# Medication Request Profile for Bangladesh - Bangladesh Core FHIR Implementation Guide v0.4.1

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Medication Request Profile for Bangladesh**

## Resource Profile: Medication Request Profile for Bangladesh 

| | | |
| :--- | :--- | :--- |
| *Official URL*:https://fhir.dghs.gov.bd/core/StructureDefinition/bd-medication-request | *Version*:0.4.1 | |
| * Standards status: *[Informative](http://hl7.org/fhir/R4/versions.html#std-process) | [Maturity Level](http://hl7.org/fhir/versions.html#maturity): 1 | *Computable Name*:BDMedicationRequest |

 
Profile of the MedicationRequest resource for the Bangladesh National Health Information Exchange (HIE). Prescriptions must reference a BDMedication resource coded against the DGDA Drug Registry, ensuring all prescribed medications are traceable to DGDA-registered drug products. 
This profile constrains medication references to BDMedication only. Inline medicationCodeableConcept is not permitted — all medication data must be carried in a referenced BDMedication resource to support ingredient coding for IPS and cross-border data exchange. 
Route of administration is coded using HL7 v3 RouteOfAdministration served via the national OCL terminology server. 

**Usages:**

* Refer to this Profile: [Medication Request Profile for Bangladesh](StructureDefinition-bd-medication-request.md)
* Examples for this Profile: [MedicationRequest/BDMedicationRequestExample](MedicationRequest-BDMedicationRequestExample.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/bd.fhir.core|current/StructureDefinition/bd-medication-request)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-bd-medication-request.csv), [Excel](StructureDefinition-bd-medication-request.xlsx), [Schematron](StructureDefinition-bd-medication-request.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "bd-medication-request",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 1,
    "_valueInteger" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "https://fhir.dghs.gov.bd/core/ImplementationGuide/bd.fhir.core"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "informative",
    "_valueCode" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "https://fhir.dghs.gov.bd/core/ImplementationGuide/bd.fhir.core"
      }]
    }
  }],
  "url" : "https://fhir.dghs.gov.bd/core/StructureDefinition/bd-medication-request",
  "version" : "0.4.1",
  "name" : "BDMedicationRequest",
  "title" : "Medication Request Profile for Bangladesh",
  "status" : "draft",
  "date" : "2026-04-10T10:05:14+00:00",
  "publisher" : "Directorate General of Health Services (DGHS), Bangladesh",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://dghs.gov.bd"
    }]
  }],
  "description" : "Profile of the MedicationRequest resource for the Bangladesh National Health\nInformation Exchange (HIE). Prescriptions must reference a BDMedication\nresource coded against the DGDA Drug Registry, ensuring all prescribed\nmedications are traceable to DGDA-registered drug products.\n\nThis profile constrains medication references to BDMedication only.\nInline medicationCodeableConcept is not permitted — all medication data\nmust be carried in a referenced BDMedication resource to support ingredient\ncoding for IPS and cross-border data exchange.\n\nRoute of administration is coded using HL7 v3 RouteOfAdministration served\nvia the national OCL terminology server.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "050"
    }]
  }],
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "script10.6",
    "uri" : "http://ncpdp.org/SCRIPT10_6",
    "name" : "Mapping to NCPDP SCRIPT 10.6"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "MedicationRequest",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "MedicationRequest",
      "path" : "MedicationRequest"
    },
    {
      "id" : "MedicationRequest.identifier",
      "path" : "MedicationRequest.identifier",
      "short" : "Prescription identifier",
      "definition" : "Business identifier for this prescription. At least one identifier is required\nto support prescription tracking within the Bangladesh HIE.",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "MedicationRequest.reported[x]",
      "path" : "MedicationRequest.reported[x]",
      "slicing" : {
        "discriminator" : [{
          "type" : "type",
          "path" : "$this"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "MedicationRequest.reported[x]:reportedReference",
      "path" : "MedicationRequest.reported[x]",
      "sliceName" : "reportedReference",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://fhir.dghs.gov.bd/core/StructureDefinition/bd-practitioner",
        "https://fhir.dghs.gov.bd/core/StructureDefinition/bd-organization",
        "https://fhir.dghs.gov.bd/core/StructureDefinition/bd-patient"]
      }]
    },
    {
      "id" : "MedicationRequest.medication[x]",
      "path" : "MedicationRequest.medication[x]",
      "short" : "Reference to DGDA-registered medication",
      "definition" : "Reference to a BDMedication resource identifying the prescribed drug product.\nThe referenced BDMedication must carry a valid DGDA drug registry code.\nInline CodeableConcept is not permitted in this profile.",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://fhir.dghs.gov.bd/core/StructureDefinition/bd-medication"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "MedicationRequest.subject",
      "path" : "MedicationRequest.subject",
      "short" : "Patient for whom the medication is prescribed",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://fhir.dghs.gov.bd/core/StructureDefinition/bd-patient"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "MedicationRequest.encounter",
      "path" : "MedicationRequest.encounter",
      "short" : "Encounter during which this prescription was created",
      "definition" : "The encounter during which this prescription was created. Should be populated\nfor inpatient and outpatient prescriptions where an encounter record exists.",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://fhir.dghs.gov.bd/core/StructureDefinition/bd-encounter"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "MedicationRequest.authoredOn",
      "path" : "MedicationRequest.authoredOn",
      "short" : "Date and time the prescription was authored",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "MedicationRequest.requester",
      "path" : "MedicationRequest.requester",
      "short" : "Practitioner or organisation that authored the prescription",
      "min" : 1,
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://fhir.dghs.gov.bd/core/StructureDefinition/bd-practitioner",
        "https://fhir.dghs.gov.bd/core/StructureDefinition/bd-organization"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "MedicationRequest.basedOn",
      "path" : "MedicationRequest.basedOn",
      "short" : "Plan or request this prescription is based on",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://fhir.dghs.gov.bd/core/StructureDefinition/bd-medication-request",
        "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
        "http://hl7.org/fhir/StructureDefinition/CarePlan",
        "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"]
      }]
    },
    {
      "id" : "MedicationRequest.dosageInstruction",
      "path" : "MedicationRequest.dosageInstruction",
      "mustSupport" : true
    },
    {
      "id" : "MedicationRequest.dosageInstruction.route",
      "path" : "MedicationRequest.dosageInstruction.route",
      "short" : "Route of administration coded using HL7 v3 RouteOfAdministration",
      "mustSupport" : true,
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://fhir.dghs.gov.bd/core/ValueSet/bd-route-of-administration"
      }
    },
    {
      "id" : "MedicationRequest.priorPrescription",
      "path" : "MedicationRequest.priorPrescription",
      "short" : "Reference to a prior prescription this replaces",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["https://fhir.dghs.gov.bd/core/StructureDefinition/bd-medication-request"]
      }]
    }]
  }
}

```
