpatient setting (for example, Emergency Department, Outpatient Clinic, Outpatient Surgery, Doctor's office) (Comment:en)
CL Item
Community (community)
Includes requests for medications to be administered or consumed by the patient in their home (this would include long term care or nursing homes, hospices, etc.) (Comment:en)
CL Item
Discharge (discharge)
Includes requests for medications created when the patient is being released from a facility (Comment:en)
Item
Priority of the medication request
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C0549179 (UMLS CUI [1,3])
Code List
Priority of the medication request
CL Item
Routine (routine)
The request has normal priority. (Comment:en)
CL Item
Urgent (urgent)
The request should be actioned promptly - higher priority than routine. (Comment:en)
CL Item
ASAP (asap)
The request should be actioned as soon as possible - higher priority than urgent. (Comment:en)
CL Item
STAT (stat)
The request should be actioned immediately - highest possible priority. E.g. an emergency. (Comment:en)
MedicationRequest.medication
Item
Identifies the medication being requested
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C2347852 (UMLS CUI [1,3])
MedicationRequest.supportingInformation
Item
Additional information
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C1546922 (UMLS CUI [1,3])
MedicationRequest.authoredOn
Item
The date (and perhaps time) when the prescription was initially written or authored on.
datetime
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C0680281 (UMLS CUI [1,3])
C1264639 (UMLS CUI [1,4])
MedicationRequest.performerType
Item
Type of performer of the medication treatment
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C1550480 (UMLS CUI [1,3])
C0332307 (UMLS CUI [1,4])
MedicationRequest.reasonCode
Item
Code for the reason of the indication for ordering the medication
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
C0805701 (UMLS CUI [1,4])
MedicationRequest.reasonReference
Item
Condition that justifies the medication
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C0012634 (UMLS CUI [1,3])
C0013227 (UMLS CUI [2,1])
C1272683 (UMLS CUI [2,2])
C0302523 (UMLS CUI [2,3])
MedicationRequest.basedOn
Item
A plan or request that is fulfilled in whole or in part by this medication request.
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C1658097 (UMLS CUI [1,3])
C0205197 (UMLS CUI [1,4])
Item
Description of the overall pattern of the administration of the medication
text
C0678257 (UMLS CUI [1,1])
C1561607 (UMLS CUI [1,2])
C0449774 (UMLS CUI [1,3])
C4521131 (UMLS CUI [1,4])
Code List
Description of the overall pattern of the administration of the medication
CL Item
Continuous long term therapy (continuous)
A medication which is expected to be continued beyond the present order and which the patient should be assumed to be taking unless explicitly stopped. (Comment:en)
CL Item
Short course (acute) therapy (acute)
A medication which the patient is only expected to consume for the duration of the current order and which is not expected to be renewed. (Comment:en)
CL Item
Seasonal (seasonal)
A medication which is expected to be used on a part time basis at certain times of the year (Comment:en)
MedicationRequest.note
Item
Extra information about the prescription
text
C4284232 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C1546922 (UMLS CUI [1,3])
MedicationRequest.dosageInstruction
Item
Dosage instruction
text
C4284232 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C0178602 (UMLS CUI [1,3])
C1442085 (UMLS CUI [1,4])
MedicationRequest.dispenseRequest.initialFill.quantity
Item
The amount or quantity to provide as part of the first dispense.
text
C0947323 (UMLS CUI [1,1])
C1265611 (UMLS CUI [1,2])
C0205435 (UMLS CUI [1,3])
C1880359 (UMLS CUI [1,4])
MedicationRequest.dispenseRequest.initialFill.duration
Item
The length of time that the first dispense is expected to last.
text
C0205435 (UMLS CUI [1,1])
C0947323 (UMLS CUI [1,2])
C1948053 (UMLS CUI [1,3])
C1517001 (UMLS CUI [1,4])
MedicationRequest.dispenseRequest.dispenseInterval
Item
The minimum period of time that must occur between dispenses of the medication.
time
C0947323 (UMLS CUI [1,1])
C1948053 (UMLS CUI [1,2])
C0205103 (UMLS CUI [1,3])
C1880359 (UMLS CUI [1,4])
C1524031 (UMLS CUI [1,5])
MedicationRequest.dispenseRequest.numberOfRepeatsAllowed
Item
Numbers of times the patient can receive the prescribed medication
integer
C0947323 (UMLS CUI [1,1])
C1272684 (UMLS CUI [1,2])
C0420263 (UMLS CUI [1,3])
C0237753 (UMLS CUI [1,4])
MedicationRequest.dispenseRequest.quantity
Item
The amount that is to be dispensed for one fill.
integer
C0947323 (UMLS CUI [1,1])
C1880359 (UMLS CUI [1,2])
C1265611 (UMLS CUI [1,3])
MedicationRequest.dispenseRequest.expectedSupplyDuration
Item
Period of time over which the supplied product is expected to be used
time
C0947323 (UMLS CUI [1,1])
C1880359 (UMLS CUI [1,2])
C1517001 (UMLS CUI [1,3])
C1561604 (UMLS CUI [1,4])
C0449238 (UMLS CUI [1,5])
MedicationRequest.substitution.allow[x]
Item
Does the prescriber allow a different drug to be dispensed from what was prescribed?
boolean
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C1550434 (UMLS CUI [1,3])
Item
If the prescriber allows a different drug to be dispensed from what was prescribed, please fill in
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C1550434 (UMLS CUI [1,3])
C0332307 (UMLS CUI [1,4])
Code List
If the prescriber allows a different drug to be dispensed from what was prescribed, please fill in
CL Item
equivalent (E)
Substitution occurred or is permitted with another bioequivalent and therapeutically equivalent product. (Comment:en)
CL Item
equivalent composition (EC)
Substitution occurred or is permitted with another product that is a: pharmaceutical alternative containing the same active ingredient but is formulated with different salt, ester pharmaceutical equivalent that has the same active ingredient, strength, dosage form and route of administration Examples: Pharmaceutical alternative: Erythromycin Ethylsuccinate for Erythromycin Stearate Pharmaceutical equivalent: Lisonpril for Zestril (Comment:en)
CL Item
brand composition (BC)
Substitution occurred or is permitted between equivalent Brands but not Generics Examples: Zestril for Prinivil Coumadin for Jantoven (Comment:en)
CL Item
generic composition (G)
Substitution occurred or is permitted between equivalent Generics but not Brands Examples: Lisnopril (Lupin Corp) for Lisnopril (Wockhardt Corp) (Comment:en)
CL Item
therapeutic alternative (TE)
Substitution occurred or is permitted with another product having the same therapeutic objective and safety profile. Examples: ranitidine for Tagamet (Comment:en)
CL Item
therapeutic brand (TB)
Substitution occurred or is permitted between therapeutically equivalent Brands but not Generics > Examples: Zantac for Tagamet (Comment:en)
CL Item
therapeutic generic (TG)
Substitution occurred or is permitted between therapeutically equivalent Generics but not Brands > Examples: Ranitidine for cimetidine (Comment:en)
CL Item
formulary (F)
This substitution was performed or is permitted based on formulary guidelines. (Comment:en)
CL Item
none (N)
No substitution occurred or is permitted. (Comment:en)
Item
Reason for the substitution, or why substitution must or must not be performed.
text
C0013227 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C1555721 (UMLS CUI [1,3])
C0566251 (UMLS CUI [1,4])
Code List
Reason for the substitution, or why substitution must or must not be performed.
CL Item
continuing therapy (CT)
Indicates that the decision to substitute or to not substitute was driven by a desire to maintain consistency with a pre-existing therapy. I.e. The performer provided the same item/service as had been previously provided rather than providing exactly what was ordered, or rather than substituting with a lower-cost equivalent. (Comment:en)
CL Item
formulary policy (FP)
Indicates that the decision to substitute or to not substitute was driven by a policy expressed within the formulary. (Comment:en)
CL Item
out of stock (OS)
In the case of 'substitution', indicates that the substitution occurred because the ordered item was not in stock. In the case of 'no substitution', indicates that a cheaper equivalent was not substituted because it was not in stock. (Comment:en)
CL Item
regulatory requirement (RR)
Indicates that the decision to substitute or to not substitute was driven by a jurisdictional regulatory requirement mandating or prohibiting substitution. (Comment:en)
MedicationRequest.detectedIssue
Item
Actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient
text
C4284232 (UMLS CUI [1,1])
C1272683 (UMLS CUI [1,2])
C3245505 (UMLS CUI [1,3])
C0205210 (UMLS CUI [1,4])
C0033213 (UMLS CUI [1,5])