{ "resourceType": "StructureDefinition", "id": "access-medicationrequest-clin", "text": { "status": "generated", "div": "
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\"MedicationRequestACCESS MedicationRequest (Clinician) Profile
\".\"\".\"\".\"identifierIdentifierExternal ids for this request
\".\"\".\"\".\"statusScodeactive | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required)
\".\"\".\"\".\"statusReasonCodeableConceptReason for current status
Binding: medicationRequest Status Reason Codes (example)
\".\"\".\"\".\"intentScodeproposal | plan | order | original-order | instance-order | option
Binding: medicationRequest Intent (required)
\".\"\".\"\".\"doNotPerformbooleanTrue if request is prohibiting action
\".\"\".\"\".\"reportedbooleanReported rather than primary record
\".\"\".\"\".\"medication[x]SCodeableConcept, Reference(http://hl7.org/fhir/ca/core/StructureDefinition/profile-medication)Medication to be taken
Binding: https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct (preferred)
\".\"\".\"\".\"subjectSReference(http://hl7.org/fhir/ca/core/StructureDefinition/profile-patient)Who medication request is for
\".\"\".\"\".\"authoredOnSdateTimeWhen request was initially authored
\".\"\".\"\".\"requesterSReference(http://hl7.org/fhir/ca/core/StructureDefinition/profile-practitioner)Who/What requested the MedicationRequest
\".\"\".\"\".\"performerReference(http://hl7.org/fhir/ca/core/StructureDefinition/profile-practitioner | http://hl7.org/fhir/ca/core/StructureDefinition/profile-organization)Intended performer of administration or dispense
\".\"\".\"\".\"performerTypeCodeableConceptDesired kind of performer of the medication administration or dispense
\".\"\".\"\".\"reasonCodeCodeableConceptReason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example)
\".\"\".\"\".\"groupIdentifierIdentifierComposite request this is part of
\".\"\".\"\".\"courseOfTherapyTypeCodeableConceptOverall pattern of medication administration
Binding: v3 Code System ActCode (preferred)
\".\"\".\"\".\"insuranceReference(Coverage)Associated insurance coverage
\".\"\".\"\".\"noteAnnotationInformation about the prescription
\".\"\".\"\".\"\".\"authorReferenceReference(http://hl7.org/fhir/ca/core/StructureDefinition/profile-practitioner | http://hl7.org/fhir/ca/core/StructureDefinition/profile-organization | http://hl7.org/fhir/ca/core/StructureDefinition/profile-patient | RelatedPerson)
\".\"\".\"\".\"\".\"timedateTimeWhen the note was made
\".\"\".\"\".\"\".\"textmarkdownThe annotation - text content (as markdown)
\".\"\".\"\".\"dosageInstructionSDosageHow the medication should be taken
\".\"\".\"\".\"\".\"sequenceintegerThe order of the dosage instructions
\".\"\".\"\".\"\".\"textS1..1stringFree text dosage instructions e.g. SIG
\".\"\".\"\".\"\".\"timingTimingWhen medication should be administered
\".\"\".\"\".\"\".\"siteCodeableConceptBody site medication is administered to
Binding: v3 Code System ActSite (preferred)
\".\"\".\"\".\"\".\"routeCodeableConceptHow medication should enter the body
Binding: v3 Code System RouteOfAdministration (preferred)
\".\"\".\"\".\"\".\"doseAndRateAmount of medication administered
\".\"\".\"\".\"\".\"\".\"typeCodeableConceptThe kind of dose or rate specified
\".\"\".\"\".\"\".\"\".\"doseRangeRangeAmount of medication per dose
\".\"\".\"\".\"\".\"\".\"rateRatioRatioAmount of medication per unit of time
\".\"\".\"\".\"\".\"maxDosePerPeriodRatioUpper limit of medication per unit of time
\".\"\".\"\".\"dispenseRequestSBackboneElementMedication supply authorization
\".\"\".\"\".\"\".\"initialFillFirst fill details
\".\"\".\"\".\"\".\"\".\"QuantityFirst fill quantity
\".\"\".\"\".\"\".\"\".\"DurationDurationFirst fill duration
\".\"\".\"\".\"\".\"dispenseIntervalDurationMinimum period of time between dispenses
\".\"\".\"\".\"\".\"validityPeriodPeriodTime period supply is authorized for
\".\"\".\"\".\"\".\"numberOfRepeatsAllowedSunsignedIntNumber of refills authorized
\".\"\".\"\".\"\".\"quantitySAmount of medication to supply per dispense
\".\"\".\"\".\"\".\"expectedSupplyDurationSDurationNumber of days supply per dispense
\".\"\".\"\".\"\".\"performerReference(http://hl7.org/fhir/ca/core/StructureDefinition/profile-organization)Intended dispenser
\".\"\".\"\".\"substitutionBackboneElementAny restrictions on medication substitution
\".\"\".\"\".\"\".\"allowedBooleanWhether substitution is allowed or not
Binding: V3 Value SetActSubstanceAdminSubstitutionCode (example)
\".\"\".\"\".\"\".\"reasonCodeableConceptWhy should (should not) substitution be made
Binding: http://terminology.hl7.org/CodeSystem/v3-ActReason (preferred)
\".\"\".\"\".\"priorPrescriptionReference(http://infoway-inforoute.ca/fhir/StructureDefinition/access-medicationRequest-clin)An order/prescription that is being replaced
\".\"\".\"\".\"detectedIssueReference(DetectedIssue)Clinical Issue with the action
\".\"\".\"\".\"eventHistoryReference(Provenance)A list of events of interest in the lifecycle

\"doco\" Documentation for this format
" }, "url": "http://infoway-inforoute.ca/fhir/StructureDefinition/access-medicationrequest-clin", "version": "0.1.0", "name": "AccessMedicationRequest-Clin", "title": "ACCESS MedicationRequest (Clinician) Profile", "status": "draft", "experimental": false, "date": "2019-03-21T04:00:00+00:00", "publisher": "Canada Health Infoway", "contact": [ { "telecom": [ { "system": "url", "value": "http://infoway-inforoute.ca" } ] } ], "description": "Constraints on the MedicationRequest resource to reflect source data mappings for the ACCESS Health project. Focus of this profile is on display of medication request information to clinician viewers.", "fhirVersion": "4.0.0", "mapping": [ { "identity": "prince-edward-island-cerx", "uri": "http://unknown.org/Prince Edward Island CeRX", "name": "Prince Edward Island CeRX" }, { "identity": "newfoundland-cerx", "uri": "http://unknown.org/Newfoundland CeRX", "name": "Newfoundland CeRX" }, { "identity": "new-brunswick-cerx", "uri": "http://unknown.org/New Brunswick CeRX", "name": "New Brunswick CeRX" }, { "identity": "nova-scotia-cerx", "uri": "http://unknown.org/Nova Scotia CeRX", "name": "Nova Scotia CeRX" }, { "identity": "workflow", "uri": "http://hl7.org/fhir/workflow", "name": "Workflow Pattern" }, { "identity": "script10.6", "uri": "http://ncpdp.org/SCRIPT10_6", "name": "Mapping to NCPDP SCRIPT 10.6" }, { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" }, { "identity": "w5", "uri": "http://hl7.org/fhir/fivews", "name": "FiveWs Pattern Mapping" }, { "identity": "v2", "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping" } ], "kind": "resource", "abstract": false, "type": "MedicationRequest", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationRequest", "derivation": "constraint", "differential": { "element": [ { "id": "MedicationRequest", "path": "MedicationRequest", "short": "ACCESS MedicationRequest (Clinician) Profile", "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest" }, { "identity": "new-brunswick-cerx", "map": "NB Implementation Guide does not have separate Medication Request CeRX Message type, prescription is inferred when available from dispense message: PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component3/supplyEvent/product/COCT_MT220200CA/medication" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest" } ] }, { "id": "MedicationRequest.identifier", "path": "MedicationRequest.identifier", "short": "External ids for this request", "type": [ { "code": "Identifier" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/id" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/id" }, { "identity": "new-brunswick-cerx", "map": "PORX_IN020190CA/PORX_MT020070CA/medicationDispense/inFulfillmentOf/substanceAdministrationRequest/id" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/id" } ] }, { "id": "MedicationRequest.status", "path": "MedicationRequest.status", "short": "active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown", "comment": "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. \n\nMapping Note: Implementors need to be aware that the Act Status Codes recommended by CeRX only partially match the codes to the MedicationRequest status (required) value set.", "type": [ { "code": "code" } ], "mustSupport": true, "isModifier": false, "binding": { "strength": "required", "description": "MedicationRequest Status Codes", "valueSet": "http://hl7.org/fhir/ValueSet/medicationrequest-status" }, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/statusCode" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/statusCode" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/statusCode" } ] }, { "id": "MedicationRequest.statusReason", "path": "MedicationRequest.statusReason", "short": "Reason for current status", "comment": "Mapping Note: The mappable value from CeRX ActDetectedIssueCode value set is not semantically perfect. Conversion for this FHIR element should be limited to non-active statuses because the only semantic similar CeRX field that was found relates to reasons for refusal to fill or detected issue statuses.", "type": [ { "code": "CodeableConcept" } ], "mustSupport": false, "isModifier": false, "binding": { "strength": "example", "description": "MedicationRequest Status Reason Codes", "valueSet": "http://hl7.org/fhir/ValueSet/medicationrequest-status-reason" }, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/QUQI_MT120000CA/controlActEvent/subjectOf/PORX_MT980020CA/detectedIssueEvent/code OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf6/refusalToFill/reason/detectedIssueEvent/code" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/QUQI_MT120000CA/controlActEvent/subjectOf/PORX_MT980020CA/detectedIssueEvent/code OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf6/refusalToFill/reason/detectedIssueEvent/code" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/QUQI_MT120000CA/controlActEvent/subjectOf/PORX_MT980020CA/detectedIssueEvent/code OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf6/refusalToFill/reason/detectedIssueEvent/code" } ] }, { "id": "MedicationRequest.intent", "path": "MedicationRequest.intent", "short": "proposal | plan | order | original-order | instance-order | option", "comment": "SME Note: From a mapping perspective, the requests that exist in V3 systems today would have RQO as the mood code. This would map to \"order\" for MedicationRequest.intent.\n\nGiven that this profile focuses on FHIR resources generated from CeRX messages by Canadian Drug Information Systems, the codes most likely applicable from the required value set are: \"order\", \"plan\", and \"proposal\" \n\nSME Note: From a mapping perspective, the requests that exist in V3 systems today would have RQO as the mood code. This would map to \"order\" for MedicationRequest.intent.\nIf patient requests are supported in the future, these would be an intent of \"proposal\".", "type": [ { "code": "code" } ], "mustSupport": true, "isModifier": false, "binding": { "strength": "required", "description": "MedicationRequest Intent", "valueSet": "http://hl7.org/fhir/ValueSet/medicationrequest-intent" }, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/ PORX_MT060340CA/ combinedMedicationRequest/ component1/ PORX_MT980040CA/ dosageInstruction/component2/dosageLine/moodCode" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/ PORX_MT060340CA/ combinedMedicationRequest/ component1/ PORX_MT980040CA/ dosageInstruction/component2/dosageLine/moodCode" }, { "identity": "new-brunswick-cerx", "map": "PORX_IN020190CA/PORX_MT020070CA/medicationDispense/inFulfillmentOf/substanceAdministrationRequest/moodCode" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/ PORX_MT060340CA/ combinedMedicationRequest/ component1/ PORX_MT980040CA/ dosageInstruction/component2/dosageLine/moodCode" } ] }, { "id": "MedicationRequest.doNotPerform", "path": "MedicationRequest.doNotPerform", "short": "True if request is prohibiting action", "type": [ { "code": "boolean" } ], "mustSupport": false, "isModifier": false }, { "id": "MedicationRequest.reported", "path": "MedicationRequest.reported", "short": "Reported rather than primary record", "comment": "Mapping Note: The semantically similar CeRX field (sourceDispense) only communicates whether/or not the prescription is inferred from a secondary source.", "type": [ { "code": "boolean" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/derivedFrom/sourceDispense" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/derivedFrom/sourceDispense" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/derivedFrom/sourceDispense" } ] }, { "id": "MedicationRequest.medication[x]", "path": "MedicationRequest.medication[x]", "short": "Medication to be taken", "comment": "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.\n\nImplementors need to be aware that the medication codes utilized by the source DIS will likely come from the Clinical Drug CeRX value set (https://infocentral.infoway-inforoute.ca/extra/ns/cerx43-html/html/vocabulary.html?type=vs&id=ClinicalDrug) which draws in codes from various other code systems (HC-DIN, HC-NPN, HC-AIGC, etc.). There is currently no equivalent FHIR value set that supports this superset to recommend when binding.\nImplementors need to be aware that the medication codes utilized by the source DIS will likely come from the Clinical Drug CeRX value set (https://infocentral.infoway-inforoute.ca/extra/ns/cerx43-html/html/vocabulary.html?type=vs&id=ClinicalDrug) which draws in codes from various other code systems (HC-DIN, HC-NPN, HC-AIGC, etc.). There is currently no equivalent FHIR value set that supports this superset to recommend when binding.", "type": [ { "code": "CodeableConcept" }, { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/ca/core/StructureDefinition/profile-medication" ] } ], "mustSupport": true, "isModifier": false, "binding": { "strength": "preferred", "description": "Canadian Clinical Drug Data (CCDD) Medicinal Products", "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct" }, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/directTarget/COCT_MT220110CA/medication/player" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/directTarget/COCT_MT220110CA/medication/player" }, { "identity": "new-brunswick-cerx", "map": "PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component3/supplyEvent/product/COCT_MT220200CA/medication/player" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/directTarget/COCT_MT220110CA/medication/player" } ] }, { "id": "MedicationRequest.subject", "path": "MedicationRequest.subject", "short": "Who medication request is for", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/ca/core/StructureDefinition/profile-patient" ] } ], "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subject/COCT_MT050203CA/patient/id" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subject/COCT_MT050203CA/patient/id" }, { "identity": "new-brunswick-cerx", "map": "PORX_IN020190CA/PORX_MT020070CA/medicationDispense/subject/COCT_MT050203CA/patient/id" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subject/COCT_MT050203CA/patient/id" } ] }, { "id": "MedicationRequest.authoredOn", "path": "MedicationRequest.authoredOn", "short": "When request was initially authored", "type": [ { "code": "dateTime" } ], "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/author/time" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/author/time" }, { "identity": "new-brunswick-cerx", "map": "PORX_IN020190CA/PORX_MT020070CA/medicationDispense/inFulfillmentOf/substanceAdministrationRequest/author/time" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/author/time" } ] }, { "id": "MedicationRequest.requester", "path": "MedicationRequest.requester", "short": "Who/What requested the MedicationRequest", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/ca/core/StructureDefinition/profile-practitioner" ] } ], "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/author/COCT_MT090107CA/assignedPerson/id" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/author/COCT_MT090107CA/assignedPerson/id" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/author/COCT_MT090107CA/assignedPerson/id" } ] }, { "id": "MedicationRequest.performer", "path": "MedicationRequest.performer", "short": "Intended performer of administration or dispense", "comment": "SME Note: While this is allowed as optional and the CeRX specification supports the mappable data element, it is unlikely to be frequently populated since most prescribers don't specify who should administer or what their role is.", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/ca/core/StructureDefinition/profile-practitioner", "http://hl7.org/fhir/ca/core/StructureDefinition/profile-organization" ] } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/suppyRequest/location/COCT_MT240003CA/serviceDeliveryLocation/id OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/fulfillment1/medicationDispense/performer/COCT_MT090107CA/assignedPerson/id" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/suppyRequest/location/COCT_MT240003CA/serviceDeliveryLocation/id OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/fulfillment1/medicationDispense/performer/COCT_MT090107CA/assignedPerson/id" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/suppyRequest/location/COCT_MT240003CA/serviceDeliveryLocation/id OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/fulfillment1/medicationDispense/performer/COCT_MT090107CA/assignedPerson/id" } ] }, { "id": "MedicationRequest.performerType", "path": "MedicationRequest.performerType", "short": "Desired kind of performer of the medication administration or dispense", "comment": "SME Note: While this is allowed as optional and the CeRX specification supports the mappable data element, it is unlikely to be frequently populated since most prescribers don't specify who should administer or what their role is.", "type": [ { "code": "CodeableConcept" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/fulfillment1/medicationDispense/performer/COCT_MT090107CA/assignedPerson/code" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/fulfillment1/medicationDispense/performer/COCT_MT090107CA/assignedPerson/code" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/fulfillment1/medicationDispense/performer/COCT_MT090107CA/assignedPerson/code" } ] }, { "id": "MedicationRequest.reasonCode", "path": "MedicationRequest.reasonCode", "short": "Reason or indication for ordering or not ordering the medication", "type": [ { "code": "CodeableConcept" } ], "mustSupport": false, "isModifier": false, "binding": { "strength": "example", "description": "Condition/Problem/DiagnosisCodes", "valueSet": "http://hl7.org/fhir/ValueSet/condition-code" }, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/reason/PORX_MT980050CA/indications/observationDiagnosis OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/reason/PORX_MT980050CA/indications/observationSymptom OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/reason/PORX_MT980050CA/indications/otherIndication" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/reason/PORX_MT980050CA/indications/observationDiagnosis OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/reason/PORX_MT980050CA/indications/observationSymptom OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/reason/PORX_MT980050CA/indications/otherIndication" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/reason/PORX_MT980050CA/indications/observationDiagnosis OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/reason/PORX_MT980050CA/indications/observationSymptom OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/reason/PORX_MT980050CA/indications/otherIndication" } ] }, { "id": "MedicationRequest.groupIdentifier", "path": "MedicationRequest.groupIdentifier", "short": "Composite request this is part of", "type": [ { "code": "Identifier" } ], "mustSupport": false, "isModifier": false }, { "id": "MedicationRequest.courseOfTherapyType", "path": "MedicationRequest.courseOfTherapyType", "short": "Overall pattern of medication administration", "type": [ { "code": "CodeableConcept" } ], "mustSupport": false, "isModifier": false, "binding": { "strength": "preferred", "description": "v3 ActCode", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActCode" }, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/componentOf/workingListEvent/code" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/componentOf/workingListEvent/code" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/componentOf/workingListEvent/code" } ] }, { "id": "MedicationRequest.insurance", "path": "MedicationRequest.insurance", "short": "Associated insurance coverage", "comment": "SME Note: The frequency in which insurance is recorded in CeRX messages is unclear but the specification supports it.", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Coverage" ] } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/coverage/coverage/id" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/coverage/coverage/id" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/coverage/coverage/id" } ] }, { "id": "MedicationRequest.note", "path": "MedicationRequest.note", "short": "Information about the prescription", "type": [ { "code": "Annotation" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf3/COCT_MT120600CA/annotation" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf3/COCT_MT120600CA/annotation" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf3/COCT_MT120600CA/annotation" } ] }, { "id": "MedicationRequest.note.authorReference", "path": "MedicationRequest.note.authorReference", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/ca/core/StructureDefinition/profile-practitioner", "http://hl7.org/fhir/ca/core/StructureDefinition/profile-organization", "http://hl7.org/fhir/ca/core/StructureDefinition/profile-patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ] } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf3/COCT_MT120600CA/annotation/author/COCT_MT090107CA/assignedPerson/representedPerson/name" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf3/COCT_MT120600CA/annotation/author/COCT_MT090107CA/assignedPerson/representedPerson/name" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf3/COCT_MT120600CA/annotation/author/COCT_MT090107CA/assignedPerson/representedPerson/name" } ] }, { "id": "MedicationRequest.note.time", "path": "MedicationRequest.note.time", "short": "When the note was made", "type": [ { "code": "dateTime" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf3/COCT_MT120600CA/annotation/author/time" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf3/COCT_MT120600CA/annotation/author/time" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf3/COCT_MT120600CA/annotation/author/time" } ] }, { "id": "MedicationRequest.note.text", "path": "MedicationRequest.note.text", "short": "The annotation - text content (as markdown)", "type": [ { "code": "markdown" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf3/COCT_MT120600CA/annotation/text" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf3/COCT_MT120600CA/annotation/text" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf3/COCT_MT120600CA/annotation/text" } ] }, { "id": "MedicationRequest.dosageInstruction", "path": "MedicationRequest.dosageInstruction", "short": "How the medication should be taken", "type": [ { "code": "Dosage" } ], "mustSupport": true, "isModifier": false }, { "id": "MedicationRequest.dosageInstruction.sequence", "path": "MedicationRequest.dosageInstruction.sequence", "short": "The order of the dosage instructions", "type": [ { "code": "integer" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/component2/sequenceNumber" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/component2/sequenceNumber" }, { "identity": "new-brunswick-cerx", "map": "PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component2/PORX_MT980040CA/dosageInstruction/component2/sequenceNumber" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/component2/sequenceNumber" } ] }, { "id": "MedicationRequest.dosageInstruction.text", "path": "MedicationRequest.dosageInstruction.text", "short": "Free text dosage instructions e.g. SIG", "min": 1, "max": "1", "type": [ { "code": "string" } ], "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/text" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/text" }, { "identity": "new-brunswick-cerx", "map": "PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component2/PORX_MT980040CA/dosageInstruction/text" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/text" } ] }, { "id": "MedicationRequest.dosageInstruction.timing", "path": "MedicationRequest.dosageInstruction.timing", "short": "When medication should be administered", "type": [ { "code": "Timing" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/effectiveTime" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/effectiveTime" }, { "identity": "new-brunswick-cerx", "map": "PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component2/PORX_MT980040CA/dosageInstruction/effectiveTime" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/effectiveTime" } ] }, { "id": "MedicationRequest.dosageInstruction.site", "path": "MedicationRequest.dosageInstruction.site", "short": "Body site medication is administered to", "type": [ { "code": "CodeableConcept" } ], "mustSupport": false, "isModifier": false, "binding": { "strength": "preferred", "description": "v3 ActSite", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActSite" }, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/approachSiteCode" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/approachSiteCode" }, { "identity": "new-brunswick-cerx", "map": "PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component2/PORX_MT980040CA/dosageInstruction/approachSiteCode" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/approachSiteCode" } ] }, { "id": "MedicationRequest.dosageInstruction.route", "path": "MedicationRequest.dosageInstruction.route", "short": "How medication should enter the body", "type": [ { "code": "CodeableConcept" } ], "mustSupport": false, "isModifier": false, "binding": { "strength": "preferred", "description": "v3 Route of Administration", "valueSet": "http://terminology.hl7.org/ValueSet/v3-RouteOfAdministration" }, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/routeCode" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/routeCode" }, { "identity": "new-brunswick-cerx", "map": "PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component2/PORX_MT980040CA/dosageInstruction/routeCode" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/routeCode" } ] }, { "id": "MedicationRequest.dosageInstruction.doseAndRate", "path": "MedicationRequest.dosageInstruction.doseAndRate", "short": "Amount of medication administered", "mustSupport": false, "isModifier": false }, { "id": "MedicationRequest.dosageInstruction.doseAndRate.type", "path": "MedicationRequest.dosageInstruction.doseAndRate.type", "short": "The kind of dose or rate specified", "type": [ { "code": "CodeableConcept" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/code" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/code" }, { "identity": "new-brunswick-cerx", "map": "PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component2/PORX_MT980040CA/dosageInstruction/code" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/code" } ] }, { "id": "MedicationRequest.dosageInstruction.doseAndRate.doseRange", "path": "MedicationRequest.dosageInstruction.doseAndRate.doseRange", "short": "Amount of medication per dose", "comment": "Implementor Note: The CeRX equivalent field only supports range formatting, when the dosage is for a single amount the specification recommends that the same value be used for low and high values.", "type": [ { "code": "Range" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/component2/dosageLine/doseQuantity" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/component2/dosageLine/doseQuantity" }, { "identity": "new-brunswick-cerx", "map": "PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component2/PORX_MT980040CA/dosageInstruction/component2/dosageLine/doseQuantity" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/component2/dosageLine/doseQuantity" } ] }, { "id": "MedicationRequest.dosageInstruction.doseAndRate.rateRatio", "path": "MedicationRequest.dosageInstruction.doseAndRate.rateRatio", "short": "Amount of medication per unit of time", "type": [ { "code": "Ratio" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/component2/dosageLine/rateQuantity" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/component2/dosageLine/rateQuantity" }, { "identity": "new-brunswick-cerx", "map": "PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component2/PORX_MT980040CA/dosageInstruction/component2/dosageLine/rateQuantity" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/component2/dosageLine/rateQuantity" } ] }, { "id": "MedicationRequest.dosageInstruction.maxDosePerPeriod", "path": "MedicationRequest.dosageInstruction.maxDosePerPeriod", "short": "Upper limit of medication per unit of time", "type": [ { "code": "Ratio" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/maxDoseQuantity" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/maxDoseQuantity" }, { "identity": "new-brunswick-cerx", "map": "PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component2/PORX_MT980040CA/dosageInstruction/maxDoseQuantity" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/maxDoseQuantity" } ] }, { "id": "MedicationRequest.dispenseRequest", "path": "MedicationRequest.dispenseRequest", "short": "Medication supply authorization", "type": [ { "code": "BackboneElement" } ], "mustSupport": true, "isModifier": false }, { "id": "MedicationRequest.dispenseRequest.initialFill", "path": "MedicationRequest.dispenseRequest.initialFill", "short": "First fill details", "mustSupport": false, "isModifier": false }, { "id": "MedicationRequest.dispenseRequest.initialFill.Duration", "path": "MedicationRequest.dispenseRequest.initialFill.Duration", "short": "First fill duration", "type": [ { "code": "Duration" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/component/supplyRequestItem/component2/initialSupplyRequest/expectedUseTime" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/component/supplyRequestItem/component2/initialSupplyRequest/expectedUseTime" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/component/supplyRequestItem/component2/initialSupplyRequest/expectedUseTime" } ] }, { "id": "MedicationRequest.dispenseRequest.initialFill.Quantity", "path": "MedicationRequest.dispenseRequest.initialFill.Quantity", "short": "First fill quantity", "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/fulfillment3/supplyEventFirstSummary/quantity" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/fulfillment3/supplyEventFirstSummary/quantity" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/fulfillment3/supplyEventFirstSummary/quantity" } ] }, { "id": "MedicationRequest.dispenseRequest.dispenseInterval", "path": "MedicationRequest.dispenseRequest.dispenseInterval", "short": "Minimum period of time between dispenses", "type": [ { "code": "Duration" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/component/supplyRequestItem/component1/subsequentSupplyRequest/effectiveTime" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/component/supplyRequestItem/component1/subsequentSupplyRequest/effectiveTime" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/component/supplyRequestItem/component1/subsequentSupplyRequest/effectiveTime" } ] }, { "id": "MedicationRequest.dispenseRequest.validityPeriod", "path": "MedicationRequest.dispenseRequest.validityPeriod", "short": "Time period supply is authorized for", "type": [ { "code": "Period" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/effectiveTime" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/effectiveTime" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/effectiveTime" } ] }, { "id": "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed", "path": "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed", "short": "Number of refills authorized", "type": [ { "code": "unsignedInt" } ], "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/component/supplyRequestItem/component1/subsequentSupplyRequest/repeatNumber" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/component/supplyRequestItem/component1/subsequentSupplyRequest/repeatNumber" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/component/supplyRequestItem/component1/subsequentSupplyRequest/repeatNumber" } ] }, { "id": "MedicationRequest.dispenseRequest.quantity", "path": "MedicationRequest.dispenseRequest.quantity", "short": "Amount of medication to supply per dispense", "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/component/supplyRequestItem/component1/subsequentSupplyRequest/quantity" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/component/supplyRequestItem/component1/subsequentSupplyRequest/quantity" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/component/supplyRequestItem/component1/subsequentSupplyRequest/quantity" } ] }, { "id": "MedicationRequest.dispenseRequest.expectedSupplyDuration", "path": "MedicationRequest.dispenseRequest.expectedSupplyDuration", "short": "Number of days supply per dispense", "type": [ { "code": "Duration" } ], "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/component/supplyRequestItem/component1/subsequentSupplyRequest/expectedUseTime" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/component/supplyRequestItem/component1/subsequentSupplyRequest/expectedUseTime" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/component/supplyRequestItem/component1/subsequentSupplyRequest/expectedUseTime" } ] }, { "id": "MedicationRequest.dispenseRequest.performer", "path": "MedicationRequest.dispenseRequest.performer", "short": "Intended dispenser", "comment": "SME Note: This element would indicate where the prescriber expects the prescription to be dispensed. \nSometimes useful for the clinician and patient to know, but should be confirmed with end-users.", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/ca/core/StructureDefinition/profile-organization" ] } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/location/COCT_MT240003CA/serviceDeliveryLocation/id" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/location/COCT_MT240003CA/serviceDeliveryLocation/id" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/location/COCT_MT240003CA/serviceDeliveryLocation/id" } ] }, { "id": "MedicationRequest.substitution", "path": "MedicationRequest.substitution", "short": "Any restrictions on medication substitution", "type": [ { "code": "BackboneElement" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf5/substitutionPermission/code" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf5/substitutionPermission/code" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf5/substitutionPermission/code" } ] }, { "id": "MedicationRequest.substitution.allowedBoolean", "path": "MedicationRequest.substitution.allowedBoolean", "short": "Whether substitution is allowed or not", "comment": "Mapping Note: CeRX has two ways of expressing substitution permission. If it's not allowed, a boolean \"false\" response for negationInd will be present. If it is allowed substitutionPermission.code will default to \"G\" which is a codeableconcept ties to the Act Code System.", "mustSupport": false, "isModifier": false, "binding": { "strength": "example", "description": "v3 Act Substance Admin Substitution Code", "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode" }, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf5/substitutionPermission/code OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf5/substitutionPermission/negationInd" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf5/substitutionPermission/code OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf5/substitutionPermission/negationInd" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf5/substitutionPermission/code OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf5/substitutionPermission/negationInd" } ] }, { "id": "MedicationRequest.substitution.reason", "path": "MedicationRequest.substitution.reason", "short": "Why should (should not) substitution be made", "type": [ { "code": "CodeableConcept" } ], "mustSupport": false, "isModifier": false, "binding": { "strength": "preferred", "description": "v3 Act Reason", "valueSet": "http://terminology.hl7.org/CodeSystem/v3-ActReason" }, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf5/substitutionPermission/reasonCode OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/fulfillment1/medicationDispense/component2/substitutionMade/reasonCode" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf5/substitutionPermission/reasonCode OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/fulfillment1/medicationDispense/component2/substitutionMade/reasonCode" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf5/substitutionPermission/reasonCode OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/fulfillment1/medicationDispense/component2/substitutionMade/reasonCode" } ] }, { "id": "MedicationRequest.priorPrescription", "path": "MedicationRequest.priorPrescription", "short": "An order/prescription that is being replaced", "type": [ { "code": "Reference", "targetProfile": [ "http://infoway-inforoute.ca/fhir/StructureDefinition/access-medicationRequest-clin" ] } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/predecessor/priorCombinedMedicationRequest/id" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/predecessor/priorCombinedMedicationRequest/id" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/predecessor/priorCombinedMedicationRequest/id" } ] }, { "id": "MedicationRequest.detectedIssue", "path": "MedicationRequest.detectedIssue", "short": "Clinical Issue with the action", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/DetectedIssue" ] } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf1/PORX_MT980030CA/detectedIssueEvent OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/fullfillment1/medicationDispense/subjectOf4/PORX_MT980030CA/detectedIssueEvent" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf1/PORX_MT980030CA/detectedIssueEvent OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/fullfillment1/medicationDispense/subjectOf4/PORX_MT980030CA/detectedIssueEvent" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf1/PORX_MT980030CA/detectedIssueEvent OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/fullfillment1/medicationDispense/subjectOf4/PORX_MT980030CA/detectedIssueEvent" } ] }, { "id": "MedicationRequest.eventHistory", "path": "MedicationRequest.eventHistory", "short": "A list of events of interest in the lifecycle", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Provenance" ] } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "prince-edward-island-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf4/controlActEvent OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/predecessor/priorCombinedMedicationRequest/id" }, { "identity": "newfoundland-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf4/controlActEvent OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/predecessor/priorCombinedMedicationRequest/id" }, { "identity": "nova-scotia-cerx", "map": "PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf4/controlActEvent OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/predecessor/priorCombinedMedicationRequest/id" } ] } ] } }