<status value="active" /> <experimental value="false" /> <date value="2024-03-01" /> <publisher value="b.Well Connected Health" /> <description value="Prescriptions" /> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166" /> <code value="US" /> <display value="United States of America" /> </coding> <text value="United States of America" /> </jurisdiction> <fhirVersion value="4.0.0" /> <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" /> </element> <element id="MedicationRequest.id"> <path value="MedicationRequest.id" /> <min value="1" /> <max value="1" /> </element> <element id="MedicationRequest.meta"> <path value="MedicationRequest.meta" /> <min value="1" /> <max value="1" /> <type> <code value="Meta" /> </type> </element> <element id="MedicationRequest.meta.source"> <path value="MedicationRequest.meta.source" /> <short value="uri of the data source" /> <definition value="Typically the data owner's URL followed by a source/file description" /> <requirements value="mandatory for all resources in bWell's FHIR Server" /> <min value="1" /> <max value="1" /> <type> <code value="uri" /> </type> <example> <label value="example of meta.source" /> <valueUri value="https://www.icanbwell.com/provider-directory" /> </example> </element> <element id="MedicationRequest.meta.security"> <path value="MedicationRequest.meta.security" /> <short value="security tags representing the data's owner, vendor, and accessibility" /> <definition value="data owner: data vendor: data access:" /> <requirements value="/owner & /access are mandatory for all resources in bWell's FHIR Server" /> <min value="1" /> <max value="*" /> <type> <code value="Coding" /> </type> <example> <label value="example of data owner security tag" /> <valueCoding> <system value="https://www.icanbwell.com/owner" /> <code value="bwell" /> </valueCoding> </example> <example> <label value="example of data access security tag" /> <valueCoding> <system value="https://www.icanbwell.com/access" /> <code value="bwell" /> </valueCoding> </example> <example> <label value="example of data vendor security tag" /> <valueCoding> <system value="https://www.icanbwell.com/vendor" /> <code value="bwell" /> </valueCoding> </example> </element> <element id="MedicationRequest.identifier"> <path value="MedicationRequest.identifier" /> <slicing> <description value="slice by types" /> <rules value="open" /> </slicing> <short value="a value to identify the resource" /> <min value="0" /> <max value="*" /> <type> <code value="Identifier" /> </type> <mustSupport value="true" /> </element> <element id="MedicationRequest.identifier.id"> <path value="MedicationRequest.identifier.id" /> <min value="1" /> <max value="1" /> <type> <code value="string" /> </type> </element> <element id="MedicationRequest.identifier.use"> <path value="MedicationRequest.identifier.use" /> <short value="usual | official | temp | secondary | old (If known)" /> <definition value="The purpose of this identifier." /> <min value="0" /> <max value="1" /> <type> <code value="code" /> </type> </element> <element id="MedicationRequest.identifier.type"> <path value="MedicationRequest.identifier.type" /> <short value="Description of identifier" /> <definition value="A coded type for the identifier that can be used to determine which identifier to use for a specific purpose." /> <requirements value="Needs binding valueset" /> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> </element> <element id="MedicationRequest.identifier.system"> <path value="MedicationRequest.identifier.system" /> <short value="The system which created the identifier" /> <definition value="Values may be an oid, uri, url, or canonical" /> <comment value="for mapped data, this is frequently a canonical url" /> <min value="1" /> <max value="1" /> <type> <code value="uri" /> </type> <example> <label value="a client's unknown system" /> <valueUri value="https://www.health.org/person-identifier" /> </example> </element> <element id="MedicationRequest.identifier.value"> <path value="MedicationRequest.identifier.value" /> <short value="The unique value" /> <definition value="The raw identifier value that represents a resource" /> <requirements value="This should be the raw value, as it exists in the source data (ie without prefix)" /> <min value="1" /> <max value="1" /> <type> <code value="string" /> </type> </element> <element id="MedicationRequest.identifier-rx-number"> <path value="MedicationRequest.identifier" /> <sliceName value="rx-number" /> <short value="The prescription (Rx) unique identifier" /> <alias value="rx-number" /> <min value="1" /> <max value="1" /> <example> <label value="Rx Identifier" /> <valueIdentifier id="rx-number"> <type> <coding id="rx"> <system value="https://fhir.icanbwell.com/4_0_0/CodeSystem/vs-identifier-type" /> <code value="RX" /> </coding> </type> </valueIdentifier> </example> </element> <element id="MedicationRequest.status"> <path value="MedicationRequest.status" /> <short value="active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown" /> <comment value="default to 'completed'" /> <min value="1" /> <type> <code value="code" /> </type> <mustSupport value="true" /> </element> <element id="MedicationRequest.intent"> <path value="MedicationRequest.intent" /> <short value="proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option" /> <comment value="default to 'order'" /> <min value="1" /> <type> <code value="code" /> </type> <mustSupport value="true" /> </element> <element id="MedicationRequest.category"> <path value="MedicationRequest.category" /> <slicing> <description value="slice by type" /> <rules value="open" /> </slicing> <short value="Type of medication usage" /> <min value="0" /> <type> <code value="CodeableConcept" /> </type> <example> <label value="MedicationRequest.category example" /> <valueCodeableConcept id="category"> <coding id="order-category"> <system value="http://terminology.hl7.org/CodeSystem/medicationrequest-category" /> <code value="community" /> </coding> </valueCodeableConcept> </example> <mustSupport value="true" /> </element> <element id="MedicationRequest.reported[x]"> <path value="MedicationRequest.reported[x]" /> <short value="Reported rather than primary record" /> <min value="0" /> <type> <code value="boolean" /> </type> <mustSupport value="true" /> </element> <element id="MedicationRequest.medication[x]"> <path value="MedicationRequest.medication[x]" /> <short value="a value to identify the resource" /> <min value="1" /> <type> <code value="CodeableConcept" /> </type> <example> <label value="medicationCodeableConcept example with ndc and snomed codes" /> <valueCodeableConcept> <coding id="ndc"> <system value="http://hl7.org/fhir/sid/ndc" /> <code value="0573-0134" /> </coding> <coding id="snomed"> <system value="http://snomed.info/sct" /> <code value="387207008" /> </coding> <text value="Advil" /> </valueCodeableConcept> </example> <mustSupport value="true" /> </element> <element id="MedicationRequest.medication[x].coding"> <path value="MedicationRequest.medication[x].coding" /> <slicing> <description value="slice by code system" /> <rules value="open" /> </slicing> <short value="The code-system pair describing the medication" /> <min value="1" /> <max value="*" /> <type> <code value="Coding" /> </type> </element> <element id="MedicationRequest.medication[x].coding-ndc"> <path value="MedicationRequest.medication[x].coding-ndc" /> <sliceName value="ndc" /> <short value="National Drug Code" /> <definition value="system = http://hl7.org/fhir/sid/ndc" /> <type> <code value="Coding" /> </type> </element> <element id="MedicationRequest.medication[x].coding-rxnorm"> <path value="MedicationRequest.medication[x].coding-rxnorm" /> <sliceName value="rxnorm" /> <short value="RxNorm code" /> <definition value="system = http://www.nlm.nih.gov/research/umls/rxnorm" /> <type> <code value="Coding" /> </type> </element> <element id="MedicationRequest.medication[x].coding-snomed"> <path value="MedicationRequest.medication[x].coding-snomed" /> <sliceName value="snomed" /> <short value="SNOMED code" /> <definition value="system = http://snomed.info/sct" /> <type> <code value="Coding" /> </type> </element> <element id="MedicationRequest.medication[x].coding-ndfrt"> <path value="MedicationRequest.medication[x].coding-ndfrt" /> <sliceName value="ndfrt" /> <short value="National Durg File - Reference Terminology code" /> <definition value="system = http://hl7.org/fhir/ndfrt" /> <type> <code value="Coding" /> </type> </element> <element id="MedicationRequest.medication[x].coding-gpi"> <path value="MedicationRequest.medication[x].coding-gpi" /> <sliceName value="gpi" /> <short value="Generic Product Identifier code" /> <definition value="system = http://terminology.hl7.org/CodeSystem/MGPI" /> <type> <code value="Coding" /> </type> </element> <element id="MedicationRequest.subject"> <path value="MedicationRequest.subject" /> <short value="The patient" /> <alias value="patient" /> <alias value="user" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.icanbwell.com/4_0_0/StructureDefinition/pr-patient" /> </type> <mustSupport value="true" /> </element> <element id="MedicationRequest.encounter"> <path value="MedicationRequest.encounter" /> <short value="Reference to a relevent Encounter" /> <min value="0" /> <type> <code value="Reference" /> </type> <mustSupport value="true" /> </element> <element id="MedicationRequest.authoredOn"> <path value="MedicationRequest.authoredOn" /> <short value="When the prescription was written by the requesting practitioner" /> <alias value="prescribed-date" /> <min value="1" /> <type> <code value="dateTime" /> </type> <mustSupport value="true" /> </element> <element id="MedicationRequest.requester"> <path value="MedicationRequest.requester" /> <short value="The practitioner who authored the prescription" /> <alias value="prescribing-practitioner" /> <min value="1" /> <type> <code value="Reference" /> </type> <mustSupport value="true" /> </element> <element id="MedicationRequest.dosageInstruction"> <path value="MedicationRequest.dosageInstruction" /> <slicing> <description value="slice by type" /> <rules value="open" /> </slicing> <min value="0" /> <type> <code value="Dosage" /> </type> <mustSupport value="true" /> </element> <element id="MedicationRequest.dosageInstruction.id"> <path value="MedicationRequest.dosageInstruction.id" /> <min value="1" /> <type> <code value="string" /> </type> </element> <element id="MedicationRequest.dosageInstruction.text"> <path value="MedicationRequest.dosageInstruction.text" /> <short value="Free text dosage instructions" /> <alias value="dosage-instruction" /> <min value="1" /> <type> <code value="string" /> </type> <mustSupport value="true" /> </element> <element id="MedicationRequest.dispenseRequest"> <path value="MedicationRequest.dispenseRequest" /> <alias value="dosage-instruction" /> <min value="0" /> <type> <code value="BackboneElement" /> </type> <mustSupport value="true" /> </element> <element id="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed"> <path value="MedicationRequest.dispenseRequest.numberOfRepeatsAllowed" /> <short value="Number of refills allowed" /> <comment value="Used to calculate number of refills remaining" /> <alias value="total-refills" /> <alias value="refills-allowed" /> <min value="0" /> <max value="1" /> <type> <code value="unsignedInt" /> </type> <mustSupport value="true" /> </element> </differential> </StructureDefinition>