profile-MedicationRequest
type: StructureDefinition
node role: treeRoot
id:
  v: profile-MedicationRequest
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition profile-MedicationRequest Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:statusReason 0..1 CodeableConcept R4: Reason for current status (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.statusReason Binding: R4MedicationrequestStatusReasonForR3 (0.1.0) (example): Identifies the reasons for a given status. #xD; extension:reported 0..1 boolean, Reference(Cross-version Profile for R4.Patient for use in FHIR STU3(0.1.0) | Patient | Cross-version Profile for R4.Practitioner for use in FHIR STU3(0.1.0) | Practitioner | Cross-version Profile for R4.PractitionerRole for use in FHIR STU3(0.1.0) | PractitionerRole | Cross-version Profile for R4.RelatedPerson for use in FHIR STU3(0.1.0) | RelatedPerson | Cross-version Profile for R4.Organization for use in FHIR STU3(0.1.0) | Organization) R4: Reported rather than primary record (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.reported #xD; extension:performer 0..1 Reference(Cross-version Profile for R4.Practitioner for use in FHIR STU3(0.1.0) | Practitioner | Cross-version Profile for R4.PractitionerRole for use in FHIR STU3(0.1.0) | PractitionerRole | Cross-version Profile for R4.Organization for use in FHIR STU3(0.1.0) | Organization | Cross-version Profile for R4.Patient for use in FHIR STU3(0.1.0) | Patient | Cross-version Profile for R4.Device for use in FHIR STU3(0.1.0) | Device | Cross-version Profile for R4.RelatedPerson for use in FHIR STU3(0.1.0) | RelatedPerson | Cross-version Profile for R4.CareTeam for use in FHIR STU3(0.1.0) | CareTeam) R4: Intended performer of administration (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationReques…
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
    l: structuredefinition-wg
  value: Code
    v: fhir
extension:
  extension:
    url:
      v: packageId
      l: packageId
    value: Id
      v: hl7.fhir.uv.xver-r4.r3
  extension:
    url:
      v: version
      l: version
    value: String
      v: 0.1.0
  url:
    v: http://hl7.org/fhir/StructureDefinition/package-source
    l: package-source
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
    l: structuredefinition-fmm
  value: Integer
    v: 0
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Uri
        v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3
        l: hl7.fhir.uv.xver-r4.r3
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: trial-use
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Uri
        v: http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r3
        l: hl7.fhir.uv.xver-r4.r3
url:
  v: http://hl7.org/fhir/4.0/StructureDefinition/profile-MedicationRequest
  l: profile-MedicationRequest
version:
  v: 0.1.0
name:
  v: Profile_R4_MedicationRequest_R3
title:
  v: Cross-version Profile for R4.MedicationRequest for use in FHIR STU3
status:
  v: active
experimental:
  v: false
date:
  v: 2026-03-17T16:03:29.7515754-05:00
publisher:
  v: FHIR Infrastructure
contact:
  name:
    v: FHIR Infrastructure
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/fiwg
description:
  v: This cross-version profile allows R4 MedicationRequest content to be represented via FHIR STU3 MedicationRequest resources.
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
      l: m49.htm
    code:
      v: 001
    display:
      v: World
fhir version:
  v: 3.0.2
mapping:
  identity:
    v: workflow
  uri:
    v: http://hl7.org/fhir/workflow
    l: workflow
  name:
    v: Workflow Mapping
mapping:
  identity:
    v: script10.6
  uri:
    v: http://ncpdp.org/SCRIPT10_6
    l: SCRIPT10 6
  name:
    v: Mapping to NCPDP SCRIPT 10.6
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
    l: v3
  name:
    v: RIM Mapping
mapping:
  identity:
    v: w5
  uri:
    v: http://hl7.org/fhir/w5
    l: w5
  name:
    v: W5 Mapping
mapping:
  identity:
    v: v2
  uri:
    v: http://hl7.org/v2
    l: v2
  name:
    v: HL7 v2 Mapping
kind:
  v: resource
abstract:
  v: false
type:
  v: MedicationRequest
base definition:
  v: http://hl7.org/fhir/StructureDefinition/MedicationRequest
  l: MedicationRequest
derivation:
  v: constraint
snapshot:
  element:
    id:
      v: MedicationRequest
    path:
      v: MedicationRequest
    short:
      v: Ordering of medication for patient or group
    definition:
      v: 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 "MedicationRequest" rather than "MedicationPrescription" or "MedicationOrder" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns.
    alias:
      v: Prescription
    alias:
      v: Order
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: MedicationRequest
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      xpath:
        v: not(parent::f:contained and f:contained)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-1
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain any narrative
      expression:
        v: contained.text.empty()
      xpath:
        v: not(parent::f:contained and f:text)
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        l: DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error

v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated

v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()

v: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))

key:
  v: dom-3
severity:
  v: error
human:
  v: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
expression:
  v: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
xpath:
  v: not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))
source:
  v: http://hl7.org/fhir/StructureDefinition/DomainResource
  l: DomainResource

identity:
  v: rim
map:
  v: Entity. Role, or Act

identity:
  v: workflow
map:
  v: ..Request

identity:
  v: script10.6
map:
  v: Message/Body/NewRx

identity:
  v: rim
map:
  v: CombinedMedicationRequest

identity:
  v: w5
map:
  v: clinical.medication

id:
  v: MedicationRequest.id
path:
  v: MedicationRequest.id
short:
  v: Logical id of this artifact
definition:
  v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
comment:
  v: The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: id
    l: id
is summary:
  v: true

id:
  v: MedicationRequest.meta
path:
  v: MedicationRequest.meta
short:
  v: Metadata about the resource
definition:
  v: The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.meta
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Meta
    l: Meta
is summary:
  v: true

id:
  v: MedicationRequest.implicitRules
path:
  v: MedicationRequest.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.
comment:
  v: 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. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
    l: uri
is modifier:
  v: true
is summary:
  v: true

id:
  v: MedicationRequest.language
path:
  v: MedicationRequest.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
      l: elementdefinition-maxValueSet
    value: Reference
      l: 3.0
      l: .2
      reference:
        v: http://hl7.org/fhir/ValueSet/all-languages|3.0.2
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: Language
  strength:
    v: extensible
  description:
    v: A human language.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/languages|3.0.2

id:
  v: MedicationRequest.text
path:
  v: MedicationRequest.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: A human-readable narrative that contains a summary of the resource, and may 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 "clinically safe" 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:
  v: Contained resources do not have 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 "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
    l: Narrative
condition:
  v: dom-1
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: MedicationRequest.contained
path:
  v: MedicationRequest.contained
short:
  v: Contained, inline Resources
definition:
  v: These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
comment:
  v: 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.
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
    l: Resource
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationRequest.extension
path:
  v: MedicationRequest.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: MedicationRequest.extension:statusReason
path:
  v: MedicationRequest.extension
slice name:
  v: statusReason
short:
  v: R4: Reason for current status (new)
definition:
  v: R4: `MedicationRequest.statusReason` (new:CodeableConcept)
comment:
  v: Element `MedicationRequest.statusReason` has a context of MedicationRequest based on following the parent source element upwards and mapping to `MedicationRequest`. Element `MedicationRequest.statusReason` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). This is generally only used for "exception" statuses such as "suspended" or "cancelled". The reason why the MedicationRequest was created at all is captured in reasonCode, not here.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.statusReason|0.1.0
    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.statusReason
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: MedicationRequest.extension:reported
path:
  v: MedicationRequest.extension
slice name:
  v: reported
short:
  v: R4: Reported rather than primary record (new)
definition:
  v: R4: `MedicationRequest.reported[x]` (new:boolean, Reference(Patient,Practitioner,PractitionerRole,RelatedPerson,Organization))
comment:
  v: Element `MedicationRequest.reported[x]` has a context of MedicationRequest based on following the parent source element upwards and mapping to `MedicationRequest`. Element `MedicationRequest.reported[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.reported|0.1.0
    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.reported
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: MedicationRequest.extension:performer
path:
  v: MedicationRequest.extension
slice name:
  v: performer
short:
  v: R4: Intended performer of administration (new)
definition:
  v: R4: `MedicationRequest.performer` (new:Reference(Practitioner,PractitionerRole,Organization,Patient,Device,RelatedPerson,CareTeam))
comment:
  v: Element `MedicationRequest.performer` has a context of MedicationRequest based on following the parent source element upwards and mapping to `MedicationRequest`. Element `MedicationRequest.performer` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.performer|0.1.0
    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.performer
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: MedicationRequest.extension:performerType
path:
  v: MedicationRequest.extension
slice name:
  v: performerType
short:
  v: R4: Desired kind of performer of the medication administration (new)
definition:
  v: R4: `MedicationRequest.performerType` (new:CodeableConcept)
comment:
  v: Element `MedicationRequest.performerType` has a context of MedicationRequest based on following the parent source element upwards and mapping to `MedicationRequest`. Element `MedicationRequest.performerType` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). 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:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.performerType|0.1.0
    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.performerType
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: MedicationRequest.extension:instantiatesUri
path:
  v: MedicationRequest.extension
slice name:
  v: instantiatesUri
short:
  v: R4: Instantiates external protocol or definition (new)
definition:
  v: R4: `MedicationRequest.instantiatesUri` (new:uri)
comment:
  v: Element `MedicationRequest.instantiatesUri` has a context of MedicationRequest based on following the parent source element upwards and mapping to `MedicationRequest`. Element `MedicationRequest.instantiatesUri` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.instantiatesUri|0.1.0
    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.instantiatesUri
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: MedicationRequest.extension:courseOfTherapyType
path:
  v: MedicationRequest.extension
slice name:
  v: courseOfTherapyType
short:
  v: R4: Overall pattern of medication administration (new)
definition:
  v: R4: `MedicationRequest.courseOfTherapyType` (new:CodeableConcept)
comment:
  v: Element `MedicationRequest.courseOfTherapyType` has a context of MedicationRequest based on following the parent source element upwards and mapping to `MedicationRequest`. Element `MedicationRequest.courseOfTherapyType` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). This attribute should not be confused with the protocol of the medication.
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  path:
    v: DomainResource.extension
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    v: Extension
    l: Extension
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    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.courseOfTherapyType
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
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    v: Must have either extensions or value[x], not both
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    l: Extension
is modifier:
  v: false

id:
  v: MedicationRequest.extension:insurance
path:
  v: MedicationRequest.extension
slice name:
  v: insurance
short:
  v: R4: Associated insurance coverage (new)
definition:
  v: R4: `MedicationRequest.insurance` (new:Reference(Coverage,ClaimResponse))
comment:
  v: Element `MedicationRequest.insurance` has a context of MedicationRequest based on following the parent source element upwards and mapping to `MedicationRequest`. Element `MedicationRequest.insurance` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
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  v: ele-1
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  key:
    v: ele-1
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    v: error
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    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
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    v: http://hl7.org/fhir/StructureDefinition/Element
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    l: Extension
is modifier:
  v: false

id:
  v: MedicationRequest.modifierExtension
path:
  v: MedicationRequest.modifierExtension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
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    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
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is modifier:
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id:
  v: MedicationRequest.modifierExtension:doNotPerform
path:
  v: MedicationRequest.modifierExtension
slice name:
  v: doNotPerform
short:
  v: R4: True if request is prohibiting action (new)
definition:
  v: R4: `MedicationRequest.doNotPerform` (new:boolean)
comment:
  v: Element `MedicationRequest.doNotPerform` has a context of MedicationRequest based on following the parent source element upwards and mapping to `MedicationRequest`. Element `MedicationRequest.doNotPerform` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). If do not perform is not specified, the request is a positive request e.g. "do perform".
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condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
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  key:
    v: ext-1
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    v: error
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    v: Must have either extensions or value[x], not both
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    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: true

id:
  v: MedicationRequest.identifier
path:
  v: MedicationRequest.identifier
short:
  v: External ids for this request
definition:
  v: This records 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. For example a re-imbursement system might issue its own id for each prescription that is created. This is particularly important where FHIR only provides part of an entire workflow process where records must be tracked through an entire system.
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  v: 0
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    v: MedicationRequest.identifier
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type:
  code:
    v: Identifier
    l: Identifier
mapping:
  identity:
    v: workflow
  map:
    v: …identifer
mapping:
  identity:
    v: script10.6
  map:
    v: Message/Header/PrescriberOrderNumber
mapping:
  identity:
    v: v2
  map:
    v: ORC-2-Placer Order Number / ORC-3-Filler Order Number
mapping:
  identity:
    v: rim
  map:
    v: .id
mapping:
  identity:
    v: w5
  map:
    v: id

id:
  v: MedicationRequest.definition
path:
  v: MedicationRequest.definition
short:
  v: Protocol or definition
definition:
  v: Protocol or definition followed by this request.
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  v: 0
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  path:
    v: MedicationRequest.definition
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type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ActivityDefinition
    l: ActivityDefinition
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/PlanDefinition
    l: PlanDefinition
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: …definition
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=DEFN].target[classCode=unspecified]

id:
  v: MedicationRequest.definition.id
path:
  v: MedicationRequest.definition.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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  code:
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    l: string
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    v: rim
  map:
    v: n/a

id:
  v: MedicationRequest.definition.extension
path:
  v: MedicationRequest.definition.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
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    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
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  v: 0
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id:
  v: MedicationRequest.definition.extension:instantiatesCanonical
path:
  v: MedicationRequest.definition.extension
slice name:
  v: instantiatesCanonical
short:
  v: R4: Instantiates FHIR protocol or definition additional types
definition:
  v: R4: `MedicationRequest.instantiatesCanonical` additional types (canonical) additional types from child elements (value)
comment:
  v: Element `MedicationRequest.instantiatesCanonical` is mapped to FHIR STU3 element `MedicationRequest.definition` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.instantiatesCanonical` do not cover the following types: canonical. The mappings for `MedicationRequest.instantiatesCanonical` do not cover the following types based on type expansion: value.
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    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.instantiatesCanonical

id:
  v: MedicationRequest.definition.reference
path:
  v: MedicationRequest.definition.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
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  code:
    v: string
    l: string
condition:
  v: ref-1
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationRequest.definition.identifier
path:
  v: MedicationRequest.definition.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
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    v: Identifier
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is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: MedicationRequest.definition.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: MedicationRequest.definition.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
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  v: 0
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  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationRequest.basedOn
path:
  v: MedicationRequest.basedOn
short:
  v: What request fulfills
definition:
  v: A plan or request that is fulfilled in whole or in part by this medication request.
min:
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  path:
    v: MedicationRequest.basedOn
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  code:
    v: Reference
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  target profile:
    v: http://hl7.org/fhir/StructureDefinition/CarePlan
    l: CarePlan
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/MedicationRequest
    l: MedicationRequest
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ProcedureRequest
    l: ProcedureRequest
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ReferralRequest
    l: ReferralRequest
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: …basedOn
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]

id:
  v: MedicationRequest.basedOn.id
path:
  v: MedicationRequest.basedOn.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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    v: rim
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id:
  v: MedicationRequest.basedOn.extension
path:
  v: MedicationRequest.basedOn.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
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  v: 0
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  v: *
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id:
  v: MedicationRequest.basedOn.extension:basedOn
path:
  v: MedicationRequest.basedOn.extension
slice name:
  v: basedOn
short:
  v: R4: basedOn
definition:
  v: R4: `MedicationRequest.basedOn`
comment:
  v: Element `MedicationRequest.basedOn` is mapped to FHIR STU3 element `MedicationRequest.basedOn` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `MedicationRequest.basedOn` with unmapped reference targets: ImmunizationRecommendation, ServiceRequest.
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  v: 0
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  v: *
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    v: Element.extension
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    v: Extension
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    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: MedicationRequest.basedOn.reference
path:
  v: MedicationRequest.basedOn.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
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  v: ref-1
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationRequest.basedOn.identifier
path:
  v: MedicationRequest.basedOn.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
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  v: 0
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  v: 1
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  code:
    v: Identifier
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  v: true
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  identity:
    v: rim
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    v: .identifier

id:
  v: MedicationRequest.basedOn.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: MedicationRequest.basedOn.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
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type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationRequest.groupIdentifier
path:
  v: MedicationRequest.groupIdentifier
short:
  v: Composite request this is part of
definition:
  v: 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:
  v: Requests are linked either by a "basedOn" 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.
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    v: MedicationRequest.groupIdentifier
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type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: …groupIdentifier
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship(typeCode=COMP].target[classCode=SBADM, moodCode=INT].id

id:
  v: MedicationRequest.status
path:
  v: MedicationRequest.status
short:
  v: active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
definition:
  v: A code specifying the current state of the order. Generally this will be active or completed state.
comment:
  v: This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
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base:
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    v: MedicationRequest.status
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type:
  code:
    v: code
    l: code
is modifier:
  v: true
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: MedicationRequestStatus
  strength:
    v: required
  description:
    v: A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/medication-request-status|3.0.2
mapping:
  identity:
    v: workflow
  map:
    v: …status
mapping:
  identity:
    v: script10.6
  map:
    v: no mapping
mapping:
  identity:
    v: rim
  map:
    v: .statusCode
mapping:
  identity:
    v: w5
  map:
    v: status

id:
  v: MedicationRequest.intent
path:
  v: MedicationRequest.intent
short:
  v: proposal | plan | order | instance-order
definition:
  v: Whether the request is a proposal, plan, or an original order.
comment:
  v: 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.
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  v: 1
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base:
  path:
    v: MedicationRequest.intent
  min:
    v: 1
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type:
  code:
    v: code
    l: code
is modifier:
  v: true
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: MedicationRequestIntent
  strength:
    v: required
  description:
    v: The kind of medication order
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/medication-request-intent|3.0.2
mapping:
  identity:
    v: workflow
  map:
    v: …intent
mapping:
  identity:
    v: rim
  map:
    v: .moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)
mapping:
  identity:
    v: w5
  map:
    v: class

id:
  v: MedicationRequest.intent.id
path:
  v: MedicationRequest.intent.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references)
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: MedicationRequest.intent.extension
path:
  v: MedicationRequest.intent.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: MedicationRequest.intent.extension:intent
path:
  v: MedicationRequest.intent.extension
slice name:
  v: intent
short:
  v: R4: proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
definition:
  v: R4: `MedicationRequest.intent`
comment:
  v: Element `MedicationRequest.intent` is mapped to FHIR STU3 element `MedicationRequest.intent` as `SourceIsBroaderThanTarget`. The target context `MedicationRequest.intent` is a modifier element, so this extension does not need to be defined as a modifier. 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:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.intent|0.1.0
    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.intent
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: MedicationRequest.intent.value
path:
  v: MedicationRequest.intent.value
representation:
  v: xmlAttr
short:
  v: Primitive value for code
definition:
  v: Primitive value for code
min:
  v: 0
max:
  v: 1
base:
  path:
    v: string.value
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-regex
      l: structuredefinition-regex
    value: String
      v: [^\s]+([\s]?[^\s]+)*
  code:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type
        l: structuredefinition-json-type
      value: String
        v: string
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type
        l: structuredefinition-xml-type
      value: String
        v: xsd:token
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type
        l: structuredefinition-rdf-type
      value: String
        v: xsd:token

id:
  v: MedicationRequest.category
path:
  v: MedicationRequest.category
short:
  v: Type of medication usage
definition:
  v: Indicates the type of medication order and where the medication is expected to be consumed or administered.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationRequest.category
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: MedicationRequestCategory
  strength:
    v: preferred
  description:
    v: A coded concept identifying where the medication ordered is expected to be consumed or administered
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/medication-request-category|3.0.2
mapping:
  identity:
    v: script10.6
  map:
    v: Message/Body/NewRx/MedicationPrescribed/Directions or Message/Body/NewRx/MedicationPrescribed/StructuredSIG
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication usage"].value
mapping:
  identity:
    v: w5
  map:
    v: class

id:
  v: MedicationRequest.priority
path:
  v: MedicationRequest.priority
short:
  v: routine | urgent | stat | asap
definition:
  v: Indicates how quickly the Medication Request should be addressed with respect to other requests.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationRequest.priority
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
    l: code
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: MedicationRequestPriority
  strength:
    v: required
  description:
    v: Identifies the level of importance to be assigned to actioning the request
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/medication-request-priority|3.0.2
mapping:
  identity:
    v: workflow
  map:
    v: …priority
mapping:
  identity:
    v: rim
  map:
    v: .priorityCode
mapping:
  identity:
    v: w5
  map:
    v: grade

id:
  v: MedicationRequest.medication[x]
path:
  v: MedicationRequest.medication[x]
short:
  v: Medication to be taken
definition:
  v: 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:
  v: 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:
  v: 1
max:
  v: 1
base:
  path:
    v: MedicationRequest.medication[x]
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Medication
    l: Medication
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: MedicationCode
  strength:
    v: example
  description:
    v: A coded concept identifying substance or product that can be ordered.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/medication-codes|3.0.2
mapping:
  identity:
    v: workflow
  map:
    v: …code
mapping:
  identity:
    v: script10.6
  map:
    v: Message/Body/NewRx/MedicationPrescribed Medication.code.coding.code = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCode Medication.code.coding.system = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCodeQualifier Medication.code.coding.display = Message/Body/NewRx/MedicationPrescribed/DrugDescription
mapping:
  identity:
    v: v2
  map:
    v: RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code
mapping:
  identity:
    v: rim
  map:
    v: consumable.administrableMedication
mapping:
  identity:
    v: w5
  map:
    v: what

id:
  v: MedicationRequest.subject
path:
  v: MedicationRequest.subject
short:
  v: Who or group medication request is for
definition:
  v: A link to a resource representing the person or set of individuals to whom the medication will be given.
comment:
  v: 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:
  v: 1
max:
  v: 1
base:
  path:
    v: MedicationRequest.subject
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Patient
    l: Patient
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Group
    l: Group
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: …subject
mapping:
  identity:
    v: script10.6
  map:
    v: Message/Body/NewRx/Patient (need detail to link to specific patient … Patient.Identification in SCRIPT)
mapping:
  identity:
    v: v2
  map:
    v: PID-3-Patient ID List
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=AUT].role
mapping:
  identity:
    v: w5
  map:
    v: who.focus

id:
  v: MedicationRequest.context
path:
  v: MedicationRequest.context
short:
  v: Created during encounter/admission/stay
definition:
  v: A link to an encounter, or episode of care, that identifies the particular occurrence or set occurrences of contact between patient and health care provider.
comment:
  v: SubstanceAdministration->component->EncounterEvent.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationRequest.context
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Encounter
    l: Encounter
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/EpisodeOfCare
    l: EpisodeOfCare
mapping:
  identity:
    v: workflow
  map:
    v: …context
mapping:
  identity:
    v: script10.6
  map:
    v: no mapping
mapping:
  identity:
    v: v2
  map:
    v: PV1-19-Visit Number
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code="type of encounter or episode"]
mapping:
  identity:
    v: w5
  map:
    v: context

id:
  v: MedicationRequest.supportingInformation
path:
  v: MedicationRequest.supportingInformation
short:
  v: Information to support ordering of the medication
definition:
  v: Include additional information (for example, patient height and weight) that supports the ordering of the medication.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationRequest.supportingInformation
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Resource
    l: Resource
mapping:
  identity:
    v: rim
  map:
    v: .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:
  identity:
    v: w5
  map:
    v: context

id:
  v: MedicationRequest.authoredOn
path:
  v: MedicationRequest.authoredOn
short:
  v: When request was initially authored
definition:
  v: The date (and perhaps time) when the prescription was initially written or authored on.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationRequest.authoredOn
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
    l: dateTime
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: …authoredOn
mapping:
  identity:
    v: script10.6
  map:
    v: Message/Body/NewRx/MedicationPrescribed/WrittenDate
mapping:
  identity:
    v: v2
  map:
    v: RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction
mapping:
  identity:
    v: rim
  map:
    v: author.time
mapping:
  identity:
    v: w5
  map:
    v: when.recorded

id:
  v: MedicationRequest.requester
path:
  v: MedicationRequest.requester
short:
  v: Who/What requested the Request
definition:
  v: The individual, organization or device that initiated the request and has responsibility for its activation.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationRequest.requester
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: mps-1
  severity:
    v: error
  human:
    v: onBehalfOf can only be specified if agent is practitioner or device
  expression:
    v: (agent.resolve().empty()) or (agent.resolve() is Device) or (agent.resolve() is Practitioner) or onBehalfOf.exists().not()
  xpath:
    v: contains(f:agent/f:reference/@value, '/Practitioner/') or contains(f:agent/f:reference/@value, '/Device/') or not(exists(f:onBehalfOf))
  source:
    v: http://hl7.org/fhir/StructureDefinition/MedicationRequest
    l: MedicationRequest
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: …requester
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=AUT].role
mapping:
  identity:
    v: w5
  map:
    v: who.author

id:
  v: MedicationRequest.requester.id
path:
  v: MedicationRequest.requester.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationRequest.requester.extension
path:
  v: MedicationRequest.requester.extension
short:
  v: Additional Content defined by implementations
definition:
  v: May be used to represent additional information that is not part of the basic definition of the element. In order 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.
comment:
  v: 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:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationRequest.requester.modifierExtension
path:
  v: MedicationRequest.requester.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: 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 that contains it. Usually modifier elements provide negation or qualification. In order 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.
comment:
  v: 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:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
is modifier:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationRequest.requester.agent
path:
  v: MedicationRequest.requester.agent
short:
  v: Who ordered the initial medication(s)
definition:
  v: The healthcare professional responsible for authorizing the initial prescription.
comment:
  v: 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.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: MedicationRequest.requester.agent
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Practitioner
    l: Practitioner
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization
    l: Organization
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Patient
    l: Patient
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/RelatedPerson
    l: RelatedPerson
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Device
    l: Device
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: ….agent
mapping:
  identity:
    v: script10.6
  map:
    v: Message/Body/NewRx/Prescriber (need detail to link to specific prescriber … Prescriber.Identification in SCRIPT)
mapping:
  identity:
    v: v2
  map:
    v: RXE-13-Ordering Provider's DEA Number / RXO-14-Ordering Provider's DEA Number / RXE-14-Pharmacist/Treatment Supplier's Verifier ID / RXO-15-Pharmacist/Treatment Supplier's Verifier ID / ORC-12-Ordering Provider / PRT-5-Participation Person: PRT-4-Participation='OP' (all but last deprecated)
mapping:
  identity:
    v: rim
  map:
    v: .player

id:
  v: MedicationRequest.requester.agent.id
path:
  v: MedicationRequest.requester.agent.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationRequest.requester.agent.extension
path:
  v: MedicationRequest.requester.agent.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: MedicationRequest.requester.agent.extension:requester
path:
  v: MedicationRequest.requester.agent.extension
slice name:
  v: requester
short:
  v: R4: Who/What requested the Request
definition:
  v: R4: `MedicationRequest.requester`
comment:
  v: Element `MedicationRequest.requester` is mapped to FHIR STU3 element `MedicationRequest.requester.agent` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `MedicationRequest.requester` with unmapped reference targets: PractitionerRole.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: MedicationRequest.requester.agent.reference
path:
  v: MedicationRequest.requester.agent.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ref-1
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationRequest.requester.agent.identifier
path:
  v: MedicationRequest.requester.agent.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: MedicationRequest.requester.agent.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: MedicationRequest.requester.agent.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationRequest.requester.onBehalfOf
path:
  v: MedicationRequest.requester.onBehalfOf
short:
  v: Organization agent is acting for
definition:
  v: The organization the device or practitioner was acting on behalf of.
requirements:
  v: Practitioners and Devices can be associated with multiple organizations. This element indicates which organization they were acting on behalf of when authoring the request.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationRequest.requester.onBehalfOf
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization
    l: Organization
condition:
  v: mps-1
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: ….onBehalfOf
mapping:
  identity:
    v: rim
  map:
    v: .scoper

id:
  v: MedicationRequest.recorder
path:
  v: MedicationRequest.recorder
short:
  v: Person who entered the request
definition:
  v: The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationRequest.recorder
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Practitioner
    l: Practitioner
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType)
mapping:
  identity:
    v: w5
  map:
    v: who

id:
  v: MedicationRequest.recorder.id
path:
  v: MedicationRequest.recorder.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationRequest.recorder.extension
path:
  v: MedicationRequest.recorder.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: MedicationRequest.recorder.extension:recorder
path:
  v: MedicationRequest.recorder.extension
slice name:
  v: recorder
short:
  v: R4: recorder additional types
definition:
  v: R4: `MedicationRequest.recorder` additional types from child elements (display, identifier, reference, type)
comment:
  v: Element `MedicationRequest.recorder` is mapped to FHIR STU3 element `MedicationRequest.recorder` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.recorder` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `MedicationRequest.recorder` with unmapped reference targets: PractitionerRole.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: MedicationRequest.recorder.reference
path:
  v: MedicationRequest.recorder.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
comment:
  v: Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
condition:
  v: ref-1
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationRequest.recorder.identifier
path:
  v: MedicationRequest.recorder.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
comment:
  v: When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
    l: Identifier
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: MedicationRequest.recorder.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
    l: elementdefinition-translatable
  value: Boolean
    v: true
path:
  v: MedicationRequest.recorder.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationRequest.reasonCode
path:
  v: MedicationRequest.reasonCode
short:
  v: Reason or indication for writing the prescription
definition:
  v: The reason or the indication for ordering the medication.
comment:
  v: This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonReference.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationRequest.reasonCode
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: MedicationRequestReason
  strength:
    v: example
  description:
    v: A coded concept indicating why the medication was ordered.
  value set: Reference
    l: 3.0
    l: .2
    reference:
      v: http://hl7.org/fhir/ValueSet/condition-code|3.0.2
mapping:
  identity:
    v: workflow
  map:
    v: …reasonCode
mapping:
  identity:
    v: script10.6
  map:
    v: Message/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value
mapping:
  identity:
    v: v2
  map:
    v: ORC-16-Order Control Code Reason /RXE-27-Give Indication/RXO-20-Indication / RXD-21-Indication / RXG-22-Indication / RXA-19-Indication
mapping:
  identity:
    v: rim
  map:
    v: reason.observation.reasonCode
mapping:
  identity:
    v: w5
  map:
    v: why

id:
  v: MedicationRequest.reasonReference
path:
  v: MedicationRequest.reasonReference
short:
  v: Condition or Observation that supports why the prescription is being written
definition:
  v: Condition or observation that supports why the medication was ordered.
comment:
  v: This is a reference to a condition or observation that is the reason for the medication order. If only a code exists, use reasonCode.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationRequest.reasonReference
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Condition
    l: Condition
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Observation
    l: Observation
mapping:
  identity:
    v: workflow
  map:
    v: …reasonReference
mapping:
  identity:
    v: script10.6
  map:
    v: no mapping
mapping:
  identity:
    v: rim
  map:
    v: reason.observation[code=ASSERTION].value
mapping:
  identity:
    v: w5
  map:
    v: why

id:
  v: MedicationRequest.note
path:
  v: MedicationRequest.note
short:
  v: Information about the prescription
definition:
  v: Extra information about the prescription that could not be conveyed by the other attributes.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationRequest.note
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Annotation
    l: Annotation
mapping:
  identity:
    v: workflow
  map:
    v: …note
mapping:
  identity:
    v: script10.6
  map:
    v: Message/Body/NewRx/MedicationPrescribed/Note
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].value

id:
  v: MedicationRequest.dosageInstruction
path:
  v: MedicationRequest.dosageInstruction
short:
  v: How the medication should be taken
definition:
  v: Indicates how the medication is to be used by the patient.
comment:
  v: There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, "Ondansetron 8mg orally or IV twice a day as needed for nausea" or "Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting". 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.
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationRequest.dosageInstruction
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Dosage
    l: Dosage
mapping:
  identity:
    v: workflow
  map:
    v: …occurrence[x]
mapping:
  identity:
    v: rim
  map:
    v: see dosageInstruction mapping

id:
  v: MedicationRequest.dispenseRequest
path:
  v: MedicationRequest.dispenseRequest
short:
  v: Medication supply authorization
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationRequest.dispenseRequest
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
mapping:
  identity:
    v: script10.6
  map:
    v: Message/Body/NewRx/MedicationPrescribed/ExpirationDate
mapping:
  identity:
    v: rim
  map:
    v: component.supplyEvent

id:
  v: MedicationRequest.dispenseRequest.id
path:
  v: MedicationRequest.dispenseRequest.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationRequest.dispenseRequest.extension
path:
  v: MedicationRequest.dispenseRequest.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: MedicationRequest.dispenseRequest.extension:initialFill
path:
  v: MedicationRequest.dispenseRequest.extension
slice name:
  v: initialFill
short:
  v: R4: First fill details (new)
definition:
  v: R4: `MedicationRequest.dispenseRequest.initialFill` (new:BackboneElement)
comment:
  v: Element `MedicationRequest.dispenseRequest.initialFill` has a context of MedicationRequest.dispenseRequest based on following the parent source element upwards and mapping to `MedicationRequest`. Element `MedicationRequest.dispenseRequest.initialFill` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). If populating this element, either the quantity or the duration must be included.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.initialFill|0.1.0
    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.initialFill
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: MedicationRequest.dispenseRequest.extension:dispenseInterval
path:
  v: MedicationRequest.dispenseRequest.extension
slice name:
  v: dispenseInterval
short:
  v: R4: Minimum period of time between dispenses (new)
definition:
  v: R4: `MedicationRequest.dispenseRequest.dispenseInterval` (new:Duration)
comment:
  v: Element `MedicationRequest.dispenseRequest.dispenseInterval` has a context of MedicationRequest.dispenseRequest based on following the parent source element upwards and mapping to `MedicationRequest`. Element `MedicationRequest.dispenseRequest.dispenseInterval` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenseInterval|0.1.0
    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenseInterval
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: MedicationRequest.dispenseRequest.modifierExtension
path:
  v: MedicationRequest.dispenseRequest.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: 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 that contains it. Usually modifier elements provide negation or qualification. In order 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.
comment:
  v: 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:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
is modifier:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationRequest.dispenseRequest.validityPeriod
path:
  v: MedicationRequest.dispenseRequest.validityPeriod
short:
  v: Time period supply is authorized for
definition:
  v: This indicates the validity period of a prescription (stale dating the Prescription).
comment:
  v: 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:
  v: Indicates when the Prescription becomes valid, and when it ceases to be a dispensable Prescription.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationRequest.dispenseRequest.validityPeriod
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Period
    l: Period
mapping:
  identity:
    v: script10.6
  map:
    v: Message/Body/NewRx/MedicationPrescribed/Refills
mapping:
  identity:
    v: rim
  map:
    v: effectiveTime

id:
  v: MedicationRequest.dispenseRequest.numberOfRepeatsAllowed
path:
  v: MedicationRequest.dispenseRequest.numberOfRepeatsAllowed
short:
  v: Number of refills authorized
definition:
  v: 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 "3 repeats", then the order can be dispensed a total of 4 times and the patient can receive a total of 120 tablets.
comment:
  v: If displaying "number of authorized fills", add 1 to this number.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationRequest.dispenseRequest.numberOfRepeatsAllowed
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: positiveInt
    l: positiveInt
mapping:
  identity:
    v: script10.6
  map:
    v: Message/Body/NewRx/MedicationPrescribed/Quantity
mapping:
  identity:
    v: v2
  map:
    v: RXE-12-Number of Refills
mapping:
  identity:
    v: rim
  map:
    v: repeatNumber

id:
  v: MedicationRequest.dispenseRequest.numberOfRepeatsAllowed.id
path:
  v: MedicationRequest.dispenseRequest.numberOfRepeatsAllowed.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references)
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string

id:
  v: MedicationRequest.dispenseRequest.numberOfRepeatsAllowed.extension
path:
  v: MedicationRequest.dispenseRequest.numberOfRepeatsAllowed.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: MedicationRequest.dispenseRequest.numberOfRepeatsAllowed.extension:numberOfRepeatsAllowed
path:
  v: MedicationRequest.dispenseRequest.numberOfRepeatsAllowed.extension
slice name:
  v: numberOfRepeatsAllowed
short:
  v: R4: numberOfRepeatsAllowed additional types
definition:
  v: R4: `MedicationRequest.dispenseRequest.numberOfRepeatsAllowed` additional types (unsignedInt) additional types from child elements (value)
comment:
  v: Element `MedicationRequest.dispenseRequest.numberOfRepeatsAllowed` is mapped to FHIR STU3 element `MedicationRequest.dispenseRequest.numberOfRepeatsAllowed` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.dispenseRequest.numberOfRepeatsAllowed` do not cover the following types: unsignedInt. The mappings for `MedicationRequest.dispenseRequest.numberOfRepeatsAllowed` do not cover the following types based on type expansion: value. If displaying "number of authorized fills", add 1 to this number.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.numberOfRepeatsAllowed|0.1.0
    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.numberOfRepeatsAllowed
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: MedicationRequest.dispenseRequest.numberOfRepeatsAllowed.value
path:
  v: MedicationRequest.dispenseRequest.numberOfRepeatsAllowed.value
representation:
  v: xmlAttr
short:
  v: Primitive value for positiveInt
definition:
  v: Primitive value for positiveInt
min:
  v: 0
max:
  v: 1
base:
  path:
    v: integer.value
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-regex
      l: structuredefinition-regex
    value: String
      v: [1-9][0-9]*
  code:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type
        l: structuredefinition-json-type
      value: String
        v: number
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type
        l: structuredefinition-xml-type
      value: String
        v: xsd:positiveInteger
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type
        l: structuredefinition-rdf-type
      value: String
        v: xsd:positiveInteger

id:
  v: MedicationRequest.dispenseRequest.quantity
path:
  v: MedicationRequest.dispenseRequest.quantity
short:
  v: Amount of medication to supply per dispense
definition:
  v: The amount that is to be dispensed for one fill.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationRequest.dispenseRequest.quantity
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Quantity
    l: Quantity
  profile:
    v: http://hl7.org/fhir/StructureDefinition/SimpleQuantity
    l: SimpleQuantity
mapping:
  identity:
    v: script10.6
  map:
    v: Message/Body/NewRx/MedicationPrescribed/DaysSupply
mapping:
  identity:
    v: v2
  map:
    v: RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system
mapping:
  identity:
    v: rim
  map:
    v: quantity

id:
  v: MedicationRequest.dispenseRequest.expectedSupplyDuration
path:
  v: MedicationRequest.dispenseRequest.expectedSupplyDuration
short:
  v: Number of days supply per dispense
definition:
  v: 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:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationRequest.dispenseRequest.expectedSupplyDuration
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Duration
    l: Duration
mapping:
  identity:
    v: script10.6
  map:
    v: Message/Body/NewRx/MedicationPrescribed/Substitutions
mapping:
  identity:
    v: rim
  map:
    v: expectedUseTime

id:
  v: MedicationRequest.dispenseRequest.performer
path:
  v: MedicationRequest.dispenseRequest.performer
short:
  v: Intended dispenser
definition:
  v: Indicates the intended dispensing Organization specified by the prescriber.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationRequest.dispenseRequest.performer
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization
    l: Organization
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=COMP].target[classCode=SPLY, moodCode=RQO] .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
mapping:
  identity:
    v: w5
  map:
    v: who

id:
  v: MedicationRequest.substitution
path:
  v: MedicationRequest.substitution
short:
  v: Any restrictions on medication substitution
definition:
  v: 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:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationRequest.substitution
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: BackboneElement
    l: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
mapping:
  identity:
    v: script10.6
  map:
    v: specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions
mapping:
  identity:
    v: rim
  map:
    v: subjectOf.substitutionPersmission

id:
  v: MedicationRequest.substitution.id
path:
  v: MedicationRequest.substitution.id
representation:
  v: xmlAttr
short:
  v: xml:id (or equivalent in JSON)
definition:
  v: unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
    l: string
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: MedicationRequest.substitution.extension
path:
  v: MedicationRequest.substitution.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension

id:
  v: MedicationRequest.substitution.extension:allowed
path:
  v: MedicationRequest.substitution.extension
slice name:
  v: allowed
short:
  v: R4: Whether substitution is allowed or not additional types
definition:
  v: R4: `MedicationRequest.substitution.allowed[x]` additional types (CodeableConcept) additional types from child elements (coding, text)
comment:
  v: Element `MedicationRequest.substitution.allowed[x]` is mapped to FHIR STU3 element `MedicationRequest.substitution.allowed` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.substitution.allowed[x]` do not cover the following types: CodeableConcept. The mappings for `MedicationRequest.substitution.allowed[x]` do not cover the following types based on type expansion: coding, text. This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.substitution.allowed|0.1.0
    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.substitution.allowed
condition:
  v: ele-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() | (children().count() > id.count())
  xpath:
    v: @value|f:*|h:div
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    l: Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  xpath:
    v: exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    l: Extension
is modifier:
  v: false

id:
  v: MedicationRequest.substitution.modifierExtension
path:
  v: MedicationRequest.substitution.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: 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 that contains it. Usually modifier elements provide negation or qualification. In order 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.
comment:
  v: 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:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
    l: Extension
is modifier:
  v: true
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: MedicationRequest.substitution.allowed
path:
  v: MedicationRequest.substitution.allowed
short:
  v: Whether substitution is allowed or not
definition:
  v: True if the prescriber allows a different drug to be dispensed from what was prescribed.
comment:
  v: This element is labeled as a modifer because whether substitution is allow or not cannot be ignored.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: MedicationRequest.substitution.allowed
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: boolean
    l: boolean
is modifier:
  v: true
mapping:
  identity:
    v: script10.6
  map:
    v: specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions
mapping:
  identity:
    v: v2
  map:
    v: RXO-9-Allow Substitutions / RXE-9-Substitution Status
mapping:
  identity:
    v: rim
  map:
    v: code

id:
  v: MedicationRequest.substitution.reason
path:
  v: MedicationRequest.substitution.reason
short:
  v: Why should (not) substitution be made
definition:
  v: Indicates the reason for the substitution, or why substitution must or must not be performed.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationRequest.substitution.reason
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: CodeableConcept
    l: CodeableConcept
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
      l: elementdefinition-bindingName
    value: String
      v: MedicationIntendedSubstitutionReason
  strength:
    v: example
  description:
    v: A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
  value set: Reference
    l: 2014
    l: -03
    l: -26
    reference:
      v: http://hl7.org/fhir/ValueSet/v3-SubstanceAdminSubstitutionReason|2014-03-26
mapping:
  identity:
    v: script10.6
  map:
    v: not mapped
mapping:
  identity:
    v: v2
  map:
    v: RXE-9 Substition status
mapping:
  identity:
    v: rim
  map:
    v: reasonCode

id:
  v: MedicationRequest.priorPrescription
path:
  v: MedicationRequest.priorPrescription
short:
  v: An order/prescription that is being replaced
definition:
  v: A link to a resource representing an earlier order related order or prescription.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: MedicationRequest.priorPrescription
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/MedicationRequest
    l: MedicationRequest
mapping:
  identity:
    v: workflow
  map:
    v: …replaces
mapping:
  identity:
    v: script10.6
  map:
    v: not mapped
mapping:
  identity:
    v: rim
  map:
    v: .outboundRelationship[typeCode=?RPLC or ?SUCC]/target[classCode=SBADM,moodCode=RQO]

id:
  v: MedicationRequest.detectedIssue
path:
  v: MedicationRequest.detectedIssue
short:
  v: Clinical Issue with action
definition:
  v: Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, duplicate therapy, dosage alert etc.
alias:
  v: Contraindication
alias:
  v: Drug Utilization Review (DUR)
alias:
  v: Alert
min:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationRequest.detectedIssue
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/DetectedIssue
    l: DetectedIssue
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value

id:
  v: MedicationRequest.eventHistory
path:
  v: MedicationRequest.eventHistory
short:
  v: A list of events of interest in the lifecycle
definition:
  v: 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:
  v: This may 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:
  v: 0
max:
  v: *
base:
  path:
    v: MedicationRequest.eventHistory
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
    l: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Provenance
    l: Provenance
mapping:
  identity:
    v: workflow
  map:
    v: …relevantHistory
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

element:
  id:
    v: MedicationRequest
  path:
    v: MedicationRequest
element:
  id:
    v: MedicationRequest.extension
  path:
    v: MedicationRequest.extension
  slicing:
    discriminator:
      type:
        v: value
      path:
        v: url
    ordered:
      v: false
    rules:
      v: open
  min:
    v: 0
  max:
    v: *
element:
  id:
    v: MedicationRequest.extension:statusReason
  path:
    v: MedicationRequest.extension
  slice name:
    v: statusReason
  short:
    v: R4: Reason for current status (new)
  definition:
    v: R4: `MedicationRequest.statusReason` (new:CodeableConcept)
  comment:
    v: Element `MedicationRequest.statusReason` has a context of MedicationRequest based on following the parent source element upwards and mapping to `MedicationRequest`. Element `MedicationRequest.statusReason` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). This is generally only used for "exception" statuses such as "suspended" or "cancelled". The reason why the MedicationRequest was created at all is captured in reasonCode, not here.
  min:
    v: 0
  max:
    v: 1
  base:
    path:
      v: DomainResource.extension
    min:
      v: 0
    max:
      v: *
  type:
    code:
      v: Extension
      l: Extension
    profile:
      v: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.statusReason|0.1.0
      l: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.statusReason
element:
  id:
    v: MedicationRequest.extension:reported
  path:
    v: MedicationRequest.extension
  slice name:
    v: reported
  short:
    v: R4: Reported rather than primary record (new)
  definition:
    v: R4: `MedicationRequest.reported[x]` (new:boolean, Reference(Patient,Practitioner,PractitionerRole,RelatedPerson,Organization))
  comment:
    v: Element `MedicationRequest.reported[x]` has a context of MedicationRequest based on following the parent source element upwards and mapping to `MedicationRequest`. Element `MedicationRequest.reported[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
  min:
    v: 0
  max:
    v: 1
  base:
    path:
      v: DomainResource.extension
    min:
      v: 0
    max:
      v: *
  type:
    code:
      v: Extension
      l: Extension
    profile:
      v: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.reported|0.1.0
      l: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.reported
element:
  id:
    v: MedicationRequest.extension:performer
  path:
    v: MedicationRequest.extension
  slice name:
    v: performer
  short:
    v: R4: Intended performer of administration (new)
  definition:
    v: R4: `MedicationRequest.performer` (new:Reference(Practitioner,PractitionerRole,Organization,Patient,Device,RelatedPerson,CareTeam))
  comment:
    v: Element `MedicationRequest.performer` has a context of MedicationRequest based on following the parent source element upwards and mapping to `MedicationRequest`. Element `MedicationRequest.performer` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
  min:
    v: 0
  max:
    v: 1
  base:
    path:
      v: DomainResource.extension
    min:
      v: 0
    max:
      v: *
  type:
    code:
      v: Extension
      l: Extension
    profile:
      v: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.performer|0.1.0
      l: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.performer
element:
  id:
    v: MedicationRequest.extension:performerType
  path:
    v: MedicationRequest.extension
  slice name:
    v: performerType
  short:
    v: R4: Desired kind of performer of the medication administration (new)
  definition:
    v: R4: `MedicationRequest.performerType` (new:CodeableConcept)
  comment:
    v: Element `MedicationRequest.performerType` has a context of MedicationRequest based on following the parent source element upwards and mapping to `MedicationRequest`. Element `MedicationRequest.performerType` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). 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:
    v: 0
  max:
    v: 1
  base:
    path:
      v: DomainResource.extension
    min:
      v: 0
    max:
      v: *
  type:
    code:
      v: Extension
      l: Extension
    profile:
      v: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.performerType|0.1.0
      l: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.performerType
element:
  id:
    v: MedicationRequest.extension:instantiatesUri
  path:
    v: MedicationRequest.extension
  slice name:
    v: instantiatesUri
  short:
    v: R4: Instantiates external protocol or definition (new)
  definition:
    v: R4: `MedicationRequest.instantiatesUri` (new:uri)
  comment:
    v: Element `MedicationRequest.instantiatesUri` has a context of MedicationRequest based on following the parent source element upwards and mapping to `MedicationRequest`. Element `MedicationRequest.instantiatesUri` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
  min:
    v: 0
  max:
    v: *
  base:
    path:
      v: DomainResource.extension
    min:
      v: 0
    max:
      v: *
  type:
    code:
      v: Extension
      l: Extension
    profile:
      v: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.instantiatesUri|0.1.0
      l: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.instantiatesUri
element:
  id:
    v: MedicationRequest.extension:courseOfTherapyType
  path:
    v: MedicationRequest.extension
  slice name:
    v: courseOfTherapyType
  short:
    v: R4: Overall pattern of medication administration (new)
  definition:
    v: R4: `MedicationRequest.courseOfTherapyType` (new:CodeableConcept)
  comment:
    v: Element `MedicationRequest.courseOfTherapyType` has a context of MedicationRequest based on following the parent source element upwards and mapping to `MedicationRequest`. Element `MedicationRequest.courseOfTherapyType` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). This attribute should not be confused with the protocol of the medication.
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  v: Extension
  l: Extension
profile:
  v: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.courseOfTherapyType|0.1.0
  l: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.courseOfTherapyType

id:
  v: MedicationRequest.extension:insurance
path:
  v: MedicationRequest.extension
slice name:
  v: insurance
short:
  v: R4: Associated insurance coverage (new)
definition:
  v: R4: `MedicationRequest.insurance` (new:Reference(Coverage,ClaimResponse))
comment:
  v: Element `MedicationRequest.insurance` has a context of MedicationRequest based on following the parent source element upwards and mapping to `MedicationRequest`. Element `MedicationRequest.insurance` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
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    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.insurance

id:
  v: MedicationRequest.modifierExtension
path:
  v: MedicationRequest.modifierExtension
slicing:
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    type:
      v: value
    path:
      v: url
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    v: false
  rules:
    v: open
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id:
  v: MedicationRequest.modifierExtension:doNotPerform
path:
  v: MedicationRequest.modifierExtension
slice name:
  v: doNotPerform
short:
  v: R4: True if request is prohibiting action (new)
definition:
  v: R4: `MedicationRequest.doNotPerform` (new:boolean)
comment:
  v: Element `MedicationRequest.doNotPerform` has a context of MedicationRequest based on following the parent source element upwards and mapping to `MedicationRequest`. Element `MedicationRequest.doNotPerform` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). If do not perform is not specified, the request is a positive request e.g. "do perform".
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    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.doNotPerform

id:
  v: MedicationRequest.definition.extension
path:
  v: MedicationRequest.definition.extension
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      v: value
    path:
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id:
  v: MedicationRequest.definition.extension:instantiatesCanonical
path:
  v: MedicationRequest.definition.extension
slice name:
  v: instantiatesCanonical
short:
  v: R4: Instantiates FHIR protocol or definition additional types
definition:
  v: R4: `MedicationRequest.instantiatesCanonical` additional types (canonical) additional types from child elements (value)
comment:
  v: Element `MedicationRequest.instantiatesCanonical` is mapped to FHIR STU3 element `MedicationRequest.definition` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.instantiatesCanonical` do not cover the following types: canonical. The mappings for `MedicationRequest.instantiatesCanonical` do not cover the following types based on type expansion: value.
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    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.instantiatesCanonical

id:
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path:
  v: MedicationRequest.basedOn.extension
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      v: value
    path:
      v: url
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    v: false
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id:
  v: MedicationRequest.basedOn.extension:basedOn
path:
  v: MedicationRequest.basedOn.extension
slice name:
  v: basedOn
short:
  v: R4: basedOn
definition:
  v: R4: `MedicationRequest.basedOn`
comment:
  v: Element `MedicationRequest.basedOn` is mapped to FHIR STU3 element `MedicationRequest.basedOn` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `MedicationRequest.basedOn` with unmapped reference targets: ImmunizationRecommendation, ServiceRequest.
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    v: DomainResource.extension
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    v: Extension
    l: Extension
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    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: MedicationRequest.intent.extension
path:
  v: MedicationRequest.intent.extension
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    type:
      v: value
    path:
      v: url
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    v: false
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    v: open
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  v: 0
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id:
  v: MedicationRequest.intent.extension:intent
path:
  v: MedicationRequest.intent.extension
slice name:
  v: intent
short:
  v: R4: proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
definition:
  v: R4: `MedicationRequest.intent`
comment:
  v: Element `MedicationRequest.intent` is mapped to FHIR STU3 element `MedicationRequest.intent` as `SourceIsBroaderThanTarget`. The target context `MedicationRequest.intent` is a modifier element, so this extension does not need to be defined as a modifier. 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.
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  path:
    v: DomainResource.extension
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    v: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.intent|0.1.0
    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.intent

id:
  v: MedicationRequest.requester.agent.extension
path:
  v: MedicationRequest.requester.agent.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
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    v: false
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    v: open
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id:
  v: MedicationRequest.requester.agent.extension:requester
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  v: MedicationRequest.requester.agent.extension
slice name:
  v: requester
short:
  v: R4: Who/What requested the Request
definition:
  v: R4: `MedicationRequest.requester`
comment:
  v: Element `MedicationRequest.requester` is mapped to FHIR STU3 element `MedicationRequest.requester.agent` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `MedicationRequest.requester` with unmapped reference targets: PractitionerRole.
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base:
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    v: DomainResource.extension
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    v: 0
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    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: MedicationRequest.recorder.extension
path:
  v: MedicationRequest.recorder.extension
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    type:
      v: value
    path:
      v: url
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    v: false
  rules:
    v: open
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  v: 0
max:
  v: *

id:
  v: MedicationRequest.recorder.extension:recorder
path:
  v: MedicationRequest.recorder.extension
slice name:
  v: recorder
short:
  v: R4: recorder additional types
definition:
  v: R4: `MedicationRequest.recorder` additional types from child elements (display, identifier, reference, type)
comment:
  v: Element `MedicationRequest.recorder` is mapped to FHIR STU3 element `MedicationRequest.recorder` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.recorder` do not cover the following types based on type expansion: display, identifier, reference, type. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `MedicationRequest.recorder` with unmapped reference targets: PractitionerRole.
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    v: DomainResource.extension
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    v: 0
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    v: *
type:
  code:
    v: Extension
    l: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/alternate-reference
    l: alternate-reference

id:
  v: MedicationRequest.dispenseRequest.extension
path:
  v: MedicationRequest.dispenseRequest.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
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  v: 0
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id:
  v: MedicationRequest.dispenseRequest.extension:initialFill
path:
  v: MedicationRequest.dispenseRequest.extension
slice name:
  v: initialFill
short:
  v: R4: First fill details (new)
definition:
  v: R4: `MedicationRequest.dispenseRequest.initialFill` (new:BackboneElement)
comment:
  v: Element `MedicationRequest.dispenseRequest.initialFill` has a context of MedicationRequest.dispenseRequest based on following the parent source element upwards and mapping to `MedicationRequest`. Element `MedicationRequest.dispenseRequest.initialFill` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element). If populating this element, either the quantity or the duration must be included.
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    v: DomainResource.extension
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    v: 0
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    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.initialFill

id:
  v: MedicationRequest.dispenseRequest.extension:dispenseInterval
path:
  v: MedicationRequest.dispenseRequest.extension
slice name:
  v: dispenseInterval
short:
  v: R4: Minimum period of time between dispenses (new)
definition:
  v: R4: `MedicationRequest.dispenseRequest.dispenseInterval` (new:Duration)
comment:
  v: Element `MedicationRequest.dispenseRequest.dispenseInterval` has a context of MedicationRequest.dispenseRequest based on following the parent source element upwards and mapping to `MedicationRequest`. Element `MedicationRequest.dispenseRequest.dispenseInterval` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
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    l: Extension
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    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenseInterval

id:
  v: MedicationRequest.dispenseRequest.numberOfRepeatsAllowed.extension
path:
  v: MedicationRequest.dispenseRequest.numberOfRepeatsAllowed.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
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    v: false
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id:
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path:
  v: MedicationRequest.dispenseRequest.numberOfRepeatsAllowed.extension
slice name:
  v: numberOfRepeatsAllowed
short:
  v: R4: numberOfRepeatsAllowed additional types
definition:
  v: R4: `MedicationRequest.dispenseRequest.numberOfRepeatsAllowed` additional types (unsignedInt) additional types from child elements (value)
comment:
  v: Element `MedicationRequest.dispenseRequest.numberOfRepeatsAllowed` is mapped to FHIR STU3 element `MedicationRequest.dispenseRequest.numberOfRepeatsAllowed` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.dispenseRequest.numberOfRepeatsAllowed` do not cover the following types: unsignedInt. The mappings for `MedicationRequest.dispenseRequest.numberOfRepeatsAllowed` do not cover the following types based on type expansion: value. If displaying "number of authorized fills", add 1 to this number.
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    v: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.numberOfRepeatsAllowed|0.1.0
    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.numberOfRepeatsAllowed

id:
  v: MedicationRequest.substitution.extension
path:
  v: MedicationRequest.substitution.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
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  v: 0
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  v: *

id:
  v: MedicationRequest.substitution.extension:allowed
path:
  v: MedicationRequest.substitution.extension
slice name:
  v: allowed
short:
  v: R4: Whether substitution is allowed or not additional types
definition:
  v: R4: `MedicationRequest.substitution.allowed[x]` additional types (CodeableConcept) additional types from child elements (coding, text)
comment:
  v: Element `MedicationRequest.substitution.allowed[x]` is mapped to FHIR STU3 element `MedicationRequest.substitution.allowed` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.substitution.allowed[x]` do not cover the following types: CodeableConcept. The mappings for `MedicationRequest.substitution.allowed[x]` do not cover the following types based on type expansion: coding, text. This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored.
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  path:
    v: DomainResource.extension
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    v: Extension
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    v: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.substitution.allowed|0.1.0
    l: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.substitution.allowed