Name Flags Card. Type Description & Constraints doco
. . MedicationRequest ACCESS MedicationRequest (Clinician) Profile
. . . identifier Identifier External ids for this request
. . . status S code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required)
. . . statusReason CodeableConcept Reason for current status
Binding: medicationRequest Status Reason Codes (example)
. . . intent S code proposal | plan | order | original-order | instance-order | option
Binding: medicationRequest Intent (required)
. . . doNotPerform boolean True if request is prohibiting action
. . . reported boolean Reported rather than primary record
. . . medication[x] S CodeableConcept, Reference(http://hl7.org/fhir/ca/core/StructureDefinition/profile-medication) Medication to be taken
Binding: https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct (preferred)
. . . subject S Reference(http://hl7.org/fhir/ca/core/StructureDefinition/profile-patient) Who medication request is for
. . . authoredOn S dateTime When request was initially authored
. . . requester S Reference(http://hl7.org/fhir/ca/core/StructureDefinition/profile-practitioner) Who/What requested the MedicationRequest
. . . performer Reference(http://hl7.org/fhir/ca/core/StructureDefinition/profile-practitioner | http://hl7.org/fhir/ca/core/StructureDefinition/profile-organization) Intended performer of administration or dispense
. . . performerType CodeableConcept Desired kind of performer of the medication administration or dispense
. . . reasonCode CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example)
. . . groupIdentifier Identifier Composite request this is part of
. . . courseOfTherapyType CodeableConcept Overall pattern of medication administration
Binding: v3 Code System ActCode (preferred)
. . . insurance Reference(Coverage) Associated insurance coverage
. . . note Annotation Information about the prescription
. . . . authorReference Reference(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)
. . . . time dateTime When the note was made
. . . . text markdown The annotation - text content (as markdown)
. . . dosageInstruction S Dosage How the medication should be taken
. . . . sequence integer The order of the dosage instructions
. . . . text S 1..1 string Free text dosage instructions e.g. SIG
. . . . timing Timing When medication should be administered
. . . . site CodeableConcept Body site medication is administered to
Binding: v3 Code System ActSite (preferred)
. . . . route CodeableConcept How medication should enter the body
Binding: v3 Code System RouteOfAdministration (preferred)
. . . . doseAndRate Amount of medication administered
. . . . . type CodeableConcept The kind of dose or rate specified
. . . . . doseRange Range Amount of medication per dose
. . . . . rateRatio Ratio Amount of medication per unit of time
. . . . maxDosePerPeriod Ratio Upper limit of medication per unit of time
. . . dispenseRequest S BackboneElement Medication supply authorization
. . . . initialFill First fill details
. . . . . Quantity First fill quantity
. . . . . Duration Duration First fill duration
. . . . dispenseInterval Duration Minimum period of time between dispenses
. . . . validityPeriod Period Time period supply is authorized for
. . . . numberOfRepeatsAllowed S unsignedInt Number of refills authorized
. . . . quantity S Amount of medication to supply per dispense
. . . . expectedSupplyDuration S Duration Number of days supply per dispense
. . . . performer Reference(http://hl7.org/fhir/ca/core/StructureDefinition/profile-organization) Intended dispenser
. . . substitution BackboneElement Any restrictions on medication substitution
. . . . allowedBoolean Whether substitution is allowed or not
Binding: V3 Value SetActSubstanceAdminSubstitutionCode (example)
. . . . reason CodeableConcept Why should (should not) substitution be made
Binding: http://terminology.hl7.org/CodeSystem/v3-ActReason (preferred)
. . . priorPrescription Reference(http://infoway-inforoute.ca/fhir/StructureDefinition/access-medicationRequest-clin) An order/prescription that is being replaced
. . . detectedIssue Reference(DetectedIssue) Clinical Issue with the action
. . . eventHistory Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format
<status value="draft" /> <experimental value="false" /> <date value="2019-03-21T00:00:00-04:00" /> <publisher value="Canada Health Infoway" /> <contact> <telecom> <system value="url" /> <value value="http://infoway-inforoute.ca" /> </telecom> </contact> <description value="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 value="4.0.0" /> <mapping> <identity value="prince-edward-island-cerx" /> <uri value="http://unknown.org/Prince Edward Island CeRX" /> <name value="Prince Edward Island CeRX" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <uri value="http://unknown.org/Newfoundland CeRX" /> <name value="Newfoundland CeRX" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <uri value="http://unknown.org/New Brunswick CeRX" /> <name value="New Brunswick CeRX" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <uri value="http://unknown.org/Nova Scotia CeRX" /> <name value="Nova Scotia CeRX" /> </mapping> <mapping> <identity value="workflow" /> <uri value="http://hl7.org/fhir/workflow" /> <name value="Workflow Pattern" /> </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/fivews" /> <name value="FiveWs Pattern 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" /> <differential> <element id="MedicationRequest"> <path value="MedicationRequest" /> <short value="ACCESS MedicationRequest (Clinician) Profile" /> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="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" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest" /> </mapping> </element> <element id="MedicationRequest.identifier"> <path value="MedicationRequest.identifier" /> <short value="External ids for this request" /> <type> <code value="Identifier" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/id" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/id" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/inFulfillmentOf/substanceAdministrationRequest/id" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/id" /> </mapping> </element> <element id="MedicationRequest.status"> <path value="MedicationRequest.status" /> <short value="active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown" /> <comment value="This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. Mapping 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 value="code" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <binding> <strength value="required" /> <description value="MedicationRequest Status Codes" /> <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-status" /> </binding> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/statusCode" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/statusCode" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/statusCode" /> </mapping> </element> <element id="MedicationRequest.statusReason"> <path value="MedicationRequest.statusReason" /> <short value="Reason for current status" /> <comment value="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 value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <binding> <strength value="example" /> <description value="MedicationRequest Status Reason Codes" /> <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-status-reason" /> </binding> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/QUQI_MT120000CA/controlActEvent/subjectOf/PORX_MT980020CA/detectedIssueEvent/code OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf6/refusalToFill/reason/detectedIssueEvent/code" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/QUQI_MT120000CA/controlActEvent/subjectOf/PORX_MT980020CA/detectedIssueEvent/code OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf6/refusalToFill/reason/detectedIssueEvent/code" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/QUQI_MT120000CA/controlActEvent/subjectOf/PORX_MT980020CA/detectedIssueEvent/code OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf6/refusalToFill/reason/detectedIssueEvent/code" /> </mapping> </element> <element id="MedicationRequest.intent"> <path value="MedicationRequest.intent" /> <short value="proposal | plan | order | original-order | instance-order | option" /> <comment value="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. Given 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" 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. If patient requests are supported in the future, these would be an intent of "proposal"." /> <type> <code value="code" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <binding> <strength value="required" /> <description value="MedicationRequest Intent" /> <valueSet value="http://hl7.org/fhir/ValueSet/medicationrequest-intent" /> </binding> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/ PORX_MT060340CA/ combinedMedicationRequest/ component1/ PORX_MT980040CA/ dosageInstruction/component2/dosageLine/moodCode" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/ PORX_MT060340CA/ combinedMedicationRequest/ component1/ PORX_MT980040CA/ dosageInstruction/component2/dosageLine/moodCode" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/inFulfillmentOf/substanceAdministrationRequest/moodCode" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/ PORX_MT060340CA/ combinedMedicationRequest/ component1/ PORX_MT980040CA/ dosageInstruction/component2/dosageLine/moodCode" /> </mapping> </element> <element id="MedicationRequest.doNotPerform"> <path value="MedicationRequest.doNotPerform" /> <short value="True if request is prohibiting action" /> <type> <code value="boolean" /> </type> <mustSupport value="false" /> <isModifier value="false" /> </element> <element id="MedicationRequest.reported"> <path value="MedicationRequest.reported" /> <short value="Reported rather than primary record" /> <comment value="Mapping Note: The semantically similar CeRX field (sourceDispense) only communicates whether/or not the prescription is inferred from a secondary source." /> <type> <code value="boolean" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/derivedFrom/sourceDispense" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/derivedFrom/sourceDispense" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/derivedFrom/sourceDispense" /> </mapping> </element> <element id="MedicationRequest.medication[x]"> <path value="MedicationRequest.medication[x]" /> <short value="Medication to be taken" /> <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. Implementors 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. Implementors 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 value="CodeableConcept" /> </type> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/core/StructureDefinition/profile-medication" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <binding> <strength value="preferred" /> <description value="Canadian Clinical Drug Data (CCDD) Medicinal Products" /> <valueSet value="https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct" /> </binding> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/directTarget/COCT_MT220110CA/medication/player" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/directTarget/COCT_MT220110CA/medication/player" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component3/supplyEvent/product/COCT_MT220200CA/medication/player" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/directTarget/COCT_MT220110CA/medication/player" /> </mapping> </element> <element id="MedicationRequest.subject"> <path value="MedicationRequest.subject" /> <short value="Who medication request is for" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/core/StructureDefinition/profile-patient" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subject/COCT_MT050203CA/patient/id" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subject/COCT_MT050203CA/patient/id" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/subject/COCT_MT050203CA/patient/id" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subject/COCT_MT050203CA/patient/id" /> </mapping> </element> <element id="MedicationRequest.authoredOn"> <path value="MedicationRequest.authoredOn" /> <short value="When request was initially authored" /> <type> <code value="dateTime" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/author/time" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/author/time" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/inFulfillmentOf/substanceAdministrationRequest/author/time" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/author/time" /> </mapping> </element> <element id="MedicationRequest.requester"> <path value="MedicationRequest.requester" /> <short value="Who/What requested the MedicationRequest" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/core/StructureDefinition/profile-practitioner" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/author/COCT_MT090107CA/assignedPerson/id" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/author/COCT_MT090107CA/assignedPerson/id" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/author/COCT_MT090107CA/assignedPerson/id" /> </mapping> </element> <element id="MedicationRequest.performer"> <path value="MedicationRequest.performer" /> <short value="Intended performer of administration or dispense" /> <comment value="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 value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/core/StructureDefinition/profile-practitioner" /> <targetProfile value="http://hl7.org/fhir/ca/core/StructureDefinition/profile-organization" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="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" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="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" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="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" /> </mapping> </element> <element id="MedicationRequest.performerType"> <path value="MedicationRequest.performerType" /> <short value="Desired kind of performer of the medication administration or dispense" /> <comment value="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 value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/fulfillment1/medicationDispense/performer/COCT_MT090107CA/assignedPerson/code" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/fulfillment1/medicationDispense/performer/COCT_MT090107CA/assignedPerson/code" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/fulfillment1/medicationDispense/performer/COCT_MT090107CA/assignedPerson/code" /> </mapping> </element> <element id="MedicationRequest.reasonCode"> <path value="MedicationRequest.reasonCode" /> <short value="Reason or indication for ordering or not ordering the medication" /> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <binding> <strength value="example" /> <description value="Condition/Problem/DiagnosisCodes" /> <valueSet value="http://hl7.org/fhir/ValueSet/condition-code" /> </binding> <mapping> <identity value="prince-edward-island-cerx" /> <map value="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" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="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" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="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" /> </mapping> </element> <element id="MedicationRequest.groupIdentifier"> <path value="MedicationRequest.groupIdentifier" /> <short value="Composite request this is part of" /> <type> <code value="Identifier" /> </type> <mustSupport value="false" /> <isModifier value="false" /> </element> <element id="MedicationRequest.courseOfTherapyType"> <path value="MedicationRequest.courseOfTherapyType" /> <short value="Overall pattern of medication administration" /> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <binding> <strength value="preferred" /> <description value="v3 ActCode" /> <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActCode" /> </binding> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/componentOf/workingListEvent/code" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/componentOf/workingListEvent/code" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/componentOf/workingListEvent/code" /> </mapping> </element> <element id="MedicationRequest.insurance"> <path value="MedicationRequest.insurance" /> <short value="Associated insurance coverage" /> <comment value="SME Note: The frequency in which insurance is recorded in CeRX messages is unclear but the specification supports it." /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Coverage" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/coverage/coverage/id" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/coverage/coverage/id" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/coverage/coverage/id" /> </mapping> </element> <element id="MedicationRequest.note"> <path value="MedicationRequest.note" /> <short value="Information about the prescription" /> <type> <code value="Annotation" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf3/COCT_MT120600CA/annotation" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf3/COCT_MT120600CA/annotation" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf3/COCT_MT120600CA/annotation" /> </mapping> </element> <element id="MedicationRequest.note.authorReference"> <path value="MedicationRequest.note.authorReference" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/core/StructureDefinition/profile-practitioner" /> <targetProfile value="http://hl7.org/fhir/ca/core/StructureDefinition/profile-organization" /> <targetProfile value="http://hl7.org/fhir/ca/core/StructureDefinition/profile-patient" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf3/COCT_MT120600CA/annotation/author/COCT_MT090107CA/assignedPerson/representedPerson/name" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf3/COCT_MT120600CA/annotation/author/COCT_MT090107CA/assignedPerson/representedPerson/name" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf3/COCT_MT120600CA/annotation/author/COCT_MT090107CA/assignedPerson/representedPerson/name" /> </mapping> </element> <element id="MedicationRequest.note.time"> <path value="MedicationRequest.note.time" /> <short value="When the note was made" /> <type> <code value="dateTime" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf3/COCT_MT120600CA/annotation/author/time" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf3/COCT_MT120600CA/annotation/author/time" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf3/COCT_MT120600CA/annotation/author/time" /> </mapping> </element> <element id="MedicationRequest.note.text"> <path value="MedicationRequest.note.text" /> <short value="The annotation - text content (as markdown)" /> <type> <code value="markdown" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf3/COCT_MT120600CA/annotation/text" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf3/COCT_MT120600CA/annotation/text" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf3/COCT_MT120600CA/annotation/text" /> </mapping> </element> <element id="MedicationRequest.dosageInstruction"> <path value="MedicationRequest.dosageInstruction" /> <short value="How the medication should be taken" /> <type> <code value="Dosage" /> </type> <mustSupport value="true" /> <isModifier value="false" /> </element> <element id="MedicationRequest.dosageInstruction.sequence"> <path value="MedicationRequest.dosageInstruction.sequence" /> <short value="The order of the dosage instructions" /> <type> <code value="integer" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/component2/sequenceNumber" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/component2/sequenceNumber" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component2/PORX_MT980040CA/dosageInstruction/component2/sequenceNumber" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/component2/sequenceNumber" /> </mapping> </element> <element id="MedicationRequest.dosageInstruction.text"> <path value="MedicationRequest.dosageInstruction.text" /> <short value="Free text dosage instructions e.g. SIG" /> <min value="1" /> <max value="1" /> <type> <code value="string" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/text" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/text" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component2/PORX_MT980040CA/dosageInstruction/text" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/text" /> </mapping> </element> <element id="MedicationRequest.dosageInstruction.timing"> <path value="MedicationRequest.dosageInstruction.timing" /> <short value="When medication should be administered" /> <type> <code value="Timing" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/effectiveTime" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/effectiveTime" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component2/PORX_MT980040CA/dosageInstruction/effectiveTime" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/effectiveTime" /> </mapping> </element> <element id="MedicationRequest.dosageInstruction.site"> <path value="MedicationRequest.dosageInstruction.site" /> <short value="Body site medication is administered to" /> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <binding> <strength value="preferred" /> <description value="v3 ActSite" /> <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActSite" /> </binding> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/approachSiteCode" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/approachSiteCode" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component2/PORX_MT980040CA/dosageInstruction/approachSiteCode" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/approachSiteCode" /> </mapping> </element> <element id="MedicationRequest.dosageInstruction.route"> <path value="MedicationRequest.dosageInstruction.route" /> <short value="How medication should enter the body" /> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <binding> <strength value="preferred" /> <description value="v3 Route of Administration" /> <valueSet value="http://terminology.hl7.org/ValueSet/v3-RouteOfAdministration" /> </binding> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/routeCode" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/routeCode" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component2/PORX_MT980040CA/dosageInstruction/routeCode" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/routeCode" /> </mapping> </element> <element id="MedicationRequest.dosageInstruction.doseAndRate"> <path value="MedicationRequest.dosageInstruction.doseAndRate" /> <short value="Amount of medication administered" /> <mustSupport value="false" /> <isModifier value="false" /> </element> <element id="MedicationRequest.dosageInstruction.doseAndRate.type"> <path value="MedicationRequest.dosageInstruction.doseAndRate.type" /> <short value="The kind of dose or rate specified" /> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/code" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/code" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component2/PORX_MT980040CA/dosageInstruction/code" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/code" /> </mapping> </element> <element id="MedicationRequest.dosageInstruction.doseAndRate.doseRange"> <path value="MedicationRequest.dosageInstruction.doseAndRate.doseRange" /> <short value="Amount of medication per dose" /> <comment value="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 value="Range" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/component2/dosageLine/doseQuantity" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/component2/dosageLine/doseQuantity" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component2/PORX_MT980040CA/dosageInstruction/component2/dosageLine/doseQuantity" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/component2/dosageLine/doseQuantity" /> </mapping> </element> <element id="MedicationRequest.dosageInstruction.doseAndRate.rateRatio"> <path value="MedicationRequest.dosageInstruction.doseAndRate.rateRatio" /> <short value="Amount of medication per unit of time" /> <type> <code value="Ratio" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/component2/dosageLine/rateQuantity" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/component2/dosageLine/rateQuantity" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component2/PORX_MT980040CA/dosageInstruction/component2/dosageLine/rateQuantity" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/component2/dosageLine/rateQuantity" /> </mapping> </element> <element id="MedicationRequest.dosageInstruction.maxDosePerPeriod"> <path value="MedicationRequest.dosageInstruction.maxDosePerPeriod" /> <short value="Upper limit of medication per unit of time" /> <type> <code value="Ratio" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/maxDoseQuantity" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/maxDoseQuantity" /> </mapping> <mapping> <identity value="new-brunswick-cerx" /> <map value="PORX_IN020190CA/PORX_MT020070CA/medicationDispense/component2/PORX_MT980040CA/dosageInstruction/maxDoseQuantity" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component1/PORX_MT980040CA/dosageInstruction/maxDoseQuantity" /> </mapping> </element> <element id="MedicationRequest.dispenseRequest"> <path value="MedicationRequest.dispenseRequest" /> <short value="Medication supply authorization" /> <type> <code value="BackboneElement" /> </type> <mustSupport value="true" /> <isModifier value="false" /> </element> <element id="MedicationRequest.dispenseRequest.initialFill"> <path value="MedicationRequest.dispenseRequest.initialFill" /> <short value="First fill details" /> <mustSupport value="false" /> <isModifier value="false" /> </element> <element id="MedicationRequest.dispenseRequest.initialFill.Duration"> <path value="MedicationRequest.dispenseRequest.initialFill.Duration" /> <short value="First fill duration" /> <type> <code value="Duration" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/component/supplyRequestItem/component2/initialSupplyRequest/expectedUseTime" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/component/supplyRequestItem/component2/initialSupplyRequest/expectedUseTime" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/component/supplyRequestItem/component2/initialSupplyRequest/expectedUseTime" /> </mapping> </element> <element id="MedicationRequest.dispenseRequest.initialFill.Quantity"> <path value="MedicationRequest.dispenseRequest.initialFill.Quantity" /> <short value="First fill quantity" /> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/fulfillment3/supplyEventFirstSummary/quantity" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/fulfillment3/supplyEventFirstSummary/quantity" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/fulfillment3/supplyEventFirstSummary/quantity" /> </mapping> </element> <element id="MedicationRequest.dispenseRequest.dispenseInterval"> <path value="MedicationRequest.dispenseRequest.dispenseInterval" /> <short value="Minimum period of time between dispenses" /> <type> <code value="Duration" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/component/supplyRequestItem/component1/subsequentSupplyRequest/effectiveTime" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/component/supplyRequestItem/component1/subsequentSupplyRequest/effectiveTime" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/component/supplyRequestItem/component1/subsequentSupplyRequest/effectiveTime" /> </mapping> </element> <element id="MedicationRequest.dispenseRequest.validityPeriod"> <path value="MedicationRequest.dispenseRequest.validityPeriod" /> <short value="Time period supply is authorized for" /> <type> <code value="Period" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/effectiveTime" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/effectiveTime" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/effectiveTime" /> </mapping> </element> <element id="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed"> <path value="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed" /> <short value="Number of refills authorized" /> <type> <code value="unsignedInt" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/component/supplyRequestItem/component1/subsequentSupplyRequest/repeatNumber" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/component/supplyRequestItem/component1/subsequentSupplyRequest/repeatNumber" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/component/supplyRequestItem/component1/subsequentSupplyRequest/repeatNumber" /> </mapping> </element> <element id="MedicationRequest.dispenseRequest.quantity"> <path value="MedicationRequest.dispenseRequest.quantity" /> <short value="Amount of medication to supply per dispense" /> <mustSupport value="true" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/component/supplyRequestItem/component1/subsequentSupplyRequest/quantity" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/component/supplyRequestItem/component1/subsequentSupplyRequest/quantity" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/component/supplyRequestItem/component1/subsequentSupplyRequest/quantity" /> </mapping> </element> <element id="MedicationRequest.dispenseRequest.expectedSupplyDuration"> <path value="MedicationRequest.dispenseRequest.expectedSupplyDuration" /> <short value="Number of days supply per dispense" /> <type> <code value="Duration" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/component/supplyRequestItem/component1/subsequentSupplyRequest/expectedUseTime" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/component/supplyRequestItem/component1/subsequentSupplyRequest/expectedUseTime" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/component/supplyRequestItem/component1/subsequentSupplyRequest/expectedUseTime" /> </mapping> </element> <element id="MedicationRequest.dispenseRequest.performer"> <path value="MedicationRequest.dispenseRequest.performer" /> <short value="Intended dispenser" /> <comment value="SME Note: This element would indicate where the prescriber expects the prescription to be dispensed. Sometimes useful for the clinician and patient to know, but should be confirmed with end-users." /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/core/StructureDefinition/profile-organization" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/location/COCT_MT240003CA/serviceDeliveryLocation/id" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/location/COCT_MT240003CA/serviceDeliveryLocation/id" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/component3/supplyRequest/location/COCT_MT240003CA/serviceDeliveryLocation/id" /> </mapping> </element> <element id="MedicationRequest.substitution"> <path value="MedicationRequest.substitution" /> <short value="Any restrictions on medication substitution" /> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf5/substitutionPermission/code" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf5/substitutionPermission/code" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf5/substitutionPermission/code" /> </mapping> </element> <element id="MedicationRequest.substitution.allowedBoolean"> <path value="MedicationRequest.substitution.allowedBoolean" /> <short value="Whether substitution is allowed or not" /> <comment value="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 value="false" /> <isModifier value="false" /> <binding> <strength value="example" /> <description value="v3 Act Substance Admin Substitution Code" /> <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode" /> </binding> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf5/substitutionPermission/code OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf5/substitutionPermission/negationInd" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf5/substitutionPermission/code OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf5/substitutionPermission/negationInd" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf5/substitutionPermission/code OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf5/substitutionPermission/negationInd" /> </mapping> </element> <element id="MedicationRequest.substitution.reason"> <path value="MedicationRequest.substitution.reason" /> <short value="Why should (should not) substitution be made" /> <type> <code value="CodeableConcept" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <binding> <strength value="preferred" /> <description value="v3 Act Reason" /> <valueSet value="http://terminology.hl7.org/CodeSystem/v3-ActReason" /> </binding> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf5/substitutionPermission/reasonCode OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/fulfillment1/medicationDispense/component2/substitutionMade/reasonCode" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf5/substitutionPermission/reasonCode OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/fulfillment1/medicationDispense/component2/substitutionMade/reasonCode" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf5/substitutionPermission/reasonCode OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/fulfillment1/medicationDispense/component2/substitutionMade/reasonCode" /> </mapping> </element> <element id="MedicationRequest.priorPrescription"> <path value="MedicationRequest.priorPrescription" /> <short value="An order/prescription that is being replaced" /> <type> <code value="Reference" /> <targetProfile value="http://infoway-inforoute.ca/fhir/StructureDefinition/access-medicationRequest-clin" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/predecessor/priorCombinedMedicationRequest/id" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/predecessor/priorCombinedMedicationRequest/id" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/predecessor/priorCombinedMedicationRequest/id" /> </mapping> </element> <element id="MedicationRequest.detectedIssue"> <path value="MedicationRequest.detectedIssue" /> <short value="Clinical Issue with the action" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DetectedIssue" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf1/PORX_MT980030CA/detectedIssueEvent OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/fullfillment1/medicationDispense/subjectOf4/PORX_MT980030CA/detectedIssueEvent" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf1/PORX_MT980030CA/detectedIssueEvent OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/fullfillment1/medicationDispense/subjectOf4/PORX_MT980030CA/detectedIssueEvent" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf1/PORX_MT980030CA/detectedIssueEvent OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/fullfillment1/medicationDispense/subjectOf4/PORX_MT980030CA/detectedIssueEvent" /> </mapping> </element> <element id="MedicationRequest.eventHistory"> <path value="MedicationRequest.eventHistory" /> <short value="A list of events of interest in the lifecycle" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Provenance" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <mapping> <identity value="prince-edward-island-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf4/controlActEvent OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/predecessor/priorCombinedMedicationRequest/id" /> </mapping> <mapping> <identity value="newfoundland-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf4/controlActEvent OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/predecessor/priorCombinedMedicationRequest/id" /> </mapping> <mapping> <identity value="nova-scotia-cerx" /> <map value="PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/subjectOf4/controlActEvent OR PORX_IN060260CA/PORX_MT060340CA/combinedMedicationRequest/predecessor/priorCombinedMedicationRequest/id" /> </mapping> </element> </differential> </StructureDefinition>