| 74062-1 | Generic or investigational drug name:ID:Pt:Medication:Nom: | required |
| 74061-3 | Ingredient - RxNorm RXCUI:ID:Pt:Medication:Nom: | optional |
| 74060-5 | Brand name:ID:Pt:Medication:Nom: | optional |
| 74059-7 | Brand name - RxNorm RXCUI:ID:Pt:Medication:Nom: | optional |
| 74058-9 | Manufacturer name:ID:Pt:Medication:Nom: | optional |
| 74057-1 | Medication strength:Dosage:Pt:Medication:Qn: | required |
| 74056-3 | Clinical drug component - RxNorm RXCUI:ID:Pt:Medication:Nom: | optional |
| 74055-5 | Dose form Medication | required |
| 74054-8 | Dose form RxNorm RXCUI Medication | optional |
| 74053-0 | Medication or substance was prescribed:Find:Pt:^Patient:Ord:AHRQ | required |
| 74052-2 | Medication or substance was given:Find:Pt:^Patient:Ord:AHRQ | required |