<status value="active"/> <experimental value="false"/> <date value="2026-03-17T16:03:29.7515754-05:00"/> <publisher value="FHIR Infrastructure"/> <contact> <name value="FHIR Infrastructure"/> <telecom> <system value="url"/> <value value="http://www.hl7.org/Special/committees/fiwg"/> </telecom> </contact> <description value="This cross-version profile allows R4 MedicationRequest content to be represented via FHIR STU3 MedicationRequest resources."/> <jurisdiction> <coding> <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> <code value="001"/> <display value="World"/> </coding> </jurisdiction> <fhirVersion value="3.0.2"/> <mapping> <identity value="workflow"/> <uri value="http://hl7.org/fhir/workflow"/> <name value="Workflow Mapping"/> </mapping> <mapping> <identity value="script10.6"/> <uri value="http://ncpdp.org/SCRIPT10_6"/> <name value="Mapping to NCPDP SCRIPT 10.6"/> </mapping> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <mapping> <identity value="w5"/> <uri value="http://hl7.org/fhir/w5"/> <name value="W5 Mapping"/> </mapping> <mapping> <identity value="v2"/> <uri value="http://hl7.org/v2"/> <name value="HL7 v2 Mapping"/> </mapping> <kind value="resource"/> <abstract value="false"/> <type value="MedicationRequest"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/> <derivation value="constraint"/> <snapshot> <element id="MedicationRequest"> <path value="MedicationRequest"/> <short value="Ordering of medication for patient or group"/> <definition value="An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "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 value="Prescription"/> <alias value="Order"/> <min value="0"/> <max value="*"/> <base> <path value="MedicationRequest"/> <min value="0"/> <max value="*"/> </base> <constraint> <key value="dom-2"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> <expression value="contained.contained.empty()"/> <xpath value="not(parent::f:contained and f:contained)"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-1"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/> <expression value="contained.text.empty()"/> <xpath value="not(parent::f:contained and f:text)"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-4"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/> <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-3"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource"/> <expression value="contained.where(('#'+id in %resource.descendants().reference).not()).empty()"/> <xpath value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <mapping> <identity value="rim"/> <map value="Entity. Role, or Act"/> </mapping> <mapping> <identity value="workflow"/> <map value="..Request"/> </mapping> <mapping> <identity value="script10.6"/> <map value="Message/Body/NewRx"/> </mapping> <mapping> <identity value="rim"/> <map value="CombinedMedicationRequest"/> </mapping> <mapping> <identity value="w5"/> <map value="clinical.medication"/> </mapping> </element> <element id="MedicationRequest.id"> <path value="MedicationRequest.id"/> <short value="Logical id of this artifact"/> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="Resource.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="id"/> </type> <isSummary value="true"/> </element> <element id="MedicationRequest.meta"> <path value="MedicationRequest.meta"/> <short value="Metadata about the resource"/> <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.meta"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Meta"/> </type> <isSummary value="true"/> </element> <element id="MedicationRequest.implicitRules"> <path value="MedicationRequest.implicitRules"/> <short value="A set of rules under which this content was created"/> <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/> <comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. 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 value="0"/> <max value="1"/> <base> <path value="Resource.implicitRules"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <isModifier value="true"/> <isSummary value="true"/> </element> <element id="MedicationRequest.language"> <path value="MedicationRequest.language"/> <short value="Language of the resource content"/> <definition value="The base language in which the resource is written."/> <comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.language"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueReference> <reference value="http://hl7.org/fhir/ValueSet/all-languages|3.0.2"/> </valueReference> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language"/> </extension> <strength value="extensible"/> <description value="A human language."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/languages|3.0.2"/> </valueSetReference> </binding> </element> <element id="MedicationRequest.text"> <path value="MedicationRequest.text"/> <short value="Text summary of the resource, for human interpretation"/> <definition value="A human-readable narrative that contains a summary of the resource, and 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 value="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 value="narrative"/> <alias value="html"/> <alias value="xhtml"/> <alias value="display"/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Narrative"/> </type> <condition value="dom-1"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <element id="MedicationRequest.contained"> <path value="MedicationRequest.contained"/> <short value="Contained, inline Resources"/> <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/> <comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."/> <alias value="inline resources"/> <alias value="anonymous resources"/> <alias value="contained resources"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.contained"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Resource"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.extension"> <path value="MedicationRequest.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="MedicationRequest.extension:statusReason"> <path value="MedicationRequest.extension"/> <sliceName value="statusReason"/> <short value="R4: Reason for current status (new)"/> <definition value="R4: `MedicationRequest.statusReason` (new:CodeableConcept)"/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.statusReason|0.1.0"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> </element> <element id="MedicationRequest.extension:reported"> <path value="MedicationRequest.extension"/> <sliceName value="reported"/> <short value="R4: Reported rather than primary record (new)"/> <definition value="R4: `MedicationRequest.reported[x]` (new:boolean, Reference(Patient,Practitioner,PractitionerRole,RelatedPerson,Organization))"/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.reported|0.1.0"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> </element> <element id="MedicationRequest.extension:performer"> <path value="MedicationRequest.extension"/> <sliceName value="performer"/> <short value="R4: Intended performer of administration (new)"/> <definition value="R4: `MedicationRequest.performer` (new:Reference(Practitioner,PractitionerRole,Organization,Patient,Device,RelatedPerson,CareTeam))"/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.performer|0.1.0"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> </element> <element id="MedicationRequest.extension:performerType"> <path value="MedicationRequest.extension"/> <sliceName value="performerType"/> <short value="R4: Desired kind of performer of the medication administration (new)"/> <definition value="R4: `MedicationRequest.performerType` (new:CodeableConcept)"/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.performerType|0.1.0"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> </element> <element id="MedicationRequest.extension:instantiatesUri"> <path value="MedicationRequest.extension"/> <sliceName value="instantiatesUri"/> <short value="R4: Instantiates external protocol or definition (new)"/> <definition value="R4: `MedicationRequest.instantiatesUri` (new:uri)"/> <comment value="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 value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.instantiatesUri|0.1.0"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> </element> <element id="MedicationRequest.extension:courseOfTherapyType"> <path value="MedicationRequest.extension"/> <sliceName value="courseOfTherapyType"/> <short value="R4: Overall pattern of medication administration (new)"/> <definition value="R4: `MedicationRequest.courseOfTherapyType` (new:CodeableConcept)"/> <comment value="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."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.courseOfTherapyType|0.1.0"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> </element> <element id="MedicationRequest.extension:insurance"> <path value="MedicationRequest.extension"/> <sliceName value="insurance"/> <short value="R4: Associated insurance coverage (new)"/> <definition value="R4: `MedicationRequest.insurance` (new:Reference(Coverage,ClaimResponse))"/> <comment value="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)."/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.insurance|0.1.0"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> </element> <element id="MedicationRequest.modifierExtension"> <path value="MedicationRequest.modifierExtension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> </element> <element id="MedicationRequest.modifierExtension:doNotPerform"> <path value="MedicationRequest.modifierExtension"/> <sliceName value="doNotPerform"/> <short value="R4: True if request is prohibiting action (new)"/> <definition value="R4: `MedicationRequest.doNotPerform` (new:boolean)"/> <comment value="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"."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.doNotPerform|0.1.0"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> </element> <element id="MedicationRequest.identifier"> <path value="MedicationRequest.identifier"/> <short value="External ids for this request"/> <definition value="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."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationRequest.identifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <mapping> <identity value="workflow"/> <map value="…identifer"/> </mapping> <mapping> <identity value="script10.6"/> <map value="Message/Header/PrescriberOrderNumber"/> </mapping> <mapping> <identity value="v2"/> <map value="ORC-2-Placer Order Number / ORC-3-Filler Order Number"/> </mapping> <mapping> <identity value="rim"/> <map value=".id"/> </mapping> <mapping> <identity value="w5"/> <map value="id"/> </mapping> </element> <element id="MedicationRequest.definition"> <path value="MedicationRequest.definition"/> <short value="Protocol or definition"/> <definition value="Protocol or definition followed by this request."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationRequest.definition"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ActivityDefinition"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PlanDefinition"/> </type> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="…definition"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DEFN].target[classCode=unspecified]"/> </mapping> </element> <element id="MedicationRequest.definition.id"> <path value="MedicationRequest.definition.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.definition.extension"> <path value="MedicationRequest.definition.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="MedicationRequest.definition.extension:instantiatesCanonical"> <path value="MedicationRequest.definition.extension"/> <sliceName value="instantiatesCanonical"/> <short value="R4: Instantiates FHIR protocol or definition additional types"/> <definition value="R4: `MedicationRequest.instantiatesCanonical` additional types (canonical) additional types from child elements (value)"/> <comment value="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."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.instantiatesCanonical|0.1.0"/> </type> </element> <element id="MedicationRequest.definition.reference"> <path value="MedicationRequest.definition.reference"/> <short value="Literal reference, Relative, internal or absolute URL"/> <definition value="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 value="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 value="0"/> <max value="1"/> <base> <path value="Reference.reference"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ref-1"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.definition.identifier"> <path value="MedicationRequest.definition.identifier"/> <short value="Logical reference, when literal reference is not known"/> <definition value="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 value="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 value="0"/> <max value="1"/> <base> <path value="Reference.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".identifier"/> </mapping> </element> <element id="MedicationRequest.definition.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="MedicationRequest.definition.display"/> <short value="Text alternative for the resource"/> <definition value="Plain text narrative that identifies the resource in addition to the resource reference."/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="Reference.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.basedOn"> <path value="MedicationRequest.basedOn"/> <short value="What request fulfills"/> <definition value="A plan or request that is fulfilled in whole or in part by this medication request."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationRequest.basedOn"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ProcedureRequest"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ReferralRequest"/> </type> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="…basedOn"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]"/> </mapping> </element> <element id="MedicationRequest.basedOn.id"> <path value="MedicationRequest.basedOn.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.basedOn.extension"> <path value="MedicationRequest.basedOn.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="MedicationRequest.basedOn.extension:basedOn"> <path value="MedicationRequest.basedOn.extension"/> <sliceName value="basedOn"/> <short value="R4: basedOn"/> <definition value="R4: `MedicationRequest.basedOn`"/> <comment value="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."/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/alternate-reference"/> </type> </element> <element id="MedicationRequest.basedOn.reference"> <path value="MedicationRequest.basedOn.reference"/> <short value="Literal reference, Relative, internal or absolute URL"/> <definition value="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 value="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 value="0"/> <max value="1"/> <base> <path value="Reference.reference"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ref-1"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.basedOn.identifier"> <path value="MedicationRequest.basedOn.identifier"/> <short value="Logical reference, when literal reference is not known"/> <definition value="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 value="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 value="0"/> <max value="1"/> <base> <path value="Reference.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".identifier"/> </mapping> </element> <element id="MedicationRequest.basedOn.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="MedicationRequest.basedOn.display"/> <short value="Text alternative for the resource"/> <definition value="Plain text narrative that identifies the resource in addition to the resource reference."/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="Reference.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.groupIdentifier"> <path value="MedicationRequest.groupIdentifier"/> <short value="Composite request this is part of"/> <definition value="A shared identifier common to all requests that were authorized more or less simultaneously by a single author, representing the identifier of the requisition or prescription."/> <requirements value="Requests are linked either by a "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."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.groupIdentifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="…groupIdentifier"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship(typeCode=COMP].target[classCode=SBADM, moodCode=INT].id"/> </mapping> </element> <element id="MedicationRequest.status"> <path value="MedicationRequest.status"/> <short value="active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown"/> <definition value="A code specifying the current state of the order. Generally this will be active or completed state."/> <comment value="This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.status"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <isModifier value="true"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationRequestStatus"/> </extension> <strength value="required"/> <description value="A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/medication-request-status|3.0.2"/> </valueSetReference> </binding> <mapping> <identity value="workflow"/> <map value="…status"/> </mapping> <mapping> <identity value="script10.6"/> <map value="no mapping"/> </mapping> <mapping> <identity value="rim"/> <map value=".statusCode"/> </mapping> <mapping> <identity value="w5"/> <map value="status"/> </mapping> </element> <element id="MedicationRequest.intent"> <path value="MedicationRequest.intent"/> <short value="proposal | plan | order | instance-order"/> <definition value="Whether the request is a proposal, plan, or an original order."/> <comment value="It is expected that the type of requester will be restricted for different stages of a MedicationRequest. For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device. Plans can be created by Practitioners, Patients, RelatedPersons and Devices. Original orders can be created by a Practitioner only. An instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record. This element is labeled as a modifier because the intent alters when and how the resource is actually applicable."/> <min value="1"/> <max value="1"/> <base> <path value="MedicationRequest.intent"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <isModifier value="true"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationRequestIntent"/> </extension> <strength value="required"/> <description value="The kind of medication order"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/medication-request-intent|3.0.2"/> </valueSetReference> </binding> <mapping> <identity value="workflow"/> <map value="…intent"/> </mapping> <mapping> <identity value="rim"/> <map value=".moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)"/> </mapping> <mapping> <identity value="w5"/> <map value="class"/> </mapping> </element> <element id="MedicationRequest.intent.id"> <path value="MedicationRequest.intent.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)"/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> </element> <element id="MedicationRequest.intent.extension"> <path value="MedicationRequest.intent.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="MedicationRequest.intent.extension:intent"> <path value="MedicationRequest.intent.extension"/> <sliceName value="intent"/> <short value="R4: proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option"/> <definition value="R4: `MedicationRequest.intent`"/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.intent|0.1.0"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> </element> <element id="MedicationRequest.intent.value"> <path value="MedicationRequest.intent.value"/> <representation value="xmlAttr"/> <short value="Primitive value for code"/> <definition value="Primitive value for code"/> <min value="0"/> <max value="1"/> <base> <path value="string.value"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-regex"> <valueString value="[^\s]+([\s]?[^\s]+)*"/> </extension> <code> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type"> <valueString value="string"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type"> <valueString value="xsd:token"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type"> <valueString value="xsd:token"/> </extension> </code> </type> </element> <element id="MedicationRequest.category"> <path value="MedicationRequest.category"/> <short value="Type of medication usage"/> <definition value="Indicates the type of medication order and where the medication is expected to be consumed or administered."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.category"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationRequestCategory"/> </extension> <strength value="preferred"/> <description value="A coded concept identifying where the medication ordered is expected to be consumed or administered"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/medication-request-category|3.0.2"/> </valueSetReference> </binding> <mapping> <identity value="script10.6"/> <map value="Message/Body/NewRx/MedicationPrescribed/Directions or Message/Body/NewRx/MedicationPrescribed/StructuredSIG"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication usage"].value"/> </mapping> <mapping> <identity value="w5"/> <map value="class"/> </mapping> </element> <element id="MedicationRequest.priority"> <path value="MedicationRequest.priority"/> <short value="routine | urgent | stat | asap"/> <definition value="Indicates how quickly the Medication Request should be addressed with respect to other requests."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.priority"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationRequestPriority"/> </extension> <strength value="required"/> <description value="Identifies the level of importance to be assigned to actioning the request"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/medication-request-priority|3.0.2"/> </valueSetReference> </binding> <mapping> <identity value="workflow"/> <map value="…priority"/> </mapping> <mapping> <identity value="rim"/> <map value=".priorityCode"/> </mapping> <mapping> <identity value="w5"/> <map value="grade"/> </mapping> </element> <element id="MedicationRequest.medication[x]"> <path value="MedicationRequest.medication[x]"/> <short value="Medication to be taken"/> <definition value="Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications."/> <comment value="If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource. ."/> <min value="1"/> <max value="1"/> <base> <path value="MedicationRequest.medication[x]"/> <min value="1"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication"/> </type> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationCode"/> </extension> <strength value="example"/> <description value="A coded concept identifying substance or product that can be ordered."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/medication-codes|3.0.2"/> </valueSetReference> </binding> <mapping> <identity value="workflow"/> <map value="…code"/> </mapping> <mapping> <identity value="script10.6"/> <map value="Message/Body/NewRx/MedicationPrescribed Medication.code.coding.code = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCode Medication.code.coding.system = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCodeQualifier Medication.code.coding.display = Message/Body/NewRx/MedicationPrescribed/DrugDescription"/> </mapping> <mapping> <identity value="v2"/> <map value="RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code"/> </mapping> <mapping> <identity value="rim"/> <map value="consumable.administrableMedication"/> </mapping> <mapping> <identity value="w5"/> <map value="what"/> </mapping> </element> <element id="MedicationRequest.subject"> <path value="MedicationRequest.subject"/> <short value="Who or group medication request is for"/> <definition value="A link to a resource representing the person or set of individuals to whom the medication will be given."/> <comment value="The subject on a medication request is mandatory. For the secondary use case where the actual subject is not provided, there still must be an anonymized subject specified."/> <min value="1"/> <max value="1"/> <base> <path value="MedicationRequest.subject"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> </type> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="…subject"/> </mapping> <mapping> <identity value="script10.6"/> <map value="Message/Body/NewRx/Patient (need detail to link to specific patient … Patient.Identification in SCRIPT)"/> </mapping> <mapping> <identity value="v2"/> <map value="PID-3-Patient ID List"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=AUT].role"/> </mapping> <mapping> <identity value="w5"/> <map value="who.focus"/> </mapping> </element> <element id="MedicationRequest.context"> <path value="MedicationRequest.context"/> <short value="Created during encounter/admission/stay"/> <definition value="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 value="SubstanceAdministration->component->EncounterEvent."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.context"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"/> </type> <mapping> <identity value="workflow"/> <map value="…context"/> </mapping> <mapping> <identity value="script10.6"/> <map value="no mapping"/> </mapping> <mapping> <identity value="v2"/> <map value="PV1-19-Visit Number"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code="type of encounter or episode"]"/> </mapping> <mapping> <identity value="w5"/> <map value="context"/> </mapping> </element> <element id="MedicationRequest.supportingInformation"> <path value="MedicationRequest.supportingInformation"/> <short value="Information to support ordering of the medication"/> <definition value="Include additional information (for example, patient height and weight) that supports the ordering of the medication."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationRequest.supportingInformation"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> </type> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]"/> </mapping> <mapping> <identity value="w5"/> <map value="context"/> </mapping> </element> <element id="MedicationRequest.authoredOn"> <path value="MedicationRequest.authoredOn"/> <short value="When request was initially authored"/> <definition value="The date (and perhaps time) when the prescription was initially written or authored on."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.authoredOn"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="…authoredOn"/> </mapping> <mapping> <identity value="script10.6"/> <map value="Message/Body/NewRx/MedicationPrescribed/WrittenDate"/> </mapping> <mapping> <identity value="v2"/> <map value="RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction"/> </mapping> <mapping> <identity value="rim"/> <map value="author.time"/> </mapping> <mapping> <identity value="w5"/> <map value="when.recorded"/> </mapping> </element> <element id="MedicationRequest.requester"> <path value="MedicationRequest.requester"/> <short value="Who/What requested the Request"/> <definition value="The individual, organization or device that initiated the request and has responsibility for its activation."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.requester"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="mps-1"/> <severity value="error"/> <human value="onBehalfOf can only be specified if agent is practitioner or device"/> <expression value="(agent.resolve().empty()) or (agent.resolve() is Device) or (agent.resolve() is Practitioner) or onBehalfOf.exists().not()"/> <xpath value="contains(f:agent/f:reference/@value, '/Practitioner/') or contains(f:agent/f:reference/@value, '/Device/') or not(exists(f:onBehalfOf))"/> <source value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/> </constraint> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="…requester"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=AUT].role"/> </mapping> <mapping> <identity value="w5"/> <map value="who.author"/> </mapping> </element> <element id="MedicationRequest.requester.id"> <path value="MedicationRequest.requester.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.requester.extension"> <path value="MedicationRequest.requester.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. 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 value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.requester.modifierExtension"> <path value="MedicationRequest.requester.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the 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 value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.requester.agent"> <path value="MedicationRequest.requester.agent"/> <short value="Who ordered the initial medication(s)"/> <definition value="The healthcare professional responsible for authorizing the initial prescription."/> <comment value="It is expected that the type of requester will be restricted for different stages of a MedicationRequest. For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device. Plans can be created by Practitioners, Patients, RelatedPersons and Devices. Original orders can be created by a Practitioner only."/> <min value="1"/> <max value="1"/> <base> <path value="MedicationRequest.requester.agent"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> </type> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="….agent"/> </mapping> <mapping> <identity value="script10.6"/> <map value="Message/Body/NewRx/Prescriber (need detail to link to specific prescriber … Prescriber.Identification in SCRIPT)"/> </mapping> <mapping> <identity value="v2"/> <map value="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> <mapping> <identity value="rim"/> <map value=".player"/> </mapping> </element> <element id="MedicationRequest.requester.agent.id"> <path value="MedicationRequest.requester.agent.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.requester.agent.extension"> <path value="MedicationRequest.requester.agent.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="MedicationRequest.requester.agent.extension:requester"> <path value="MedicationRequest.requester.agent.extension"/> <sliceName value="requester"/> <short value="R4: Who/What requested the Request"/> <definition value="R4: `MedicationRequest.requester`"/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/alternate-reference"/> </type> </element> <element id="MedicationRequest.requester.agent.reference"> <path value="MedicationRequest.requester.agent.reference"/> <short value="Literal reference, Relative, internal or absolute URL"/> <definition value="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 value="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 value="0"/> <max value="1"/> <base> <path value="Reference.reference"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ref-1"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.requester.agent.identifier"> <path value="MedicationRequest.requester.agent.identifier"/> <short value="Logical reference, when literal reference is not known"/> <definition value="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 value="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 value="0"/> <max value="1"/> <base> <path value="Reference.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".identifier"/> </mapping> </element> <element id="MedicationRequest.requester.agent.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="MedicationRequest.requester.agent.display"/> <short value="Text alternative for the resource"/> <definition value="Plain text narrative that identifies the resource in addition to the resource reference."/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="Reference.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.requester.onBehalfOf"> <path value="MedicationRequest.requester.onBehalfOf"/> <short value="Organization agent is acting for"/> <definition value="The organization the device or practitioner was acting on behalf of."/> <requirements value="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 value="0"/> <max value="1"/> <base> <path value="MedicationRequest.requester.onBehalfOf"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> </type> <condition value="mps-1"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="….onBehalfOf"/> </mapping> <mapping> <identity value="rim"/> <map value=".scoper"/> </mapping> </element> <element id="MedicationRequest.recorder"> <path value="MedicationRequest.recorder"/> <short value="Person who entered the request"/> <definition value="The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.recorder"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> </type> <mapping> <identity value="rim"/> <map value=".participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType)"/> </mapping> <mapping> <identity value="w5"/> <map value="who"/> </mapping> </element> <element id="MedicationRequest.recorder.id"> <path value="MedicationRequest.recorder.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.recorder.extension"> <path value="MedicationRequest.recorder.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="MedicationRequest.recorder.extension:recorder"> <path value="MedicationRequest.recorder.extension"/> <sliceName value="recorder"/> <short value="R4: recorder additional types"/> <definition value="R4: `MedicationRequest.recorder` additional types from child elements (display, identifier, reference, type)"/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/alternate-reference"/> </type> </element> <element id="MedicationRequest.recorder.reference"> <path value="MedicationRequest.recorder.reference"/> <short value="Literal reference, Relative, internal or absolute URL"/> <definition value="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 value="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 value="0"/> <max value="1"/> <base> <path value="Reference.reference"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="ref-1"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.recorder.identifier"> <path value="MedicationRequest.recorder.identifier"/> <short value="Logical reference, when literal reference is not known"/> <definition value="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 value="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 value="0"/> <max value="1"/> <base> <path value="Reference.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value=".identifier"/> </mapping> </element> <element id="MedicationRequest.recorder.display"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="MedicationRequest.recorder.display"/> <short value="Text alternative for the resource"/> <definition value="Plain text narrative that identifies the resource in addition to the resource reference."/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="Reference.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.reasonCode"> <path value="MedicationRequest.reasonCode"/> <short value="Reason or indication for writing the prescription"/> <definition value="The reason or the indication for ordering the medication."/> <comment value="This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonReference."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationRequest.reasonCode"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationRequestReason"/> </extension> <strength value="example"/> <description value="A coded concept indicating why the medication was ordered."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/condition-code|3.0.2"/> </valueSetReference> </binding> <mapping> <identity value="workflow"/> <map value="…reasonCode"/> </mapping> <mapping> <identity value="script10.6"/> <map value="Message/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value"/> </mapping> <mapping> <identity value="v2"/> <map value="ORC-16-Order Control Code Reason /RXE-27-Give Indication/RXO-20-Indication / RXD-21-Indication / RXG-22-Indication / RXA-19-Indication"/> </mapping> <mapping> <identity value="rim"/> <map value="reason.observation.reasonCode"/> </mapping> <mapping> <identity value="w5"/> <map value="why"/> </mapping> </element> <element id="MedicationRequest.reasonReference"> <path value="MedicationRequest.reasonReference"/> <short value="Condition or Observation that supports why the prescription is being written"/> <definition value="Condition or observation that supports why the medication was ordered."/> <comment value="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 value="0"/> <max value="*"/> <base> <path value="MedicationRequest.reasonReference"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> </type> <mapping> <identity value="workflow"/> <map value="…reasonReference"/> </mapping> <mapping> <identity value="script10.6"/> <map value="no mapping"/> </mapping> <mapping> <identity value="rim"/> <map value="reason.observation[code=ASSERTION].value"/> </mapping> <mapping> <identity value="w5"/> <map value="why"/> </mapping> </element> <element id="MedicationRequest.note"> <path value="MedicationRequest.note"/> <short value="Information about the prescription"/> <definition value="Extra information about the prescription that could not be conveyed by the other attributes."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationRequest.note"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Annotation"/> </type> <mapping> <identity value="workflow"/> <map value="…note"/> </mapping> <mapping> <identity value="script10.6"/> <map value="Message/Body/NewRx/MedicationPrescribed/Note"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].value"/> </mapping> </element> <element id="MedicationRequest.dosageInstruction"> <path value="MedicationRequest.dosageInstruction"/> <short value="How the medication should be taken"/> <definition value="Indicates how the medication is to be used by the patient."/> <comment value="There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, "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 value="0"/> <max value="*"/> <base> <path value="MedicationRequest.dosageInstruction"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Dosage"/> </type> <mapping> <identity value="workflow"/> <map value="…occurrence[x]"/> </mapping> <mapping> <identity value="rim"/> <map value="see dosageInstruction mapping"/> </mapping> </element> <element id="MedicationRequest.dispenseRequest"> <path value="MedicationRequest.dispenseRequest"/> <short value="Medication supply authorization"/> <definition value="Indicates the specific details for the dispense or medication supply part of a medication request (also known as a Medication Prescription or Medication Order). Note that this information is not always sent with the order. There may be in some settings (e.g. hospitals) institutional or system support for completing the dispense details in the pharmacy department."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.dispenseRequest"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="script10.6"/> <map value="Message/Body/NewRx/MedicationPrescribed/ExpirationDate"/> </mapping> <mapping> <identity value="rim"/> <map value="component.supplyEvent"/> </mapping> </element> <element id="MedicationRequest.dispenseRequest.id"> <path value="MedicationRequest.dispenseRequest.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.dispenseRequest.extension"> <path value="MedicationRequest.dispenseRequest.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="MedicationRequest.dispenseRequest.extension:initialFill"> <path value="MedicationRequest.dispenseRequest.extension"/> <sliceName value="initialFill"/> <short value="R4: First fill details (new)"/> <definition value="R4: `MedicationRequest.dispenseRequest.initialFill` (new:BackboneElement)"/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.initialFill|0.1.0"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> </element> <element id="MedicationRequest.dispenseRequest.extension:dispenseInterval"> <path value="MedicationRequest.dispenseRequest.extension"/> <sliceName value="dispenseInterval"/> <short value="R4: Minimum period of time between dispenses (new)"/> <definition value="R4: `MedicationRequest.dispenseRequest.dispenseInterval` (new:Duration)"/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenseInterval|0.1.0"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> </element> <element id="MedicationRequest.dispenseRequest.modifierExtension"> <path value="MedicationRequest.dispenseRequest.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the 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 value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.dispenseRequest.validityPeriod"> <path value="MedicationRequest.dispenseRequest.validityPeriod"/> <short value="Time period supply is authorized for"/> <definition value="This indicates the validity period of a prescription (stale dating the Prescription)."/> <comment value="It reflects the prescribers' perspective for the validity of the prescription. Dispenses must not be made against the prescription outside of this period. The lower-bound of the Dispensing Window signifies the earliest date that the prescription can be filled for the first time. If an upper-bound is not specified then the Prescription is open-ended or will default to a stale-date based on regulations."/> <requirements value="Indicates when the Prescription becomes valid, and when it ceases to be a dispensable Prescription."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.dispenseRequest.validityPeriod"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Period"/> </type> <mapping> <identity value="script10.6"/> <map value="Message/Body/NewRx/MedicationPrescribed/Refills"/> </mapping> <mapping> <identity value="rim"/> <map value="effectiveTime"/> </mapping> </element> <element id="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed"> <path value="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed"/> <short value="Number of refills authorized"/> <definition value="An integer indicating the number of times, in addition to the original dispense, (aka refills or repeats) that the patient can receive the prescribed medication. Usage Notes: This integer does not include the original order dispense. This means that if an order indicates dispense 30 tablets plus "3 repeats", then the order can be dispensed a total of 4 times and the patient can receive a total of 120 tablets."/> <comment value="If displaying "number of authorized fills", add 1 to this number."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed"/> <min value="0"/> <max value="1"/> </base> <type> <code value="positiveInt"/> </type> <mapping> <identity value="script10.6"/> <map value="Message/Body/NewRx/MedicationPrescribed/Quantity"/> </mapping> <mapping> <identity value="v2"/> <map value="RXE-12-Number of Refills"/> </mapping> <mapping> <identity value="rim"/> <map value="repeatNumber"/> </mapping> </element> <element id="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed.id"> <path value="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)"/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> </element> <element id="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed.extension"> <path value="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed.extension:numberOfRepeatsAllowed"> <path value="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed.extension"/> <sliceName value="numberOfRepeatsAllowed"/> <short value="R4: numberOfRepeatsAllowed additional types"/> <definition value="R4: `MedicationRequest.dispenseRequest.numberOfRepeatsAllowed` additional types (unsignedInt) additional types from child elements (value)"/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.numberOfRepeatsAllowed|0.1.0"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> </element> <element id="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed.value"> <path value="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed.value"/> <representation value="xmlAttr"/> <short value="Primitive value for positiveInt"/> <definition value="Primitive value for positiveInt"/> <min value="0"/> <max value="1"/> <base> <path value="integer.value"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-regex"> <valueString value="[1-9][0-9]*"/> </extension> <code> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type"> <valueString value="number"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type"> <valueString value="xsd:positiveInteger"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type"> <valueString value="xsd:positiveInteger"/> </extension> </code> </type> </element> <element id="MedicationRequest.dispenseRequest.quantity"> <path value="MedicationRequest.dispenseRequest.quantity"/> <short value="Amount of medication to supply per dispense"/> <definition value="The amount that is to be dispensed for one fill."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.dispenseRequest.quantity"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Quantity"/> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> </type> <mapping> <identity value="script10.6"/> <map value="Message/Body/NewRx/MedicationPrescribed/DaysSupply"/> </mapping> <mapping> <identity value="v2"/> <map value="RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system"/> </mapping> <mapping> <identity value="rim"/> <map value="quantity"/> </mapping> </element> <element id="MedicationRequest.dispenseRequest.expectedSupplyDuration"> <path value="MedicationRequest.dispenseRequest.expectedSupplyDuration"/> <short value="Number of days supply per dispense"/> <definition value="Identifies the period time over which the supplied product is expected to be used, or the length of time the dispense is expected to last."/> <comment value="In some situations, this attribute may be used instead of quantity to identify the amount supplied by how long it is expected to last, rather than the physical quantity issued, e.g. 90 days supply of medication (based on an ordered dosage) When possible, it is always better to specify quantity, as this tends to be more precise. expectedSupplyDuration will always be an estimate that can be influenced by external factors."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.dispenseRequest.expectedSupplyDuration"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Duration"/> </type> <mapping> <identity value="script10.6"/> <map value="Message/Body/NewRx/MedicationPrescribed/Substitutions"/> </mapping> <mapping> <identity value="rim"/> <map value="expectedUseTime"/> </mapping> </element> <element id="MedicationRequest.dispenseRequest.performer"> <path value="MedicationRequest.dispenseRequest.performer"/> <short value="Intended dispenser"/> <definition value="Indicates the intended dispensing Organization specified by the prescriber."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.dispenseRequest.performer"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> </type> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP].target[classCode=SPLY, moodCode=RQO] .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"/> </mapping> <mapping> <identity value="w5"/> <map value="who"/> </mapping> </element> <element id="MedicationRequest.substitution"> <path value="MedicationRequest.substitution"/> <short value="Any restrictions on medication substitution"/> <definition value="Indicates whether or not substitution can or should be part of the dispense. In some cases substitution must happen, in other cases substitution must not happen. This block explains the prescriber's intent. If nothing is specified substitution may be done."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.substitution"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mapping> <identity value="script10.6"/> <map value="specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions"/> </mapping> <mapping> <identity value="rim"/> <map value="subjectOf.substitutionPersmission"/> </mapping> </element> <element id="MedicationRequest.substitution.id"> <path value="MedicationRequest.substitution.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationRequest.substitution.extension"> <path value="MedicationRequest.substitution.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="MedicationRequest.substitution.extension:allowed"> <path value="MedicationRequest.substitution.extension"/> <sliceName value="allowed"/> <short value="R4: Whether substitution is allowed or not additional types"/> <definition value="R4: `MedicationRequest.substitution.allowed[x]` additional types (CodeableConcept) additional types from child elements (coding, text)"/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.substitution.allowed|0.1.0"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> </element> <element id="MedicationRequest.substitution.modifierExtension"> <path value="MedicationRequest.substitution.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the 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 value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationRequest.substitution.allowed"> <path value="MedicationRequest.substitution.allowed"/> <short value="Whether substitution is allowed or not"/> <definition value="True if the prescriber allows a different drug to be dispensed from what was prescribed."/> <comment value="This element is labeled as a modifer because whether substitution is allow or not cannot be ignored."/> <min value="1"/> <max value="1"/> <base> <path value="MedicationRequest.substitution.allowed"/> <min value="1"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <isModifier value="true"/> <mapping> <identity value="script10.6"/> <map value="specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions"/> </mapping> <mapping> <identity value="v2"/> <map value="RXO-9-Allow Substitutions / RXE-9-Substitution Status"/> </mapping> <mapping> <identity value="rim"/> <map value="code"/> </mapping> </element> <element id="MedicationRequest.substitution.reason"> <path value="MedicationRequest.substitution.reason"/> <short value="Why should (not) substitution be made"/> <definition value="Indicates the reason for the substitution, or why substitution must or must not be performed."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.substitution.reason"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationIntendedSubstitutionReason"/> </extension> <strength value="example"/> <description value="A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/v3-SubstanceAdminSubstitutionReason|2014-03-26"/> </valueSetReference> </binding> <mapping> <identity value="script10.6"/> <map value="not mapped"/> </mapping> <mapping> <identity value="v2"/> <map value="RXE-9 Substition status"/> </mapping> <mapping> <identity value="rim"/> <map value="reasonCode"/> </mapping> </element> <element id="MedicationRequest.priorPrescription"> <path value="MedicationRequest.priorPrescription"/> <short value="An order/prescription that is being replaced"/> <definition value="A link to a resource representing an earlier order related order or prescription."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationRequest.priorPrescription"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/> </type> <mapping> <identity value="workflow"/> <map value="…replaces"/> </mapping> <mapping> <identity value="script10.6"/> <map value="not mapped"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=?RPLC or ?SUCC]/target[classCode=SBADM,moodCode=RQO]"/> </mapping> </element> <element id="MedicationRequest.detectedIssue"> <path value="MedicationRequest.detectedIssue"/> <short value="Clinical Issue with action"/> <definition value="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 value="Contraindication"/> <alias value="Drug Utilization Review (DUR)"/> <alias value="Alert"/> <min value="0"/> <max value="*"/> <base> <path value="MedicationRequest.detectedIssue"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DetectedIssue"/> </type> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value"/> </mapping> </element> <element id="MedicationRequest.eventHistory"> <path value="MedicationRequest.eventHistory"/> <short value="A list of events of interest in the lifecycle"/> <definition value="Links to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource."/> <comment value="This 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 value="0"/> <max value="*"/> <base> <path value="MedicationRequest.eventHistory"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Provenance"/> </type> <mapping> <identity value="workflow"/> <map value="…relevantHistory"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"/> </mapping> </element> </snapshot> <differential> <element id="MedicationRequest"> <path value="MedicationRequest"/> </element> <element id="MedicationRequest.extension"> <path value="MedicationRequest.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <min value="0"/> <max value="*"/> </element> <element id="MedicationRequest.extension:statusReason"> <path value="MedicationRequest.extension"/> <sliceName value="statusReason"/> <short value="R4: Reason for current status (new)"/> <definition value="R4: `MedicationRequest.statusReason` (new:CodeableConcept)"/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.statusReason|0.1.0"/> </type> </element> <element id="MedicationRequest.extension:reported"> <path value="MedicationRequest.extension"/> <sliceName value="reported"/> <short value="R4: Reported rather than primary record (new)"/> <definition value="R4: `MedicationRequest.reported[x]` (new:boolean, Reference(Patient,Practitioner,PractitionerRole,RelatedPerson,Organization))"/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.reported|0.1.0"/> </type> </element> <element id="MedicationRequest.extension:performer"> <path value="MedicationRequest.extension"/> <sliceName value="performer"/> <short value="R4: Intended performer of administration (new)"/> <definition value="R4: `MedicationRequest.performer` (new:Reference(Practitioner,PractitionerRole,Organization,Patient,Device,RelatedPerson,CareTeam))"/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.performer|0.1.0"/> </type> </element> <element id="MedicationRequest.extension:performerType"> <path value="MedicationRequest.extension"/> <sliceName value="performerType"/> <short value="R4: Desired kind of performer of the medication administration (new)"/> <definition value="R4: `MedicationRequest.performerType` (new:CodeableConcept)"/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.performerType|0.1.0"/> </type> </element> <element id="MedicationRequest.extension:instantiatesUri"> <path value="MedicationRequest.extension"/> <sliceName value="instantiatesUri"/> <short value="R4: Instantiates external protocol or definition (new)"/> <definition value="R4: `MedicationRequest.instantiatesUri` (new:uri)"/> <comment value="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 value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.instantiatesUri|0.1.0"/> </type> </element> <element id="MedicationRequest.extension:courseOfTherapyType"> <path value="MedicationRequest.extension"/> <sliceName value="courseOfTherapyType"/> <short value="R4: Overall pattern of medication administration (new)"/> <definition value="R4: `MedicationRequest.courseOfTherapyType` (new:CodeableConcept)"/> <comment value="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."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.courseOfTherapyType|0.1.0"/> </type> </element> <element id="MedicationRequest.extension:insurance"> <path value="MedicationRequest.extension"/> <sliceName value="insurance"/> <short value="R4: Associated insurance coverage (new)"/> <definition value="R4: `MedicationRequest.insurance` (new:Reference(Coverage,ClaimResponse))"/> <comment value="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)."/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.insurance|0.1.0"/> </type> </element> <element id="MedicationRequest.modifierExtension"> <path value="MedicationRequest.modifierExtension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <min value="0"/> <max value="*"/> </element> <element id="MedicationRequest.modifierExtension:doNotPerform"> <path value="MedicationRequest.modifierExtension"/> <sliceName value="doNotPerform"/> <short value="R4: True if request is prohibiting action (new)"/> <definition value="R4: `MedicationRequest.doNotPerform` (new:boolean)"/> <comment value="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"."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.doNotPerform|0.1.0"/> </type> </element> <element id="MedicationRequest.definition.extension"> <path value="MedicationRequest.definition.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <min value="0"/> <max value="*"/> </element> <element id="MedicationRequest.definition.extension:instantiatesCanonical"> <path value="MedicationRequest.definition.extension"/> <sliceName value="instantiatesCanonical"/> <short value="R4: Instantiates FHIR protocol or definition additional types"/> <definition value="R4: `MedicationRequest.instantiatesCanonical` additional types (canonical) additional types from child elements (value)"/> <comment value="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."/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.instantiatesCanonical|0.1.0"/> </type> </element> <element id="MedicationRequest.basedOn.extension"> <path value="MedicationRequest.basedOn.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <min value="0"/> <max value="*"/> </element> <element id="MedicationRequest.basedOn.extension:basedOn"> <path value="MedicationRequest.basedOn.extension"/> <sliceName value="basedOn"/> <short value="R4: basedOn"/> <definition value="R4: `MedicationRequest.basedOn`"/> <comment value="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."/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/alternate-reference"/> </type> </element> <element id="MedicationRequest.intent.extension"> <path value="MedicationRequest.intent.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <min value="0"/> <max value="*"/> </element> <element id="MedicationRequest.intent.extension:intent"> <path value="MedicationRequest.intent.extension"/> <sliceName value="intent"/> <short value="R4: proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option"/> <definition value="R4: `MedicationRequest.intent`"/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.intent|0.1.0"/> </type> </element> <element id="MedicationRequest.requester.agent.extension"> <path value="MedicationRequest.requester.agent.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <min value="0"/> <max value="*"/> </element> <element id="MedicationRequest.requester.agent.extension:requester"> <path value="MedicationRequest.requester.agent.extension"/> <sliceName value="requester"/> <short value="R4: Who/What requested the Request"/> <definition value="R4: `MedicationRequest.requester`"/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/alternate-reference"/> </type> </element> <element id="MedicationRequest.recorder.extension"> <path value="MedicationRequest.recorder.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <min value="0"/> <max value="*"/> </element> <element id="MedicationRequest.recorder.extension:recorder"> <path value="MedicationRequest.recorder.extension"/> <sliceName value="recorder"/> <short value="R4: recorder additional types"/> <definition value="R4: `MedicationRequest.recorder` additional types from child elements (display, identifier, reference, type)"/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/alternate-reference"/> </type> </element> <element id="MedicationRequest.dispenseRequest.extension"> <path value="MedicationRequest.dispenseRequest.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <min value="0"/> <max value="*"/> </element> <element id="MedicationRequest.dispenseRequest.extension:initialFill"> <path value="MedicationRequest.dispenseRequest.extension"/> <sliceName value="initialFill"/> <short value="R4: First fill details (new)"/> <definition value="R4: `MedicationRequest.dispenseRequest.initialFill` (new:BackboneElement)"/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.initialFill|0.1.0"/> </type> </element> <element id="MedicationRequest.dispenseRequest.extension:dispenseInterval"> <path value="MedicationRequest.dispenseRequest.extension"/> <sliceName value="dispenseInterval"/> <short value="R4: Minimum period of time between dispenses (new)"/> <definition value="R4: `MedicationRequest.dispenseRequest.dispenseInterval` (new:Duration)"/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenseInterval|0.1.0"/> </type> </element> <element id="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed.extension"> <path value="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <min value="0"/> <max value="*"/> </element> <element id="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed.extension:numberOfRepeatsAllowed"> <path value="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed.extension"/> <sliceName value="numberOfRepeatsAllowed"/> <short value="R4: numberOfRepeatsAllowed additional types"/> <definition value="R4: `MedicationRequest.dispenseRequest.numberOfRepeatsAllowed` additional types (unsignedInt) additional types from child elements (value)"/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.numberOfRepeatsAllowed|0.1.0"/> </type> </element> <element id="MedicationRequest.substitution.extension"> <path value="MedicationRequest.substitution.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <min value="0"/> <max value="*"/> </element> <element id="MedicationRequest.substitution.extension:allowed"> <path value="MedicationRequest.substitution.extension"/> <sliceName value="allowed"/> <short value="R4: Whether substitution is allowed or not additional types"/> <definition value="R4: `MedicationRequest.substitution.allowed[x]` additional types (CodeableConcept) additional types from child elements (coding, text)"/> <comment value="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 value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.substitution.allowed|0.1.0"/> </type> </element> </differential> </StructureDefinition>

Generated Narrative: StructureDefinition profile-MedicationRequest

Name	Card.	Type	Description & Constraints
MedicationRequest	0..*	MedicationRequest	Ordering of medication for patient or group
Slices for extension	0..*	Extension	Extension Slice: Unordered, Open by value:url
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.
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
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-MedicationRequest.performer
extension:performerType	0..1	CodeableConcept	R4: Desired kind of performer of the medication administration (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.performerType
extension:instantiatesUri	0..*	uri	R4: Instantiates external protocol or definition (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.instantiatesUri
extension:courseOfTherapyType	0..1	CodeableConcept	R4: Overall pattern of medication administration (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.courseOfTherapyType Binding: R4MedicationrequestCourseOfTherapyForR3 (0.1.0) (example): Identifies the overall pattern of medication administratio.
extension:insurance	0..*	Reference(Cross-version Profile for R4.Coverage for use in FHIR STU3(0.1.0) \| Coverage \| Cross-version Profile for R4.ClaimResponse for use in FHIR STU3(0.1.0) \| ClaimResponse)	R4: Associated insurance coverage (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.insurance
Slices for modifierExtension	0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:doNotPerform	0..1	boolean	R4: True if request is prohibiting action (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.doNotPerform
definition
Slices for extension	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:instantiatesCanonical	0..*	uri	R4: Instantiates FHIR protocol or definition additional types URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.instantiatesCanonical
basedOn
Slices for extension	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:basedOn	0..*	?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]	R4: basedOn URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
intent
Slices for extension	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:intent	0..1	code	R4: proposal \| plan \| order \| original-order \| reflex-order \| filler-order \| instance-order \| option URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.intent Binding: R4MedicationrequestIntentForR3MedicationRequestIntent (0.1.0) (required): The kind of medication order.
requester
agent
Slices for extension	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:requester	0..1	?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]	R4: Who/What requested the Request URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
recorder
Slices for extension	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:recorder	0..1	?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]]	R4: recorder additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
dispenseRequest
Slices for extension	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:initialFill	0..1	(Complex)	R4: First fill details (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.initialFill
extension:dispenseInterval	0..1	Duration	R4: Minimum period of time between dispenses (new) URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.dispenseInterval
numberOfRepeatsAllowed
Slices for extension	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:numberOfRepeatsAllowed	0..1	unsignedInt	R4: numberOfRepeatsAllowed additional types URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.dispenseRequest.numberOfRepeatsAllowed
substitution
Slices for extension	0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:allowed	0..1	CodeableConcept	R4: Whether substitution is allowed or not additional types URL: http://hl7.org/fhir/4.0/StructureDefinition/extension-MedicationRequest.substitution.allowed Binding: ActSubstanceAdminSubstitutionCode\|2014-03-26 (example): Identifies the type of substitution allowed.
Documentation for this format