Release 5 Ballot

This page is part of the FHIR Specification (v5.0.0-ballot: R5 Ballot - see ballot notes). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Example StructureDefinition/MedicationRequest (XML)

Pharmacy Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Encounter, Patient, Practitioner

Raw XML (canonical form + also see XML Format Specification)

Jump past Narrative

StructureDefinition for medicationrequest

<?xml version="1.0" encoding="UTF-8"?>

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="MedicationRequest"/> 
  <meta> 
    <lastUpdated value="2022-09-10T04:52:37.223+10:00"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:
       top;">
        <tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:
         top">
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="The logical name of the element">Name</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Information about the use of the element">Flags</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a> 
          </th> 
          <th class="hierarchy" style="width: 100px">
            <a href="formats.html#table" title="Reference to the type of the element">Type</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Additional information about the element">Description &amp; Constraints</a> 
            <span style="float: right">
              <a href="formats.html#table" title="Legend for this format">
                <img alt="doco" src="help16.png" style="background-color: inherit"/> 
              </a> 
            </span> 
          </th> 
        </tr> 
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
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            qAeSFSduL9Akj7qPF64jnALS5VTPwdgPwwJ+uog9Qcx4kRZiPKqxgAAAABJRU5ErkJggg==" style="background-color: white; background-color: inherit" title="Resource"/>  
            <span title="MedicationRequest : An order or request for both supply of the medication and the
             instructions for administration of the medication to a patient. The resource is
             called &quot;MedicationRequest&quot; rather than &quot;MedicationPrescription&quot;
             or &quot;MedicationOrder&quot; to generalize the use across inpatient and outpatient
             settings, including care plans, etc., and to harmonize with workflow patterns.">MedicationRequest</span> 
            <a name="MedicationRequest"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold;
             color: black; background-color: #fff5e6" title="Standards Status = Trial Use">TU</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="domainresource.html">DomainResource</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Ordering of medication for patient or group
            <br/>  
            <br/>  Elements defined in Ancestors: 
            <a href="resource.html#Resource" title="The logical id of the resource, as used in the URL for the resource. Once assigned,
             this value never changes.">id</a> , 
            <a href="resource.html#Resource" title="The metadata about the resource. This is content that is maintained by the infrastructure.
             Changes to the content might not always be associated with version changes to the
             resource.">meta</a> , 
            <a href="resource.html#Resource" title="A reference to a set of rules that were followed when the resource was constructed,
             and which must be understood when processing the content. Often, this is a reference
             to an implementation guide that defines the special rules along with other profiles
             etc.">implicitRules</a> , 
            <a href="resource.html#Resource" title="The base language in which the resource is written.">language</a> , 
            <a href="domainresource.html#DomainResource" title="A human-readable narrative that contains a summary of the resource and can be used
             to represent the content of the resource to a human. The narrative need not encode
             all the structured data, but is required to contain sufficient detail to make it
             &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions
             may define what content should be represented in the narrative to ensure clinical
             safety.">text</a> , 
            <a href="domainresource.html#DomainResource" title="These resources do not have an independent existence apart from the resource that
             contains them - they cannot be identified independently, nor can they have their
             own independent transaction scope. This is allowed to be a Parameters resource
             if and only if it is referenced by a resource that provides context/meaning.">contained</a> , 
            <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition
             of the resource. To make the use of extensions safe and manageable, there is a
             strict set of governance  applied to the definition and use of extensions. Though
             any implementer can define an extension, there is a set of requirements that SHALL
             be met as part of the definition of the extension.">extension</a> , 
            <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition
             of the resource and that modifies the understanding of the element that contains
             it and/or the understanding of the containing element's descendants. Usually modifier
             elements provide negation or qualification. To make the use of extensions safe
             and manageable, there is a strict set of governance applied to the definition and
             use of extensions. Though any implementer is allowed to define an extension, there
             is a set of requirements that SHALL be met as part of the definition of the extension.
             Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
             DomainResource (including cannot change the meaning of modifierExtension itself).">modifierExtension</a> 
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            oTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>  
            <span title="MedicationRequest.identifier : Identifiers associated with this medication request
             that are defined by business processes and/or used to refer to it when a direct
             URL reference to the resource itself is not appropriate. They are business identifiers
             assigned to this resource by the performer or other systems and remain constant
             as the resource is updated and propagates from server to server.">identifier</span> 
            <a name="MedicationRequest.identifier"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">External ids for this request
            <br/>  
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
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            6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="MedicationRequest.basedOn : A plan or request that is fulfilled in whole or in
             part by this medication request.">basedOn</span> 
            <a name="MedicationRequest.basedOn"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="careplan.html">CarePlan</a>  | 
            <a href="medicationrequest.html">MedicationRequest</a>  | 
            <a href="servicerequest.html">ServiceRequest</a>  | 
            <a href="immunizationrecommendation.html">ImmunizationRecommendation</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">What request fulfills
            <br/>  
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
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            <span title="MedicationRequest.priorPrescription : A link to a resource representing an earlier
             order related order or prescription.">priorPrescription</span> 
            <a name="MedicationRequest.priorPrescription"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="medicationrequest.html">MedicationRequest</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">An order/prescription that is being replaced
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
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            <span title="MedicationRequest.groupIdentifier : A shared identifier common to all requests
             that were authorized more or less simultaneously by a single author, representing
             the identifier of the requisition or prescription.">groupIdentifier</span> 
            <a name="MedicationRequest.groupIdentifier"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Composite request this is part of
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
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            <span title="MedicationRequest.status : A code specifying the current state of the order.  Generally,
             this will be active or completed state.">status</span> 
            <a name="MedicationRequest.status"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#isModifier" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is a modifier element">?!</a> 
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">active | on-hold | ended | stopped | completed | cancelled | entered-in-error |
             draft | unknown
            <br/>  
            <a href="valueset-medicationrequest-status.html">medicationrequest Status</a>  (
            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value
             set.">Required</a> )
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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            <span title="MedicationRequest.statusReason : Captures the reason for the current state of the
             MedicationRequest.">statusReason</span> 
            <a name="MedicationRequest.statusReason"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Reason for current status
            <br/>  
            <a href="valueset-medicationrequest-status-reason.html">medicationRequest Status Reason Codes</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
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            <span title="MedicationRequest.statusChanged : The date (and perhaps time) when the status was
             changed.">statusChanged</span> 
            <a name="MedicationRequest.statusChanged"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#dateTime">dateTime</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">When the status was changed
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
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            uYFBgCNmhP4OvTRgwAAAABJRU5ErkJggg==" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="MedicationRequest.intent : Whether the request is a proposal, plan, or an original
             order.">intent</span> 
            <a name="MedicationRequest.intent"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#isModifier" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is a modifier element">?!</a> 
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">proposal | plan | order | original-order | reflex-order | filler-order | instance-order
             | option
            <br/>  
            <a href="valueset-medicationrequest-intent.html">medicationRequest Intent</a>  (
            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value
             set.">Required</a> )
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <span title="MedicationRequest.category : Indicates the grouping or category of medication request
             (for example, drug classification like ATC, where meds would be administered, legal
             category of the medication.).">category</span> 
            <a name="MedicationRequest.category"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Grouping or category of medication request
            <br/>  
            <a href="valueset-medicationrequest-admin-location.html">medicationRequest Administration Location Codes</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>  
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
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            <span title="MedicationRequest.priority : Indicates how quickly the Medication Request should
             be addressed with respect to other requests.">priority</span> 
            <a name="MedicationRequest.priority"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">routine | urgent | asap | stat
            <br/>  
            <a href="valueset-request-priority.html">RequestPriority</a>  (
            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value
             set.">Required</a> )
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAg
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
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            uYFBgCNmhP4OvTRgwAAAABJRU5ErkJggg==" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>  
            <span title="MedicationRequest.doNotPerform : If true, indicates that the provider is asking
             for the patient to either stop taking or to not start taking the specified medication.
             For example, the patient is taking an existing medication and the provider is changing
             their medication. They want to create two seperate requests: one to stop using
             the current medication and another to start the new medication.">doNotPerform</span> 
            <a name="MedicationRequest.doNotPerform"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#isModifier" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is a modifier element">?!</a> 
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#boolean">boolean</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">True if patient is to stop taking or not to start taking the medication
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
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            6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="MedicationRequest.medication : Identifies the medication being requested. This
             is a link to a resource that represents the medication which may be the details
             of the medication or simply an attribute carrying a code that identifies the medication
             from a known list of medications.">medication</span> 
            <a name="MedicationRequest.medication"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="references.html#CodeableReference">CodeableReference</a> (
            <a href="medication.html">Medication</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Medication to be taken
            <br/>  
            <a href="valueset-medication-codes.html">SNOMED CT Medication Codes</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
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            6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>  
            <span title="MedicationRequest.subject : A link to a resource representing the person or set
             of individuals to whom the medication will be given.">subject</span> 
            <a name="MedicationRequest.subject"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="patient.html">Patient</a>  | 
            <a href="group.html">Group</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Who or group medication request is for
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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          La+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
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            6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="MedicationRequest.informationSource : The person or organization who provided the
             information about this request, if the source is someone other than the requestor.
              This is often used when the MedicationRequest is reported by another person.">informationSource</span> 
            <a name="MedicationRequest.informationSource"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="patient.html">Patient</a>  | 
            <a href="practitioner.html">Practitioner</a>  | 
            <a href="practitionerrole.html">PractitionerRole</a>  | 
            <a href="relatedperson.html">RelatedPerson</a>  | 
            <a href="organization.html">Organization</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">The person or organization who provided the information about this request, if
             the source is someone other than the requestor
            <br/>  
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
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            <span title="MedicationRequest.encounter : The Encounter during which this [x] was created or
             to which the creation of this record is tightly associated.">encounter</span> 
            <a name="MedicationRequest.encounter"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="encounter.html">Encounter</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Encounter created as part of encounter/admission/stay
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
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            <span title="MedicationRequest.supportingInformation : Information to support fulfilling (i.e.
             dispensing or administering) of the medication, for example, patient height and
             weight, a MedicationUsage for the patient).">supportingInformation</span> 
            <a name="MedicationRequest.supportingInformation"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="resourcelist.html">Any</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Information to support fulfilling of the medication
            <br/>  
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <span title="MedicationRequest.authoredOn : The date (and perhaps time) when the prescription
             was initially written or authored on.">authoredOn</span> 
            <a name="MedicationRequest.authoredOn"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="datatypes.html#dateTime">dateTime</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">When request was initially authored
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
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            <span title="MedicationRequest.requester : The individual, organization, or device that initiated
             the request and has responsibility for its activation.">requester</span> 
            <a name="MedicationRequest.requester"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="practitioner.html">Practitioner</a>  | 
            <a href="practitionerrole.html">PractitionerRole</a>  | 
            <a href="organization.html">Organization</a>  | 
            <a href="patient.html">Patient</a>  | 
            <a href="relatedperson.html">RelatedPerson</a>  | 
            <a href="device.html">Device</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Who/What requested the Request
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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            <span title="MedicationRequest.reported : Indicates if this record was captured as a secondary
             'reported' record rather than as an original primary source-of-truth record.  It
             may also indicate the source of the report.">reported</span> 
            <a name="MedicationRequest.reported"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#boolean">boolean</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Reported rather than primary record
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <span title="MedicationRequest.performerType : Indicates the type of performer of the administration
             of the medication.">performerType</span> 
            <a name="MedicationRequest.performerType"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Desired kind of performer of the medication administration
            <br/>  
            <a href="valueset-medication-intended-performer-role.html">Medication Intended Performer Role</a>  (
            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value
             set if any of the codes within the value set can apply to the concept being communicated.
              If the value set does not cover the concept (based on human review), alternate
             codings (or, data type allowing, text) may be included instead.">Extensible</a> )
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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            <span title="MedicationRequest.performer : The specified desired performer of the medication
             treatment (e.g. the performer of the medication administration).  For devices,
             this is the device that is intended to perform the administration of the medication.
              An IV Pump would be an example of a device that is performing the administration.
              Both the IV Pump and the practitioner that set the rate or bolus on the pump can
             be listed as performers.">performer</span> 
            <a name="MedicationRequest.performer"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="practitioner.html">Practitioner</a>  | 
            <a href="practitionerrole.html">PractitionerRole</a>  | 
            <a href="organization.html">Organization</a>  | 
            <a href="patient.html">Patient</a>  | 
            <a href="devicedefinition.html">DeviceDefinition</a>  | 
            <a href="relatedperson.html">RelatedPerson</a>  | 
            <a href="careteam.html">CareTeam</a>  | 
            <a href="healthcareservice.html">HealthcareService</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Intended performer of administration
            <br/>  
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="MedicationRequest.device : The intended type of device that is to be used for the
             administration of the medication (for example, PCA Pump).">device</span> 
            <a name="MedicationRequest.device"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="references.html#CodeableReference">CodeableReference</a> (
            <a href="devicedefinition.html">DeviceDefinition</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Intended type of device for the administration
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
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            <span title="MedicationRequest.recorder : The person who entered the order on behalf of another
             individual for example in the case of a verbal or a telephone order.">recorder</span> 
            <a name="MedicationRequest.recorder"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="practitioner.html">Practitioner</a>  | 
            <a href="practitionerrole.html">PractitionerRole</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Person who entered the request
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
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            6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="MedicationRequest.reason : The reason or the indication for ordering or not ordering
             the medication.">reason</span> 
            <a name="MedicationRequest.reason"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="references.html#CodeableReference">CodeableReference</a> (
            <a href="condition.html">Condition</a>  | 
            <a href="observation.html">Observation</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Reason or indication for ordering or not ordering the medication
            <br/>  
            <a href="valueset-condition-code.html">Condition/Problem/Diagnosis Codes</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>  
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
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            oTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>  
            <span title="MedicationRequest.courseOfTherapyType : The description of the overall pattern
             of the administration of the medication to the patient.">courseOfTherapyType</span> 
            <a name="MedicationRequest.courseOfTherapyType"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Overall pattern of medication administration
            <br/>  
            <a href="valueset-medicationrequest-course-of-therapy.html">medicationRequest Course of Therapy Codes</a>  (
            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value
             set if any of the codes within the value set can apply to the concept being communicated.
              If the value set does not cover the concept (based on human review), alternate
             codings (or, data type allowing, text) may be included instead.">Extensible</a> )
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJ
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
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            6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="MedicationRequest.insurance : Insurance plans, coverage extensions, pre-authorizations
             and/or pre-determinations that may be required for delivering the requested service.">insurance</span> 
            <a name="MedicationRequest.insurance"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="coverage.html">Coverage</a>  | 
            <a href="claimresponse.html">ClaimResponse</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Associated insurance coverage
            <br/>  
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <span title="MedicationRequest.note : Extra information about the prescription that could not
             be conveyed by the other attributes.">note</span> 
            <a name="MedicationRequest.note"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="datatypes.html#Annotation">Annotation</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <br/>  
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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            <span title="MedicationRequest.dose : Indicates how the medication is to be used by the patient.">dose</span> 
            <a name="MedicationRequest.dose"> </a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="types.html#BackBoneElement">BackboneElement</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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            <span title="MedicationRequest.dose.renderedDosageInstruction : The full representation of the
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             dosage instructions are included to represent complex dosing such as increasing
             or tapering doses.">renderedDosageInstruction</span> 
            <a name="MedicationRequest.dose.renderedDosageInstruction"> </a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="datatypes.html#string">string</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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            <span title="MedicationRequest.dose.effectiveDosePeriod : The period over which the medication
             is to be taken.  Where there are multiple dosageInstruction lines (for example,
             tapering doses), this is the earliest date and the latest end date of the dosageInstructions.">effectiveDosePeriod</span> 
            <a name="MedicationRequest.dose.effectiveDosePeriod"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="datatypes.html#Period">Period</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Period over which the medication is to be taken
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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            <span title="MedicationRequest.dose.dosageInstruction : Specific instructions for how the medication
             is to be used by the patient.">dosageInstruction</span> 
            <a name="MedicationRequest.dose.dosageInstruction"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="dosage.html#Dosage">Dosage</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <br/>  
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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            <span title="MedicationRequest.dispenseRequest : Indicates the specific details for the dispense
             or medication supply part of a medication request (also known as a Medication Prescription
             or Medication Order).  Note that this information is not always sent with the order.
              There may be in some settings (e.g. hospitals) institutional or system support
             for completing the dispense details in the pharmacy department.">dispenseRequest</span> 
            <a name="MedicationRequest.dispenseRequest"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="types.html#BackBoneElement">BackboneElement</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <br/>  
          </td> 
        </tr> 

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            <span title="MedicationRequest.dispenseRequest.initialFill : Indicates the quantity or duration
             for the first dispense of the medication.">initialFill</span> 
            <a name="MedicationRequest.dispenseRequest.initialFill"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="types.html#BackBoneElement">BackboneElement</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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            <span title="MedicationRequest.dispenseRequest.initialFill.quantity : The amount or quantity
             to provide as part of the first dispense.">quantity</span> 
            <a name="MedicationRequest.dispenseRequest.initialFill.quantity"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#SimpleQuantity">SimpleQuantity</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">First fill quantity
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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            <span title="MedicationRequest.dispenseRequest.initialFill.duration : The length of time that
             the first dispense is expected to last.">duration</span> 
            <a name="MedicationRequest.dispenseRequest.initialFill.duration"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="datatypes.html#Duration">Duration</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <span title="MedicationRequest.dispenseRequest.dispenseInterval : The minimum period of time
             that must occur between dispenses of the medication.">dispenseInterval</span> 
            <a name="MedicationRequest.dispenseRequest.dispenseInterval"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Duration">Duration</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Minimum period of time between dispenses
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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            <span title="MedicationRequest.dispenseRequest.validityPeriod : This indicates the validity
             period of a prescription (stale dating the Prescription).">validityPeriod</span> 
            <a name="MedicationRequest.dispenseRequest.validityPeriod"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="datatypes.html#Period">Period</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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            <span title="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed : An integer indicating
             the number of times, in addition to the original dispense, (aka refills or repeats)
             that the patient can receive the prescribed medication. Usage Notes: This integer
             does not include the original order dispense. This means that if an order indicates
             dispense 30 tablets plus &quot;3 repeats&quot;, then the order can be dispensed
             a total of 4 times and the patient can receive a total of 120 tablets.  A prescriber
             may explicitly say that zero refills are permitted after the initial dispense.">numberOfRepeatsAllowed</span> 
            <a name="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#unsignedInt">unsignedInt</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Number of refills authorized
            <br/>  
          </td> 
        </tr> 

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            <span title="MedicationRequest.dispenseRequest.quantity : The amount that is to be dispensed
             for one fill.">quantity</span> 
            <a name="MedicationRequest.dispenseRequest.quantity"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="datatypes.html#SimpleQuantity">SimpleQuantity</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Amount of medication to supply per dispense
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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            <span title="MedicationRequest.dispenseRequest.expectedSupplyDuration : Identifies the period
             time over which the supplied product is expected to be used, or the length of time
             the dispense is expected to last.">expectedSupplyDuration</span> 
            <a name="MedicationRequest.dispenseRequest.expectedSupplyDuration"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="datatypes.html#Duration">Duration</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Number of days supply per dispense
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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            <span title="MedicationRequest.dispenseRequest.dispenser : Indicates the intended performing
             Organization that will dispense the medication as specified by the prescriber.">dispenser</span> 
            <a name="MedicationRequest.dispenseRequest.dispenser"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="organization.html">Organization</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Intended performer of dispense
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <span title="MedicationRequest.dispenseRequest.dispenserInstruction : Provides additional information
             to the dispenser, for example, counselling to be provided to the patient.">dispenserInstruction</span> 
            <a name="MedicationRequest.dispenseRequest.dispenserInstruction"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Annotation">Annotation</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Additional information for the dispenser
            <br/>  
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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            <span title="MedicationRequest.dispenseRequest.doseAdministrationAid : Provides information
             about the type of adherence packaging to be supplied for the medication dispense.">doseAdministrationAid</span> 
            <a name="MedicationRequest.dispenseRequest.doseAdministrationAid"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Type of adherence packaging to use for the dispense
            <br/>  
            <a href="valueset-medication-dose-aid.html">Medication Dose Aids</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJ
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            <span title="MedicationRequest.substitution : Indicates whether or not substitution can or should
             be part of the dispense. In some cases, substitution must happen, in other cases
             substitution must not happen. This block explains the prescriber's intent. If nothing
             is specified substitution may be done.">substitution</span> 
            <a name="MedicationRequest.substitution"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Any restrictions on medication substitution
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <span title="MedicationRequest.substitution.allowed[x] : True if the prescriber allows a different
             drug to be dispensed from what was prescribed.">allowed[x]</span> 
            <a name="MedicationRequest.substitution.allowed_x_"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Whether substitution is allowed or not
            <br/>  
            <a href="http://terminology.hl7.org/3.1.0/ValueSet-v3-ActSubstanceAdminSubstitutionCode.html">ActSubstanceAdminSubstitutionCode</a>  (
            <a href="terminologies.html#preferred" title="Instances are encouraged to draw from the specified codes for interoperability
             purposes but are not required to do so to be considered conformant.">Preferred</a> )
            <br/>  
          </td> 
        </tr> 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
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             or why substitution must or must not be performed.">reason</span> 
            <a name="MedicationRequest.substitution.reason"> </a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Why should (not) substitution be made
            <br/>  
            <a href="http://terminology.hl7.org/3.1.0/ValueSet-v3-SubstanceAdminSubstitutionReason.html">SubstanceAdminSubstitutionReason</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>  
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            <a name="MedicationRequest.eventHistory"> </a> 
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            <a href="references.html#Reference">Reference</a> (
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <br/>  
          </td> 
        </tr> 

        <tr> 
          <td class="hierarchy" colspan="5">
            <br/>  
            <a href="formats.html#table" title="Legend for this format">
              <img alt="doco" src="help16.png" style="background-color: inherit"/>  Documentation for this format
            </a> 
          </td> 
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    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-category">
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  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
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  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
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  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category">
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  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
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  <url value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/> 
  <version value="5.0.0-ballot"/> 
  <name value="MedicationRequest"/> 
  <status value="draft"/> 
  <experimental value="false"/> 
  <date value="2022-09-10T04:52:37+10:00"/> 
  <publisher value="Health Level Seven International (Pharmacy)"/> 
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      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
  </contact> 
  <contact> 
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    </telecom> 
  </contact> 
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  &quot; rather than &quot;MedicationPrescription&quot; or &quot;MedicationOrder&quot;
   to generalize the use across inpatient and outpatient settings, including care
   plans, etc., and to harmonize with workflow patterns."/> 
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  <mapping> 
    <identity value="workflow"/> 
    <uri value="http://hl7.org/fhir/workflow"/> 
    <name value="Workflow Pattern"/> 
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  <mapping> 
    <identity value="script10.6"/> 
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    <name value="Mapping to NCPDP SCRIPT 10.6"/> 
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  <mapping> 
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  </mapping> 
  <mapping> 
    <identity value="v2"/> 
    <uri value="http://hl7.org/v2"/> 
    <name value="HL7 v2 Mapping"/> 
  </mapping> 
  <kind value="resource"/> 
  <abstract value="false"/> 
  <type value="MedicationRequest"/> 
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
  <derivation value="specialization"/> 
  <snapshot> 
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      <short value="Ordering of medication for patient or group"/> 
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      <alias value="Prescription"/> 
      <alias value="Order"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="MedicationRequest"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <constraint> 
        <key value="dom-2"/> 
        <severity value="error"/> 
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        <expression value="contained.contained.empty()"/> 
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        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-3"/> 
        <severity value="error"/> 
        <human value="If the resource is contained in another resource, it SHALL be referred to from
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      </constraint> 
      <constraint> 
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        <severity value="error"/> 
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      </constraint> 
      <constraint> 
        <key value="dom-5"/> 
        <severity value="error"/> 
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/> 
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        <xpath value="not(exists(f:contained/*/f:meta/f:security))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
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      <constraint> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can
           display the resource to a human safely. Including a human readable representation
           in the resource makes for a much more robust eco-system and cheaper handling of
           resources by intermediary systems. Some ecosystems restrict distribution of resources
           to only those systems that do fully understand the resources, and as a consequence
           implementers may believe that the narrative is superfluous. However experience
           shows that such eco-systems often open up to new participants over time."/> 
        </extension> 
        <key value="dom-6"/> 
        <severity value="warning"/> 
        <human value="A resource should have narrative for robust management"/> 
        <expression value="text.`div`.exists()"/> 
        <xpath value="exists(f:text/h:div)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Entity. Role, or Act"/> 
      </mapping> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request"/> 
      </mapping> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="Message/Body/NewRx"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="CombinedMedicationRequest"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="clinical.medication"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.id">
      <path value="MedicationRequest.id"/> 
      <short value="Logical id of this artifact"/> 
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned,
       this value never changes."/> 
      <comment value="Within the context of the FHIR RESTful interactions, the resource has an id except
       for cases like the create and conditional update. Otherwise, the use of the resouce
       id depends on the given use case."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="id"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="MedicationRequest.meta">
      <path value="MedicationRequest.meta"/> 
      <short value="Metadata about the resource"/> 
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure.
       Changes to the content might not always be associated with version changes to the
       resource."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.meta"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Meta"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="MedicationRequest.implicitRules">
      <path value="MedicationRequest.implicitRules"/> 
      <short value="A set of rules under which this content was created"/> 
      <definition value="A reference to a set of rules that were followed when the resource was constructed,
       and which must be understood when processing the content. Often, this is a reference
       to an implementation guide that defines the special rules along with other profiles
       etc."/> 
      <comment value="Asserting this rule set restricts the content to be only understood by a limited
       set of trading partners. This inherently limits the usefulness of the data in the
       long term. However, the existing health eco-system is highly fractured, and not
       yet ready to define, collect, and exchange data in a generally computable sense.
       Wherever possible, implementers and/or specification writers should avoid using
       this element. Often, when used, the URL is a reference to an implementation guide
       that defines these special rules as part of it's narrative along with other profiles,
       value sets, etc."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.implicitRules"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional
       knowledge about the resource that modifies it's meaning or interpretation"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="MedicationRequest.language">
      <path value="MedicationRequest.language"/> 
      <short value="Language of the resource content"/> 
      <definition value="The base language in which the resource is written."/> 
      <comment value="Language is provided to support indexing and accessibility (typically, services
       such as text to speech use the language tag). The html language tag in the narrative
       applies  to the narrative. The language tag on the resource may be used to specify
       the language of other presentations generated from the data in the resource. Not
       all the content has to be in the base language. The Resource.language should not
       be assumed to apply to the narrative automatically. If a language is specified,
       it should it also be specified on the div element in the html (see rules in HTML5
       for information about the relationship between xml:lang and the html lang attribute)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.language"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="IETF language tag"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/languages"/> 
      </binding> 
    </element> 
    <element id="MedicationRequest.text">
      <path value="MedicationRequest.text"/> 
      <short value="Text summary of the resource, for human interpretation"/> 
      <definition value="A human-readable narrative that contains a summary of the resource and can be used
       to represent the content of the resource to a human. The narrative need not encode
       all the structured data, but is required to contain sufficient detail to make it
       &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions
       may define what content should be represented in the narrative to ensure clinical
       safety."/> 
      <comment value="Contained resources do not have a narrative. Resources that are not contained SHOULD
       have a narrative. In some cases, a resource may only have text with little or no
       additional discrete data (as long as all minOccurs=1 elements are satisfied). 
       This may be necessary for data from legacy systems where information is captured
       as a &quot;text blob&quot; or where text is additionally entered raw or narrated
       and encoded information is added later."/> 
      <alias value="narrative"/> 
      <alias value="html"/> 
      <alias value="xhtml"/> 
      <alias value="display"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DomainResource.text"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Narrative"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Act.text?"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.contained">
      <path value="MedicationRequest.contained"/> 
      <short value="Contained, inline Resources"/> 
      <definition value="These resources do not have an independent existence apart from the resource that
       contains them - they cannot be identified independently, nor can they have their
       own independent transaction scope. This is allowed to be a Parameters resource
       if and only if it is referenced by a resource that provides context/meaning."/> 
      <comment value="This should never be done when the content can be identified properly, as once
       identification is lost, it is extremely difficult (and context dependent) to restore
       it again. Contained resources may have profiles and tags in their meta elements,
       but SHALL NOT have security labels."/> 
      <alias value="inline resources"/> 
      <alias value="anonymous resources"/> 
      <alias value="contained resources"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.contained"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Resource"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.extension">
      <path value="MedicationRequest.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource. To make the use of extensions safe and manageable, there is a
       strict set of governance  applied to the definition and use of extensions. Though
       any implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.modifierExtension">
      <path value="MedicationRequest.modifierExtension"/> 
      <short value="Extensions that cannot be ignored"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource and that modifies the understanding of the element that contains
       it and/or the understanding of the containing element's descendants. Usually modifier
       elements provide negation or qualification. To make the use of extensions safe
       and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there
       is a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       resource that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.identifier">
      <path value="MedicationRequest.identifier"/> 
      <short value="External ids for this request"/> 
      <definition value="Identifiers associated with this medication request that are defined by business
       processes and/or used to refer to it when a direct URL reference to the resource
       itself is not appropriate. They are business identifiers assigned to this resource
       by the performer or other systems and remain constant as the resource is updated
       and propagates from server to server."/> 
      <comment value="This is a business identifier, not a resource identifier."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="MedicationRequest.identifier"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="Message/Header/PrescriberOrderNumber"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="ORC-2-Placer Order Number / ORC-3-Filler Order Number"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".id"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.basedOn">
      <path value="MedicationRequest.basedOn"/> 
      <short value="What request fulfills"/> 
      <definition value="A plan or request that is fulfilled in whole or in part by this medication request."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="MedicationRequest.basedOn"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.basedOn"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or
         OBS, moodCode=RQO orPLAN or PRP]"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.priorPrescription">
      <path value="MedicationRequest.priorPrescription"/> 
      <short value="An order/prescription that is being replaced"/> 
      <definition value="A link to a resource representing an earlier order related order or prescription."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.priorPrescription"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.replaces"/> 
      </mapping> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="not mapped"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=?RPLC or ?SUCC]/target[classCode=SBADM,moodCode=RQO]"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.groupIdentifier">
      <path value="MedicationRequest.groupIdentifier"/> 
      <short value="Composite request this is part of"/> 
      <definition value="A shared identifier common to all requests that were authorized more or less simultaneously
       by a single author, representing the identifier of the requisition or prescription."/> 
      <requirements value="Requests are linked either by a &quot;basedOn&quot; relationship (i.e. one request
       is fulfilling another) or by having a common requisition. Requests that are part
       of the same requisition are generally treated independently from the perspective
       of changing their state or maintaining them after initial creation."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.groupIdentifier"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.groupIdentifier"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship(typeCode=COMP].target[classCode=SBADM, moodCode=INT].id"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.status">
      <path value="MedicationRequest.status"/> 
      <short value="active | on-hold | ended | stopped | completed | cancelled | entered-in-error |
       draft | unknown"/> 
      <definition value="A code specifying the current state of the order.  Generally, this will be active
       or completed state."/> 
      <comment value="This element is labeled as a modifier because the status contains codes that mark
       the resource as not currently valid.

Clinical decision support systems should take the status into account when determining
       which medications to include in their algorithms."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.status"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="This element is labeled as a modifier because it is a status element that contains
       status entered-in-error which means that the resource should not be treated as
       valid"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationRequestStatus"/> 
        </extension> 
        <strength value="required"/> 
        <description value="A coded concept specifying the state of the prescribing event. Describes the lifecycle
         of the prescription."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0-ballot"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.status"/> 
      </mapping> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="no mapping"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.status"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".statusCode"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.statusReason">
      <path value="MedicationRequest.statusReason"/> 
      <short value="Reason for current status"/> 
      <definition value="Captures the reason for the current state of the MedicationRequest."/> 
      <comment value="This is generally only used for &quot;exception&quot; statuses such as &quot;suspended&quot;
       or &quot;cancelled&quot;. The reason why the MedicationRequest was created at all
       is captured in reasonCode, not here."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.statusReason"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationRequestStatusReason"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Identifies the reasons for a given status."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-status-reason"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.statusReason"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.statusChanged">
      <path value="MedicationRequest.statusChanged"/> 
      <short value="When the status was changed"/> 
      <definition value="The date (and perhaps time) when the status was changed."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.statusChanged"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="subjectOf Observation[code = statusChange].value = date"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.intent">
      <path value="MedicationRequest.intent"/> 
      <short value="proposal | plan | order | original-order | reflex-order | filler-order | instance-order
       | option"/> 
      <definition value="Whether the request is a proposal, plan, or an original order."/> 
      <comment value="It is expected that the type of requester will be restricted for different stages
       of a MedicationRequest.  For example, Proposals can be created by a patient, relatedPerson,
       Practitioner or Device.  Plans can be created by Practitioners, Patients, RelatedPersons
       and Devices.  Original orders can be created by a Practitioner only.

An instance-order is an instantiation of a request or order and may be used to
       populate Medication Administration Record.

This element is labeled as a modifier because the intent alters when and how the
       resource is actually applicable."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.intent"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="This element changes the interpretation of all descriptive attributes. For example
       &quot;the time the request is recommended to occur&quot; vs. &quot;the time the
       request is authorized to occur&quot; or &quot;who is recommended to perform the
       request&quot; vs. &quot;who is authorized to perform the request"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationRequestIntent"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The kind of medication order."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0-ballot"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.intent"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.category">
      <path value="MedicationRequest.category"/> 
      <short value="Grouping or category of medication request"/> 
      <definition value="Indicates the grouping or category of medication request (for example, drug classification
       like ATC, where meds would be administered, legal category of the medication.)."/> 
      <comment value="The category can be used to include where the medication is expected to be consumed
       or other types of requests."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="MedicationRequest.category"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationRequestAdministrationLocation"/> 
        </extension> 
        <strength value="example"/> 
        <description value="A coded concept identifying where the medication is to be consumed or administered."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-admin-location"/> 
      </binding> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="Message/Body/NewRx/MedicationPrescribed/Directions

or 

Message/Body/NewRx/MedicationPrescribed/StructuredSIG"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=&quot;type
         of medication usage&quot;].value"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.priority">
      <path value="MedicationRequest.priority"/> 
      <short value="routine | urgent | asap | stat"/> 
      <definition value="Indicates how quickly the Medication Request should be addressed with respect to
       other requests."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.priority"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationRequestPriority"/> 
        </extension> 
        <strength value="required"/> 
        <description value="Identifies the level of importance to be assigned to actioning the request."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|5.0.0-ballot"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.priority"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.grade"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".priorityCode"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.doNotPerform">
      <path value="MedicationRequest.doNotPerform"/> 
      <short value="True if patient is to stop taking or not to start taking the medication"/> 
      <definition value="If true, indicates that the provider is asking for the patient to either stop taking
       or to not start taking the specified medication. For example, the patient is taking
       an existing medication and the provider is changing their medication. They want
       to create two seperate requests: one to stop using the current medication and another
       to start the new medication."/> 
      <comment value="If do not perform is not specified, the request is a positive request e.g. &quot;do
       perform&quot;."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.doNotPerform"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="This element is labeled as a modifier because this element negates the request
       to occur (ie, this is a request for the medication not to be ordered or prescribed,
       etc)"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="SubstanceAdministration.actionNegationInd"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.medication">
      <path value="MedicationRequest.medication"/> 
      <short value="Medication to be taken"/> 
      <definition value="Identifies the medication being requested. This is a link to a resource that represents
       the medication which may be the details of the medication or simply an attribute
       carrying a code that identifies the medication from a known list of medications."/> 
      <comment value="If only a code is specified, then it needs to be a code for a specific product.
       If more information is required, then the use of the Medication resource is recommended.
        For example, if you require form or lot number or if the medication is compounded
       or extemporaneously prepared, then you must reference the Medication resource."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.medication"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableReference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationCode"/> 
        </extension> 
        <strength value="example"/> 
        <description value="A coded concept identifying substance or product that can be ordered."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/medication-codes"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.code"/> 
      </mapping> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="Message/Body/NewRx/MedicationPrescribed

Medication.code.coding.code = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCode

Medication.code.coding.system = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCode
        Qualifier

Medication.code.coding.display = Message/Body/NewRx/MedicationPrescribed/DrugDescription"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.what[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXE-2-Give Code / RXO-1 Requested Give Code / RXC-2 Component Code"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="consumable.administrableMedication"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.subject">
      <path value="MedicationRequest.subject"/> 
      <short value="Who or group medication request is for"/> 
      <definition value="A link to a resource representing the person or set of individuals to whom the
       medication will be given."/> 
      <comment value="The subject on a medication request is mandatory.  For the secondary use case where
       the actual subject is not provided, there still must be an anonymized subject specified."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.subject"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.subject"/> 
      </mapping> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="Message/Body/NewRx/Patient

(need detail to link to specific patient … Patient.Identification in SCRIPT)"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PID-3 Patient ID List"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=AUT].role"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.informationSource">
      <path value="MedicationRequest.informationSource"/> 
      <short value="The person or organization who provided the information about this request, if
       the source is someone other than the requestor"/> 
      <definition value="The person or organization who provided the information about this request, if
       the source is someone other than the requestor.  This is often used when the MedicationReques
      t is reported by another person."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="MedicationRequest.informationSource"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=INF].role[classCode=PAT, or codes for Practitioner or Related
         Person or Practitioner Role or Organization"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.encounter">
      <path value="MedicationRequest.encounter"/> 
      <short value="Encounter created as part of encounter/admission/stay"/> 
      <definition value="The Encounter during which this [x] was created or to which the creation of this
       record is tightly associated."/> 
      <comment value="This will typically be the encounter the event occurred within, but some activities
       may be initiated prior to or after the official completion of an encounter but
       still be tied to the context of the encounter.&quot;    If there is a need to link
       to episodes of care they will be handled with an extension."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.encounter"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.context"/> 
      </mapping> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="no mapping"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.context"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PV1-19 Visit Number"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=&quot;type
         of encounter or episode&quot;]"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.supportingInformation">
      <path value="MedicationRequest.supportingInformation"/> 
      <short value="Information to support fulfilling of the medication"/> 
      <definition value="Information to support fulfilling (i.e. dispensing or administering) of the medication,
       for example, patient height and weight, a MedicationUsage for the patient)."/> 
      <comment value="This attribute can be used to reference a MedicationUsage about the patients' medication
       use."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="MedicationRequest.supportingInformation"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.supportingInfo"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.context"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET
         minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM,
         OBS) and each of the act class codes draws from one or more of the following moodCodes
         (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.authoredOn">
      <path value="MedicationRequest.authoredOn"/> 
      <short value="When request was initially authored"/> 
      <definition value="The date (and perhaps time) when the prescription was initially written or authored
       on."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.authoredOn"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.authoredOn"/> 
      </mapping> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="Message/Body/NewRx/MedicationPrescribed/WrittenDate"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.recorded"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXE-32 Original Order Date/Time / ORC-9-Date Time of Transaction"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="author.time"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.requester">
      <path value="MedicationRequest.requester"/> 
      <short value="Who/What requested the Request"/> 
      <definition value="The individual, organization, or device that initiated the request and has responsibility
       for its activation."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.requester"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.requester"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.author"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=AUT].role"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.reported">
      <path value="MedicationRequest.reported"/> 
      <short value="Reported rather than primary record"/> 
      <definition value="Indicates if this record was captured as a secondary 'reported' record rather than
       as an original primary source-of-truth record.  It may also indicate the source
       of the report."/> 
      <comment value="If not populated, then assume that this is the original record and not reported"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.reported"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=INF].role"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.performerType">
      <path value="MedicationRequest.performerType"/> 
      <short value="Desired kind of performer of the medication administration"/> 
      <definition value="Indicates the type of performer of the administration of the medication."/> 
      <comment value="If specified without indicating a performer, this indicates that the performer
       must be of the specified type. If specified with a performer then it indicates
       the requirements of the performer if the designated performer is not available."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.performerType"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationRequestPerformerType"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="Identifies the type of individual that is desired to administer the medication."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/medication-intended-performer-role"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.performerType"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=PRF].role[scoper.determinerCode=KIND].code"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.performer">
      <path value="MedicationRequest.performer"/> 
      <short value="Intended performer of administration"/> 
      <definition value="The specified desired performer of the medication treatment (e.g. the performer
       of the medication administration).  For devices, this is the device that is intended
       to perform the administration of the medication.  An IV Pump would be an example
       of a device that is performing the administration.  Both the IV Pump and the practitioner
       that set the rate or bolus on the pump can be listed as performers."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="MedicationRequest.performer"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DeviceDefinition"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/HealthcareService"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.performer"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.actor"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.device">
      <path value="MedicationRequest.device"/> 
      <short value="Intended type of device for the administration"/> 
      <definition value="The intended type of device that is to be used for the administration of the medication
       (for example, PCA Pump)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.device"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableReference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DeviceDefinition"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.recorder">
      <path value="MedicationRequest.recorder"/> 
      <short value="Person who entered the request"/> 
      <definition value="The person who entered the order on behalf of another individual for example in
       the case of a verbal or a telephone order."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.recorder"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.who"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType)"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.reason">
      <path value="MedicationRequest.reason"/> 
      <short value="Reason or indication for ordering or not ordering the medication"/> 
      <definition value="The reason or the indication for ordering or not ordering the medication."/> 
      <comment value="This could be a diagnosis code. If a full condition record exists or additional
       detail is needed, use reasonReference."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="MedicationRequest.reason"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableReference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationRequestReason"/> 
        </extension> 
        <strength value="example"/> 
        <description value="A coded concept indicating why the medication was ordered."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/condition-code"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.reasonCode"/> 
      </mapping> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="Message/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.why[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="ORC-16 Order Control Code Reason /RXE-27 Give Indication/RXO-20-Indication / RXD-21
         Indication / RXG-22 Indication / RXA-19 Indication"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="reason.observation.reasonCode | reason.observation[code=ASSERTION].value"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.courseOfTherapyType">
      <path value="MedicationRequest.courseOfTherapyType"/> 
      <short value="Overall pattern of medication administration"/> 
      <definition value="The description of the overall pattern of the administration of the medication
       to the patient."/> 
      <comment value="This attribute should not be confused with the protocol of the medication."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.courseOfTherapyType"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationRequestCourseOfTherapy"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="Identifies the overall pattern of medication administratio."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy"/> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Act.code where classCode = LIST and moodCode = EVN"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.insurance">
      <path value="MedicationRequest.insurance"/> 
      <short value="Associated insurance coverage"/> 
      <definition value="Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations
       that may be required for delivering the requested service."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="MedicationRequest.insurance"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Coverage"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ClaimResponse"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.insurance"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=COVBY].target"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.note">
      <path value="MedicationRequest.note"/> 
      <short value="Information about the prescription"/> 
      <definition value="Extra information about the prescription that could not be conveyed by the other
       attributes."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="MedicationRequest.note"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Annotation"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.note"/> 
      </mapping> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="Message/Body/NewRx/MedicationPrescribed/Note"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=&quot;annotation&q
        uot;].value"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dose">
      <path value="MedicationRequest.dose"/> 
      <short value="How the medication should be taken"/> 
      <definition value="Indicates how the medication is to be used by the patient."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.dose"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="SubstanceAdministration &gt; ActRelationship[COMP] &gt; SubstanceAdministration"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dose.id">
      <path value="MedicationRequest.dose.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dose.extension">
      <path value="MedicationRequest.dose.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any
       implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dose.modifierExtension">
      <path value="MedicationRequest.dose.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       element that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dose.renderedDosageInstruction">
      <path value="MedicationRequest.dose.renderedDosageInstruction"/> 
      <short value="Full representation of the dosage instructions"/> 
      <definition value="The full representation of the dose of the medication included in all dosage instructions.
        To be used when multiple dosage instructions are included to represent complex
       dosing such as increasing or tapering doses."/> 
      <requirements value="The content of the renderedDosageInstructions must not be different than the dose
       represented in the dosageInstruction content."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.dose.renderedDosageInstruction"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="SubstanceAdministration.text"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dose.effectiveDosePeriod">
      <path value="MedicationRequest.dose.effectiveDosePeriod"/> 
      <short value="Period over which the medication is to be taken"/> 
      <definition value="The period over which the medication is to be taken.  Where there are multiple
       dosageInstruction lines (for example, tapering doses), this is the earliest date
       and the latest end date of the dosageInstructions."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.dose.effectiveDosePeriod"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Period"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="substanceAdministration.effectiveTime"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dose.dosageInstruction">
      <path value="MedicationRequest.dose.dosageInstruction"/> 
      <short value="Specific instructions for how the medication should be taken"/> 
      <definition value="Specific instructions for how the medication is to be used by the patient."/> 
      <comment value="There are examples where a medication request may include the option of an oral
       dose or an Intravenous or Intramuscular dose.  For example, &quot;Ondansetron 8mg
       orally or IV twice a day as needed for nausea&quot; or &quot;Compazine® (prochlorperazine)
       5-10mg PO or 25mg PR bid prn nausea or vomiting&quot;.  In these cases, two medication
       requests would be created that could be grouped together.  The decision on which
       dose and route of administration to use is based on the patient's condition at
       the time the dose is needed. In general, each prescribed drug will be a separate
       Medication Request. 

When drug orders are grouped together at the time of order entry,  but each of
       the drugs can be manipulated independently e.g. changing the status of one order
       to &quot;completed&quot; or &quot;cancelled&quot;, changing another order status
       to &quot;on-hold&quot;, the method to &quot;group&quot; all of the medication requests
       together is to use  MedicationRequest.groupIdentifier element.  All of the orders
       grouped together in this manner will have the same groupIdentifier, and separately,
       each order in the group may have a unique identifier.  

There are cases that require grouping of Medication orders together when it is
       necessary to specify optionality e.g. order two drugs at one time, but stating
       either of these drugs may be used to treat the patient.  The use of a RequestOrchestration
       should be used as a parent for the Medication orders that require this type of
       grouping. An example when it may be necessary to group medication orders together
       is when you specify timing relationships e.g. order drug &quot;xyz&quot; with dose
       123, then taper the same drug to a different dose after some interval of time
precedence:
e.g. give drug &quot;abc&quot; followed by drug &quot;def&quot;
e.g. give drug 30 minutes before some procedure was performed
more generically this supports - hierarchical groups of actions, where each specific
       action references the action to be performed (in terms of a Request resource),
       and each group describes additional behavior, relationships, and applicable conditions
       between the actions in the overall group.
Note that one should NOT use the List or Composition resource to accomplish the
       above requirements.  You may use List or Composition for other business requirements,
       but not to address the specific requirements of grouping medication orders."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="MedicationRequest.dose.dosageInstruction"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Dosage"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="see dosageInstruction mapping"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dispenseRequest">
      <path value="MedicationRequest.dispenseRequest"/> 
      <short value="Medication supply authorization"/> 
      <definition value="Indicates the specific details for the dispense or medication supply part of a
       medication request (also known as a Medication Prescription or Medication Order).
        Note that this information is not always sent with the order.  There may be in
       some settings (e.g. hospitals) institutional or system support for completing the
       dispense details in the pharmacy department."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.dispenseRequest"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="Message/Body/NewRx/MedicationPrescribed/ExpirationDate"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="component.supplyEvent"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dispenseRequest.id">
      <path value="MedicationRequest.dispenseRequest.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dispenseRequest.extension">
      <path value="MedicationRequest.dispenseRequest.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any
       implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dispenseRequest.modifierExtension">
      <path value="MedicationRequest.dispenseRequest.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       element that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dispenseRequest.initialFill">
      <path value="MedicationRequest.dispenseRequest.initialFill"/> 
      <short value="First fill details"/> 
      <definition value="Indicates the quantity or duration for the first dispense of the medication."/> 
      <comment value="If populating this element, either the quantity or the duration must be included."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.dispenseRequest.initialFill"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="SubstanceAdministration -&gt; ActRelationship[sequenceNumber = '1'] -&gt; Supply"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dispenseRequest.initialFill.id">
      <path value="MedicationRequest.dispenseRequest.initialFill.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dispenseRequest.initialFill.extension">
      <path value="MedicationRequest.dispenseRequest.initialFill.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any
       implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dispenseRequest.initialFill.modifierExtension">
      <path value="MedicationRequest.dispenseRequest.initialFill.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       element that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dispenseRequest.initialFill.quantity">
      <path value="MedicationRequest.dispenseRequest.initialFill.quantity"/> 
      <short value="First fill quantity"/> 
      <definition value="The amount or quantity to provide as part of the first dispense."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.dispenseRequest.initialFill.quantity"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Quantity"/> 
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Supply.quantity[moodCode=RQO]"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dispenseRequest.initialFill.duration">
      <path value="MedicationRequest.dispenseRequest.initialFill.duration"/> 
      <short value="First fill duration"/> 
      <definition value="The length of time that the first dispense is expected to last."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.dispenseRequest.initialFill.duration"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Duration"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Supply.effectivetime[moodCode=RQO]"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dispenseRequest.dispenseInterval">
      <path value="MedicationRequest.dispenseRequest.dispenseInterval"/> 
      <short value="Minimum period of time between dispenses"/> 
      <definition value="The minimum period of time that must occur between dispenses of the medication."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.dispenseRequest.dispenseInterval"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Duration"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Supply.effectivetime[moodCode=RQO]"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dispenseRequest.validityPeriod">
      <path value="MedicationRequest.dispenseRequest.validityPeriod"/> 
      <short value="Time period supply is authorized for"/> 
      <definition value="This indicates the validity period of a prescription (stale dating the Prescription)."/> 
      <comment value="It reflects the prescribers' perspective for the validity of the prescription.
       Dispenses must not be made against the prescription outside of this period. The
       lower-bound of the Dispensing Window signifies the earliest date that the prescription
       can be filled for the first time. If an upper-bound is not specified then the Prescription
       is open-ended or will default to a stale-date based on regulations."/> 
      <requirements value="Indicates when the Prescription becomes valid, and when it ceases to be a dispensable
       Prescription."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.dispenseRequest.validityPeriod"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Period"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="Message/Body/NewRx/MedicationPrescribed/Refills"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="effectiveTime"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed">
      <path value="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed"/> 
      <short value="Number of refills authorized"/> 
      <definition value="An integer indicating the number of times, in addition to the original dispense,
       (aka refills or repeats) that the patient can receive the prescribed medication.
       Usage Notes: This integer does not include the original order dispense. This means
       that if an order indicates dispense 30 tablets plus &quot;3 repeats&quot;, then
       the order can be dispensed a total of 4 times and the patient can receive a total
       of 120 tablets.  A prescriber may explicitly say that zero refills are permitted
       after the initial dispense."/> 
      <comment value="If displaying &quot;number of authorized fills&quot;, add 1 to this number."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="unsignedInt"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="Message/Body/NewRx/MedicationPrescribed/Quantity"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXE-12 Number of Refills"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="repeatNumber"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dispenseRequest.quantity">
      <path value="MedicationRequest.dispenseRequest.quantity"/> 
      <short value="Amount of medication to supply per dispense"/> 
      <definition value="The amount that is to be dispensed for one fill."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.dispenseRequest.quantity"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Quantity"/> 
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="Message/Body/NewRx/MedicationPrescribed/DaysSupply"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXD-4 Actual Dispense Amount / RXD-5.1 Actual Dispense Units.code / RXD-5.3 Actual
         Dispense Units.name of coding system"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="quantity"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dispenseRequest.expectedSupplyDuration">
      <path value="MedicationRequest.dispenseRequest.expectedSupplyDuration"/> 
      <short value="Number of days supply per dispense"/> 
      <definition value="Identifies the period time over which the supplied product is expected to be used,
       or the length of time the dispense is expected to last."/> 
      <comment value="In some situations, this attribute may be used instead of quantity to identify
       the amount supplied by how long it is expected to last, rather than the physical
       quantity issued, e.g. 90 days supply of medication (based on an ordered dosage).
       When possible, it is always better to specify quantity, as this tends to be more
       precise. expectedSupplyDuration will always be an estimate that can be influenced
       by external factors."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.dispenseRequest.expectedSupplyDuration"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Duration"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="Message/Body/NewRx/MedicationPrescribed/Substitutions"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="expectedUseTime"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dispenseRequest.dispenser">
      <path value="MedicationRequest.dispenseRequest.dispenser"/> 
      <short value="Intended performer of dispense"/> 
      <definition value="Indicates the intended performing Organization that will dispense the medication
       as specified by the prescriber."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.dispenseRequest.dispenser"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.who"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=COMP].target[classCode=SPLY, moodCode=RQO] .participation[type
        Code=PRF].role[scoper.determinerCode=INSTANCE]"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dispenseRequest.dispenserInstruction">
      <path value="MedicationRequest.dispenseRequest.dispenserInstruction"/> 
      <short value="Additional information for the dispenser"/> 
      <definition value="Provides additional information to the dispenser, for example, counselling to be
       provided to the patient."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="MedicationRequest.dispenseRequest.dispenserInstruction"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Annotation"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Supply.text"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dispenseRequest.doseAdministrationAid">
      <path value="MedicationRequest.dispenseRequest.doseAdministrationAid"/> 
      <short value="Type of adherence packaging to use for the dispense"/> 
      <definition value="Provides information about the type of adherence packaging to be supplied for the
       medication dispense."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.dispenseRequest.doseAdministrationAid"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationRequestDoseAdministrationAid"/> 
        </extension> 
        <strength value="example"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/medication-dose-aid"/> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Supply.administerableMedication.product.asContent.container.code"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.substitution">
      <path value="MedicationRequest.substitution"/> 
      <short value="Any restrictions on medication substitution"/> 
      <definition value="Indicates whether or not substitution can or should be part of the dispense. In
       some cases, substitution must happen, in other cases substitution must not happen.
       This block explains the prescriber's intent. If nothing is specified substitution
       may be done."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.substitution"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="subjectOf.substitutionPersmission"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.substitution.id">
      <path value="MedicationRequest.substitution.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.substitution.extension">
      <path value="MedicationRequest.substitution.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any
       implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.substitution.modifierExtension">
      <path value="MedicationRequest.substitution.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,
       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       element that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.substitution.allowed[x]">
      <path value="MedicationRequest.substitution.allowed[x]"/> 
      <short value="Whether substitution is allowed or not"/> 
      <definition value="True if the prescriber allows a different drug to be dispensed from what was prescribed."/> 
      <comment value="This element is labeled as a modifier because whether substitution is allow or
       not, it cannot be ignored."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.substitution.allowed[x]"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationRequestSubstitution"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="Identifies the type of substitution allowed."/> 
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode"/> 
      </binding> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXO-9 Allow Substitutions / RXE-9 Substitution Status"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="code"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.substitution.reason">
      <path value="MedicationRequest.substitution.reason"/> 
      <short value="Why should (not) substitution be made"/> 
      <definition value="Indicates the reason for the substitution, or why substitution must or must not
       be performed."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="MedicationRequest.substitution.reason"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationIntendedSubstitutionReason"/> 
        </extension> 
        <strength value="example"/> 
        <description value="SubstanceAdminSubstitutionReason"/> 
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason"/> 
      </binding> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="not mapped"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXE-9 Substition status"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="reasonCode"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.eventHistory">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="trial-use"/> 
      </extension> 
      <path value="MedicationRequest.eventHistory"/> 
      <short value="A list of events of interest in the lifecycle"/> 
      <definition value="Links to Provenance records for past versions of this resource or fulfilling request
       or event resources that identify key state transitions or updates that are likely
       to be relevant to a user looking at the current version of the resource."/> 
      <comment value="This might not include provenances for all versions of the request – only those
       deemed “relevant” or important. This SHALL NOT include the provenance associated
       with this current version of the resource. (If that provenance is deemed to be
       a “relevant” change, it will need to be added as part of a later update. Until
       then, it can be queried directly as the provenance that points to this version
       using _revinclude All Provenances should have some historical version of this Request
       as their subject.)."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="MedicationRequest.eventHistory"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Provenance"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.relevantHistory"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"/> 
      </mapping> 
    </element> 
  </snapshot> 
  <differential> 
    <element id="MedicationRequest">
      <path value="MedicationRequest"/> 
      <short value="Ordering of medication for patient or group"/> 
      <definition value="An order or request for both supply of the medication and the instructions for
       administration of the medication to a patient. The resource is called &quot;MedicationRequest
      &quot; rather than &quot;MedicationPrescription&quot; or &quot;MedicationOrder&quot;
       to generalize the use across inpatient and outpatient settings, including care
       plans, etc., and to harmonize with workflow patterns."/> 
      <alias value="Prescription"/> 
      <alias value="Order"/> 
      <min value="0"/> 
      <max value="*"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request"/> 
      </mapping> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="Message/Body/NewRx"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="CombinedMedicationRequest"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="clinical.medication"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.identifier">
      <path value="MedicationRequest.identifier"/> 
      <short value="External ids for this request"/> 
      <definition value="Identifiers associated with this medication request that are defined by business
       processes and/or used to refer to it when a direct URL reference to the resource
       itself is not appropriate. They are business identifiers assigned to this resource
       by the performer or other systems and remain constant as the resource is updated
       and propagates from server to server."/> 
      <comment value="This is a business identifier, not a resource identifier."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="Message/Header/PrescriberOrderNumber"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="ORC-2-Placer Order Number / ORC-3-Filler Order Number"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".id"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.basedOn">
      <path value="MedicationRequest.basedOn"/> 
      <short value="What request fulfills"/> 
      <definition value="A plan or request that is fulfilled in whole or in part by this medication request."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.basedOn"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or
         OBS, moodCode=RQO orPLAN or PRP]"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.priorPrescription">
      <path value="MedicationRequest.priorPrescription"/> 
      <short value="An order/prescription that is being replaced"/> 
      <definition value="A link to a resource representing an earlier order related order or prescription."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.replaces"/> 
      </mapping> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="not mapped"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=?RPLC or ?SUCC]/target[classCode=SBADM,moodCode=RQO]"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.groupIdentifier">
      <path value="MedicationRequest.groupIdentifier"/> 
      <short value="Composite request this is part of"/> 
      <definition value="A shared identifier common to all requests that were authorized more or less simultaneously
       by a single author, representing the identifier of the requisition or prescription."/> 
      <requirements value="Requests are linked either by a &quot;basedOn&quot; relationship (i.e. one request
       is fulfilling another) or by having a common requisition. Requests that are part
       of the same requisition are generally treated independently from the perspective
       of changing their state or maintaining them after initial creation."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.groupIdentifier"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship(typeCode=COMP].target[classCode=SBADM, moodCode=INT].id"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.status">
      <path value="MedicationRequest.status"/> 
      <short value="active | on-hold | ended | stopped | completed | cancelled | entered-in-error |
       draft | unknown"/> 
      <definition value="A code specifying the current state of the order.  Generally, this will be active
       or completed state."/> 
      <comment value="This element is labeled as a modifier because the status contains codes that mark
       the resource as not currently valid.

Clinical decision support systems should take the status into account when determining
       which medications to include in their algorithms."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="This element is labeled as a modifier because it is a status element that contains
       status entered-in-error which means that the resource should not be treated as
       valid"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationRequestStatus"/> 
        </extension> 
        <strength value="required"/> 
        <description value="A coded concept specifying the state of the prescribing event. Describes the lifecycle
         of the prescription."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0-ballot"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.status"/> 
      </mapping> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="no mapping"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.status"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".statusCode"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.statusReason">
      <path value="MedicationRequest.statusReason"/> 
      <short value="Reason for current status"/> 
      <definition value="Captures the reason for the current state of the MedicationRequest."/> 
      <comment value="This is generally only used for &quot;exception&quot; statuses such as &quot;suspended&quot;
       or &quot;cancelled&quot;. The reason why the MedicationRequest was created at all
       is captured in reasonCode, not here."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationRequestStatusReason"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Identifies the reasons for a given status."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-status-reason"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.statusReason"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.statusChanged">
      <path value="MedicationRequest.statusChanged"/> 
      <short value="When the status was changed"/> 
      <definition value="The date (and perhaps time) when the status was changed."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="subjectOf Observation[code = statusChange].value = date"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.intent">
      <path value="MedicationRequest.intent"/> 
      <short value="proposal | plan | order | original-order | reflex-order | filler-order | instance-order
       | option"/> 
      <definition value="Whether the request is a proposal, plan, or an original order."/> 
      <comment value="It is expected that the type of requester will be restricted for different stages
       of a MedicationRequest.  For example, Proposals can be created by a patient, relatedPerson,
       Practitioner or Device.  Plans can be created by Practitioners, Patients, RelatedPersons
       and Devices.  Original orders can be created by a Practitioner only.

An instance-order is an instantiation of a request or order and may be used to
       populate Medication Administration Record.

This element is labeled as a modifier because the intent alters when and how the
       resource is actually applicable."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="This element changes the interpretation of all descriptive attributes. For example
       &quot;the time the request is recommended to occur&quot; vs. &quot;the time the
       request is authorized to occur&quot; or &quot;who is recommended to perform the
       request&quot; vs. &quot;who is authorized to perform the request"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationRequestIntent"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The kind of medication order."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0-ballot"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.intent"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.category">
      <path value="MedicationRequest.category"/> 
      <short value="Grouping or category of medication request"/> 
      <definition value="Indicates the grouping or category of medication request (for example, drug classification
       like ATC, where meds would be administered, legal category of the medication.)."/> 
      <comment value="The category can be used to include where the medication is expected to be consumed
       or other types of requests."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationRequestAdministrationLocation"/> 
        </extension> 
        <strength value="example"/> 
        <description value="A coded concept identifying where the medication is to be consumed or administered."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-admin-location"/> 
      </binding> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="Message/Body/NewRx/MedicationPrescribed/Directions

or 

Message/Body/NewRx/MedicationPrescribed/StructuredSIG"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=&quot;type
         of medication usage&quot;].value"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.priority">
      <path value="MedicationRequest.priority"/> 
      <short value="routine | urgent | asap | stat"/> 
      <definition value="Indicates how quickly the Medication Request should be addressed with respect to
       other requests."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationRequestPriority"/> 
        </extension> 
        <strength value="required"/> 
        <description value="Identifies the level of importance to be assigned to actioning the request."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/request-priority|5.0.0-ballot"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.priority"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.grade"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".priorityCode"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.doNotPerform">
      <path value="MedicationRequest.doNotPerform"/> 
      <short value="True if patient is to stop taking or not to start taking the medication"/> 
      <definition value="If true, indicates that the provider is asking for the patient to either stop taking
       or to not start taking the specified medication. For example, the patient is taking
       an existing medication and the provider is changing their medication. They want
       to create two seperate requests: one to stop using the current medication and another
       to start the new medication."/> 
      <comment value="If do not perform is not specified, the request is a positive request e.g. &quot;do
       perform&quot;."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="This element is labeled as a modifier because this element negates the request
       to occur (ie, this is a request for the medication not to be ordered or prescribed,
       etc)"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="SubstanceAdministration.actionNegationInd"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.medication">
      <path value="MedicationRequest.medication"/> 
      <short value="Medication to be taken"/> 
      <definition value="Identifies the medication being requested. This is a link to a resource that represents
       the medication which may be the details of the medication or simply an attribute
       carrying a code that identifies the medication from a known list of medications."/> 
      <comment value="If only a code is specified, then it needs to be a code for a specific product.
       If more information is required, then the use of the Medication resource is recommended.
        For example, if you require form or lot number or if the medication is compounded
       or extemporaneously prepared, then you must reference the Medication resource."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableReference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationCode"/> 
        </extension> 
        <strength value="example"/> 
        <description value="A coded concept identifying substance or product that can be ordered."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/medication-codes"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.code"/> 
      </mapping> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="Message/Body/NewRx/MedicationPrescribed

Medication.code.coding.code = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCode

Medication.code.coding.system = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCode
        Qualifier

Medication.code.coding.display = Message/Body/NewRx/MedicationPrescribed/DrugDescription"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.what[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXE-2-Give Code / RXO-1 Requested Give Code / RXC-2 Component Code"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="consumable.administrableMedication"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.subject">
      <path value="MedicationRequest.subject"/> 
      <short value="Who or group medication request is for"/> 
      <definition value="A link to a resource representing the person or set of individuals to whom the
       medication will be given."/> 
      <comment value="The subject on a medication request is mandatory.  For the secondary use case where
       the actual subject is not provided, there still must be an anonymized subject specified."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.subject"/> 
      </mapping> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="Message/Body/NewRx/Patient

(need detail to link to specific patient … Patient.Identification in SCRIPT)"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PID-3 Patient ID List"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=AUT].role"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.subject"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.informationSource">
      <path value="MedicationRequest.informationSource"/> 
      <short value="The person or organization who provided the information about this request, if
       the source is someone other than the requestor"/> 
      <definition value="The person or organization who provided the information about this request, if
       the source is someone other than the requestor.  This is often used when the MedicationReques
      t is reported by another person."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=INF].role[classCode=PAT, or codes for Practitioner or Related
         Person or Practitioner Role or Organization"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.encounter">
      <path value="MedicationRequest.encounter"/> 
      <short value="Encounter created as part of encounter/admission/stay"/> 
      <definition value="The Encounter during which this [x] was created or to which the creation of this
       record is tightly associated."/> 
      <comment value="This will typically be the encounter the event occurred within, but some activities
       may be initiated prior to or after the official completion of an encounter but
       still be tied to the context of the encounter.&quot;    If there is a need to link
       to episodes of care they will be handled with an extension."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.context"/> 
      </mapping> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="no mapping"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.context"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PV1-19 Visit Number"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=&quot;type
         of encounter or episode&quot;]"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.supportingInformation">
      <path value="MedicationRequest.supportingInformation"/> 
      <short value="Information to support fulfilling of the medication"/> 
      <definition value="Information to support fulfilling (i.e. dispensing or administering) of the medication,
       for example, patient height and weight, a MedicationUsage for the patient)."/> 
      <comment value="This attribute can be used to reference a MedicationUsage about the patients' medication
       use."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.supportingInfo"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.context"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET
         minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM,
         OBS) and each of the act class codes draws from one or more of the following moodCodes
         (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.authoredOn">
      <path value="MedicationRequest.authoredOn"/> 
      <short value="When request was initially authored"/> 
      <definition value="The date (and perhaps time) when the prescription was initially written or authored
       on."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.authoredOn"/> 
      </mapping> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="Message/Body/NewRx/MedicationPrescribed/WrittenDate"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.recorded"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXE-32 Original Order Date/Time / ORC-9-Date Time of Transaction"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="author.time"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.requester">
      <path value="MedicationRequest.requester"/> 
      <short value="Who/What requested the Request"/> 
      <definition value="The individual, organization, or device that initiated the request and has responsibility
       for its activation."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.requester"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.author"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=AUT].role"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.reported">
      <path value="MedicationRequest.reported"/> 
      <short value="Reported rather than primary record"/> 
      <definition value="Indicates if this record was captured as a secondary 'reported' record rather than
       as an original primary source-of-truth record.  It may also indicate the source
       of the report."/> 
      <comment value="If not populated, then assume that this is the original record and not reported"/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=INF].role"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.performerType">
      <path value="MedicationRequest.performerType"/> 
      <short value="Desired kind of performer of the medication administration"/> 
      <definition value="Indicates the type of performer of the administration of the medication."/> 
      <comment value="If specified without indicating a performer, this indicates that the performer
       must be of the specified type. If specified with a performer then it indicates
       the requirements of the performer if the designated performer is not available."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationRequestPerformerType"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="Identifies the type of individual that is desired to administer the medication."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/medication-intended-performer-role"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.performerType"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=PRF].role[scoper.determinerCode=KIND].code"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.performer">
      <path value="MedicationRequest.performer"/> 
      <short value="Intended performer of administration"/> 
      <definition value="The specified desired performer of the medication treatment (e.g. the performer
       of the medication administration).  For devices, this is the device that is intended
       to perform the administration of the medication.  An IV Pump would be an example
       of a device that is performing the administration.  Both the IV Pump and the practitioner
       that set the rate or bolus on the pump can be listed as performers."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DeviceDefinition"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/HealthcareService"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.performer"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.actor"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.device">
      <path value="MedicationRequest.device"/> 
      <short value="Intended type of device for the administration"/> 
      <definition value="The intended type of device that is to be used for the administration of the medication
       (for example, PCA Pump)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableReference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DeviceDefinition"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.recorder">
      <path value="MedicationRequest.recorder"/> 
      <short value="Person who entered the request"/> 
      <definition value="The person who entered the order on behalf of another individual for example in
       the case of a verbal or a telephone order."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.who"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType)"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.reason">
      <path value="MedicationRequest.reason"/> 
      <short value="Reason or indication for ordering or not ordering the medication"/> 
      <definition value="The reason or the indication for ordering or not ordering the medication."/> 
      <comment value="This could be a diagnosis code. If a full condition record exists or additional
       detail is needed, use reasonReference."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="CodeableReference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationRequestReason"/> 
        </extension> 
        <strength value="example"/> 
        <description value="A coded concept indicating why the medication was ordered."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/condition-code"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.reasonCode"/> 
      </mapping> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="Message/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.why[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="ORC-16 Order Control Code Reason /RXE-27 Give Indication/RXO-20-Indication / RXD-21
         Indication / RXG-22 Indication / RXA-19 Indication"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="reason.observation.reasonCode | reason.observation[code=ASSERTION].value"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.courseOfTherapyType">
      <path value="MedicationRequest.courseOfTherapyType"/> 
      <short value="Overall pattern of medication administration"/> 
      <definition value="The description of the overall pattern of the administration of the medication
       to the patient."/> 
      <comment value="This attribute should not be confused with the protocol of the medication."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationRequestCourseOfTherapy"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="Identifies the overall pattern of medication administratio."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy"/> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Act.code where classCode = LIST and moodCode = EVN"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.insurance">
      <path value="MedicationRequest.insurance"/> 
      <short value="Associated insurance coverage"/> 
      <definition value="Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations
       that may be required for delivering the requested service."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Coverage"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ClaimResponse"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.insurance"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=COVBY].target"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.note">
      <path value="MedicationRequest.note"/> 
      <short value="Information about the prescription"/> 
      <definition value="Extra information about the prescription that could not be conveyed by the other
       attributes."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Annotation"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.note"/> 
      </mapping> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="Message/Body/NewRx/MedicationPrescribed/Note"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=&quot;annotation&q
        uot;].value"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dose">
      <path value="MedicationRequest.dose"/> 
      <short value="How the medication should be taken"/> 
      <definition value="Indicates how the medication is to be used by the patient."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="SubstanceAdministration &gt; ActRelationship[COMP] &gt; SubstanceAdministration"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dose.renderedDosageInstruction">
      <path value="MedicationRequest.dose.renderedDosageInstruction"/> 
      <short value="Full representation of the dosage instructions"/> 
      <definition value="The full representation of the dose of the medication included in all dosage instructions.
        To be used when multiple dosage instructions are included to represent complex
       dosing such as increasing or tapering doses."/> 
      <requirements value="The content of the renderedDosageInstructions must not be different than the dose
       represented in the dosageInstruction content."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="SubstanceAdministration.text"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dose.effectiveDosePeriod">
      <path value="MedicationRequest.dose.effectiveDosePeriod"/> 
      <short value="Period over which the medication is to be taken"/> 
      <definition value="The period over which the medication is to be taken.  Where there are multiple
       dosageInstruction lines (for example, tapering doses), this is the earliest date
       and the latest end date of the dosageInstructions."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Period"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="substanceAdministration.effectiveTime"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dose.dosageInstruction">
      <path value="MedicationRequest.dose.dosageInstruction"/> 
      <short value="Specific instructions for how the medication should be taken"/> 
      <definition value="Specific instructions for how the medication is to be used by the patient."/> 
      <comment value="There are examples where a medication request may include the option of an oral
       dose or an Intravenous or Intramuscular dose.  For example, &quot;Ondansetron 8mg
       orally or IV twice a day as needed for nausea&quot; or &quot;Compazine® (prochlorperazine)
       5-10mg PO or 25mg PR bid prn nausea or vomiting&quot;.  In these cases, two medication
       requests would be created that could be grouped together.  The decision on which
       dose and route of administration to use is based on the patient's condition at
       the time the dose is needed. In general, each prescribed drug will be a separate
       Medication Request. 

When drug orders are grouped together at the time of order entry,  but each of
       the drugs can be manipulated independently e.g. changing the status of one order
       to &quot;completed&quot; or &quot;cancelled&quot;, changing another order status
       to &quot;on-hold&quot;, the method to &quot;group&quot; all of the medication requests
       together is to use  MedicationRequest.groupIdentifier element.  All of the orders
       grouped together in this manner will have the same groupIdentifier, and separately,
       each order in the group may have a unique identifier.  

There are cases that require grouping of Medication orders together when it is
       necessary to specify optionality e.g. order two drugs at one time, but stating
       either of these drugs may be used to treat the patient.  The use of a RequestOrchestration
       should be used as a parent for the Medication orders that require this type of
       grouping. An example when it may be necessary to group medication orders together
       is when you specify timing relationships e.g. order drug &quot;xyz&quot; with dose
       123, then taper the same drug to a different dose after some interval of time
precedence:
e.g. give drug &quot;abc&quot; followed by drug &quot;def&quot;
e.g. give drug 30 minutes before some procedure was performed
more generically this supports - hierarchical groups of actions, where each specific
       action references the action to be performed (in terms of a Request resource),
       and each group describes additional behavior, relationships, and applicable conditions
       between the actions in the overall group.
Note that one should NOT use the List or Composition resource to accomplish the
       above requirements.  You may use List or Composition for other business requirements,
       but not to address the specific requirements of grouping medication orders."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Dosage"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="see dosageInstruction mapping"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dispenseRequest">
      <path value="MedicationRequest.dispenseRequest"/> 
      <short value="Medication supply authorization"/> 
      <definition value="Indicates the specific details for the dispense or medication supply part of a
       medication request (also known as a Medication Prescription or Medication Order).
        Note that this information is not always sent with the order.  There may be in
       some settings (e.g. hospitals) institutional or system support for completing the
       dispense details in the pharmacy department."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="Message/Body/NewRx/MedicationPrescribed/ExpirationDate"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="component.supplyEvent"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dispenseRequest.initialFill">
      <path value="MedicationRequest.dispenseRequest.initialFill"/> 
      <short value="First fill details"/> 
      <definition value="Indicates the quantity or duration for the first dispense of the medication."/> 
      <comment value="If populating this element, either the quantity or the duration must be included."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="SubstanceAdministration -&gt; ActRelationship[sequenceNumber = '1'] -&gt; Supply"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dispenseRequest.initialFill.quantity">
      <path value="MedicationRequest.dispenseRequest.initialFill.quantity"/> 
      <short value="First fill quantity"/> 
      <definition value="The amount or quantity to provide as part of the first dispense."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Quantity"/> 
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Supply.quantity[moodCode=RQO]"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dispenseRequest.initialFill.duration">
      <path value="MedicationRequest.dispenseRequest.initialFill.duration"/> 
      <short value="First fill duration"/> 
      <definition value="The length of time that the first dispense is expected to last."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Duration"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Supply.effectivetime[moodCode=RQO]"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dispenseRequest.dispenseInterval">
      <path value="MedicationRequest.dispenseRequest.dispenseInterval"/> 
      <short value="Minimum period of time between dispenses"/> 
      <definition value="The minimum period of time that must occur between dispenses of the medication."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Duration"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Supply.effectivetime[moodCode=RQO]"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dispenseRequest.validityPeriod">
      <path value="MedicationRequest.dispenseRequest.validityPeriod"/> 
      <short value="Time period supply is authorized for"/> 
      <definition value="This indicates the validity period of a prescription (stale dating the Prescription)."/> 
      <comment value="It reflects the prescribers' perspective for the validity of the prescription.
       Dispenses must not be made against the prescription outside of this period. The
       lower-bound of the Dispensing Window signifies the earliest date that the prescription
       can be filled for the first time. If an upper-bound is not specified then the Prescription
       is open-ended or will default to a stale-date based on regulations."/> 
      <requirements value="Indicates when the Prescription becomes valid, and when it ceases to be a dispensable
       Prescription."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Period"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="Message/Body/NewRx/MedicationPrescribed/Refills"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="effectiveTime"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed">
      <path value="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed"/> 
      <short value="Number of refills authorized"/> 
      <definition value="An integer indicating the number of times, in addition to the original dispense,
       (aka refills or repeats) that the patient can receive the prescribed medication.
       Usage Notes: This integer does not include the original order dispense. This means
       that if an order indicates dispense 30 tablets plus &quot;3 repeats&quot;, then
       the order can be dispensed a total of 4 times and the patient can receive a total
       of 120 tablets.  A prescriber may explicitly say that zero refills are permitted
       after the initial dispense."/> 
      <comment value="If displaying &quot;number of authorized fills&quot;, add 1 to this number."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="unsignedInt"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="Message/Body/NewRx/MedicationPrescribed/Quantity"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXE-12 Number of Refills"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="repeatNumber"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dispenseRequest.quantity">
      <path value="MedicationRequest.dispenseRequest.quantity"/> 
      <short value="Amount of medication to supply per dispense"/> 
      <definition value="The amount that is to be dispensed for one fill."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Quantity"/> 
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="Message/Body/NewRx/MedicationPrescribed/DaysSupply"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXD-4 Actual Dispense Amount / RXD-5.1 Actual Dispense Units.code / RXD-5.3 Actual
         Dispense Units.name of coding system"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="quantity"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dispenseRequest.expectedSupplyDuration">
      <path value="MedicationRequest.dispenseRequest.expectedSupplyDuration"/> 
      <short value="Number of days supply per dispense"/> 
      <definition value="Identifies the period time over which the supplied product is expected to be used,
       or the length of time the dispense is expected to last."/> 
      <comment value="In some situations, this attribute may be used instead of quantity to identify
       the amount supplied by how long it is expected to last, rather than the physical
       quantity issued, e.g. 90 days supply of medication (based on an ordered dosage).
       When possible, it is always better to specify quantity, as this tends to be more
       precise. expectedSupplyDuration will always be an estimate that can be influenced
       by external factors."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Duration"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="Message/Body/NewRx/MedicationPrescribed/Substitutions"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="expectedUseTime"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dispenseRequest.dispenser">
      <path value="MedicationRequest.dispenseRequest.dispenser"/> 
      <short value="Intended performer of dispense"/> 
      <definition value="Indicates the intended performing Organization that will dispense the medication
       as specified by the prescriber."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.who"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".outboundRelationship[typeCode=COMP].target[classCode=SPLY, moodCode=RQO] .participation[type
        Code=PRF].role[scoper.determinerCode=INSTANCE]"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dispenseRequest.dispenserInstruction">
      <path value="MedicationRequest.dispenseRequest.dispenserInstruction"/> 
      <short value="Additional information for the dispenser"/> 
      <definition value="Provides additional information to the dispenser, for example, counselling to be
       provided to the patient."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Annotation"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Supply.text"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.dispenseRequest.doseAdministrationAid">
      <path value="MedicationRequest.dispenseRequest.doseAdministrationAid"/> 
      <short value="Type of adherence packaging to use for the dispense"/> 
      <definition value="Provides information about the type of adherence packaging to be supplied for the
       medication dispense."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationRequestDoseAdministrationAid"/> 
        </extension> 
        <strength value="example"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/medication-dose-aid"/> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Supply.administerableMedication.product.asContent.container.code"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.substitution">
      <path value="MedicationRequest.substitution"/> 
      <short value="Any restrictions on medication substitution"/> 
      <definition value="Indicates whether or not substitution can or should be part of the dispense. In
       some cases, substitution must happen, in other cases substitution must not happen.
       This block explains the prescriber's intent. If nothing is specified substitution
       may be done."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="subjectOf.substitutionPersmission"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.substitution.allowed[x]">
      <path value="MedicationRequest.substitution.allowed[x]"/> 
      <short value="Whether substitution is allowed or not"/> 
      <definition value="True if the prescriber allows a different drug to be dispensed from what was prescribed."/> 
      <comment value="This element is labeled as a modifier because whether substitution is allow or
       not, it cannot be ignored."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationRequestSubstitution"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="Identifies the type of substitution allowed."/> 
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode"/> 
      </binding> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXO-9 Allow Substitutions / RXE-9 Substitution Status"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="code"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.substitution.reason">
      <path value="MedicationRequest.substitution.reason"/> 
      <short value="Why should (not) substitution be made"/> 
      <definition value="Indicates the reason for the substitution, or why substitution must or must not
       be performed."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationIntendedSubstitutionReason"/> 
        </extension> 
        <strength value="example"/> 
        <description value="SubstanceAdminSubstitutionReason"/> 
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason"/> 
      </binding> 
      <mapping> 
        <identity value="script10.6"/> 
        <map value="not mapped"/> 
      </mapping> 
      <mapping> 
        <identity value="v2"/> 
        <map value="RXE-9 Substition status"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="reasonCode"/> 
      </mapping> 
    </element> 
    <element id="MedicationRequest.eventHistory">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="trial-use"/> 
      </extension> 
      <path value="MedicationRequest.eventHistory"/> 
      <short value="A list of events of interest in the lifecycle"/> 
      <definition value="Links to Provenance records for past versions of this resource or fulfilling request
       or event resources that identify key state transitions or updates that are likely
       to be relevant to a user looking at the current version of the resource."/> 
      <comment value="This might not include provenances for all versions of the request – only those
       deemed “relevant” or important. This SHALL NOT include the provenance associated
       with this current version of the resource. (If that provenance is deemed to be
       a “relevant” change, it will need to be added as part of a later update. Until
       then, it can be queried directly as the provenance that points to this version
       using _revinclude All Provenances should have some historical version of this Request
       as their subject.)."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Provenance"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Request.relevantHistory"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"/> 
      </mapping> 
    </element> 
  </differential> 
</StructureDefinition> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.