## Profile Comparison between http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-medicationrequest vs http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-medicationrequest

Left: | De-Identified UDS Plus MedicationRequest (http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-medicationrequest)
Right: | De-Identified UDS Plus MedicationRequest (http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-medicationrequest)

### Messages

Error | StructureDefinition.version | Values for version differ: '1.1.0' vs '2.0.0'
Information | StructureDefinition.date | Values for date differ: '2024-09-20T09:28:19-04:00' vs '2025-03-28T22:44:56+11:00'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/MedicationRequest |
copyright |  |
date | 2024-09-20T09:28:19-04:00 | 2025-03-28T22:44:56+11:00 | Values Differ
description | The UDS+ profile is based on the MedicationRequest resource and establishes the core elements, extensions, vocabularies and value sets for representing MedicationRequest for UDS+ program. |
experimental | false |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | http://unstats.un.org/unsd/methods/m49/m49.htm#001 |
kind | resource |
name | UDSPlusMedicationRequest |
publisher | HRSA BPHC |
purpose |  |
status | active |
title | De-Identified UDS Plus MedicationRequest |
type | MedicationRequest |
url | http://fhir.org/guides/hrsa/uds-plus/StructureDefinition/uds-plus-medicationrequest |
version | 1.1.0 | 2.0.0 | Values Differ

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
MedicationRequest |  | 0..* | MedicationRequest | De-Identified UDS Plus MedicationRequest |  | 0..* | MedicationRequest | De-Identified UDS Plus MedicationRequest |
id | S Σ | 0..1 | id | The de-identified MedicationRequest identifier created by the health center to send data to UDS+ Data Receiver | S Σ | 0..1 | id | The de-identified MedicationRequest identifier created by the health center to send data to UDS+ Data Receiver |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
text |  | 0..0 |  |  |  | 0..0 |  |  |
contained |  | 0..0 |  |  |  | 0..0 |  |  |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier |  | 0..* | Identifier | External ids for this request |  | 0..* | Identifier | External ids for this request |
status | ?!S Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: ?? (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. | ?!S Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: ?? (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: ?? (example): Identifies the reasons for a given status. |  | 0..1 | CodeableConcept | Reason for current status Binding: ?? (example): Identifies the reasons for a given status. |
intent | ?!S Σ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order. | ?!S Σ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order. |
category |  | 0..* | CodeableConcept | Type of medication usage Binding: ?? (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. |  | 0..* | CodeableConcept | Type of medication usage Binding: ?? (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: ?? (required): Identifies the level of importance to be assigned to actioning the request. | Σ | 0..1 | code | routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request. |
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action | ?!Σ | 0..1 | boolean | True if request is prohibiting action |
reported[x] | Σ | 0..1 | boolean, Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Reported rather than primary record | Σ | 0..1 | boolean, Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Reported rather than primary record |
medication[x] | S Σ | 1..1 | CodeableConcept, Reference(Medication) | Medication to be taken Binding: ?? (example): A coded concept identifying substance or product that can be ordered. | S Σ | 1..1 | CodeableConcept, Reference(Medication) | Medication to be taken Binding: ?? (example): A coded concept identifying substance or product that can be ordered. |
subject | S Σ | 1..1 | Reference(De-Identified UDS Plus Patient) | Who or group medication request is for | S Σ | 1..1 | Reference(De-Identified UDS Plus Patient) | Who or group medication request is for |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL |
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). |
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
display | Σ | 0..0 |  |  | Σ | 0..0 |  |  |
encounter | S | 0..1 | Reference(De-Identified UDS Plus Encounter) | Encounter created as part of encounter/admission/stay | S | 0..1 | Reference(De-Identified UDS Plus Encounter) | Encounter created as part of encounter/admission/stay |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL |
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). |
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
display | Σ | 0..0 |  |  | Σ | 0..0 |  |  |
supportingInformation |  | 0..* | Reference(Resource) | Information to support ordering of the medication |  | 0..* | Reference(Resource) | Information to support ordering of the medication |
authoredOn | S Σ C | 0..1 | dateTime | When request was initially authored uds-plus-medreq-1: All dateTime data elements should be truncated to a year only for de-identified resources. | S Σ C | 0..1 | dateTime | When request was initially authored uds-plus-medreq-1: All dateTime data elements should be truncated to a year only for de-identified resources. uds-plus-medreq-1a: All dateTime data elements should have valid year > 1900 uds-plus-medreq-1b: All dateTime data elements should have valid year < 2030 |
requester | S Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/What requested the Request | S Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/What requested the Request |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL |
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). |
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
display | Σ | 0..0 |  |  | Σ | 0..0 |  |  |
performer |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL |
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). |
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
display | Σ | 0..0 |  |  | Σ | 0..0 |  |  |
performerType | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ?? (example): Identifies the type of individual that is desired to administer the medication. | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ?? (example): Identifies the type of individual that is desired to administer the medication. |
recorder |  | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request |  | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request |
reasonCode |  | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: ?? (example): A coded concept indicating why the medication was ordered. |  | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: ?? (example): A coded concept indicating why the medication was ordered. |
reasonReference |  | 0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written |  | 0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written |
instantiatesCanonical | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition |
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | Σ | 0..* | uri | Instantiates external protocol or definition |
basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills |
groupIdentifier | Σ | 0..1 | Identifier | Composite request this is part of | Σ | 0..1 | Identifier | Composite request this is part of |
courseOfTherapyType |  | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: ?? (example): Identifies the overall pattern of medication administratio. |  | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: ?? (example): Identifies the overall pattern of medication administratio. |
insurance |  | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage |  | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage |
note |  | 0..0 |  |  |  | 0..0 |  |  |
dosageInstruction | S | 0..* | Dosage | How the medication should be taken | S | 0..* | Dosage | How the medication should be taken |
dispenseRequest |  | 0..1 | BackboneElement | Medication supply authorization |  | 0..1 | BackboneElement | Medication supply authorization |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
initialFill |  | 0..1 | BackboneElement | First fill details |  | 0..1 | BackboneElement | First fill details |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
quantity |  | 0..1 | ?? | First fill quantity |  | 0..1 | ?? | First fill quantity |
duration |  | 0..1 | Duration | First fill duration |  | 0..1 | Duration | First fill duration |
dispenseInterval |  | 0..1 | Duration | Minimum period of time between dispenses |  | 0..1 | Duration | Minimum period of time between dispenses |
validityPeriod | C | 0..1 | Period | Time period supply is authorized for uds-plus-medreq-2: All Period.start data elements should be truncated to a year only for de-identified resources. uds-plus-medreq-3: All Period.end data elements should be truncated to a year only for de-identified resources. | C | 0..1 | Period | Time period supply is authorized for uds-plus-medreq-2: All Period.start data elements should be truncated to a year only for de-identified resources. uds-plus-medreq-2a: All Period.start data elements should have valid year > 1900 uds-plus-medreq-2b: All Period.start data elements should have valid year < 2030 uds-plus-medreq-3: All Period.end data elements should be truncated to a year only for de-identified resources. uds-plus-medreq-3a: All Period.end data elements should have valid year > 1900 uds-plus-medreq-3b: All Period.end data elements should have valid year < 2030 |
numberOfRepeatsAllowed |  | 0..1 | unsignedInt | Number of refills authorized |  | 0..1 | unsignedInt | Number of refills authorized |
quantity |  | 0..1 | ?? | Amount of medication to supply per dispense |  | 0..1 | ?? | Amount of medication to supply per dispense |
expectedSupplyDuration |  | 0..1 | Duration | Number of days supply per dispense |  | 0..1 | Duration | Number of days supply per dispense |
performer |  | 0..1 | Reference(Organization) | Intended dispenser |  | 0..1 | Reference(Organization) | Intended dispenser |
substitution |  | 0..1 | BackboneElement | Any restrictions on medication substitution |  | 0..1 | BackboneElement | Any restrictions on medication substitution |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
allowed[x] |  | 1..1 | boolean, CodeableConcept | Whether substitution is allowed or not Binding: ?? (example): Identifies the type of substitution allowed. |  | 1..1 | boolean, CodeableConcept | Whether substitution is allowed or not Binding: ?? (example): Identifies the type of substitution allowed. |
reason |  | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. |  | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. |
priorPrescription |  | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced |  | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced |
detectedIssue |  | 0..* | Reference(DetectedIssue) | Clinical Issue with action |  | 0..* | Reference(DetectedIssue) | Clinical Issue with action |
eventHistory |  | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle |  | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle |
Documentation for this format