{
  "resourceType": "StructureDefinition",
  "id": "profile-medicationrequest",
  "url": "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-medicationrequest",
  "version": "1.0.2",
  "name": "MedicationRequestProfile",
  "title": "MedicationRequest Profile",
  "status": "draft",
  "date": "2026-01-09",
  "publisher": "HL7 Canada - FHIR Implementation Work Group",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "https://infocentral.infoway-inforoute.ca/en/collaboration/wg/fhir-implementations"
        }
      ]
    }
  ],
  "description": "Proposed constraints and extensions on the MedicationRequest resource.  Generated as a first step toward creating a set of Canadian Baseline FHIR profiles.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "CA"
        }
      ]
    }
  ],
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "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": "MedicationRequest Profile",
        "definition": "The Canadian Baseline MedicationRequest Profile is based upon the core FHIR MedicationRequest Resource"
      },
      {
        "id": "MedicationRequest.reported[x]",
        "path": "MedicationRequest.reported[x]",
        "type": [
          {
            "code": "boolean"
          },
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient",
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitioner",
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitionerrole",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-organization"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.medication[x]",
        "path": "MedicationRequest.medication[x]",
        "type": [
          {
            "code": "CodeableConcept"
          },
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-medication"
            ]
          }
        ],
        "binding": {
          "strength": "preferred",
          "description": "TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. Medicinal products for prescribing and dispensing in Canada. The content of this subset only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. This content will expand to include all human medicinal products over time.",
          "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct"
        }
      },
      {
        "id": "MedicationRequest.subject",
        "path": "MedicationRequest.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.encounter",
        "path": "MedicationRequest.encounter",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-encounter"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.requester",
        "path": "MedicationRequest.requester",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitioner",
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitionerrole",
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-organization",
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-device"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.performer",
        "path": "MedicationRequest.performer",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitioner",
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitionerrole",
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-organization",
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient",
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-device",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/CareTeam"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.recorder",
        "path": "MedicationRequest.recorder",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitioner",
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitionerrole"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.reasonReference",
        "path": "MedicationRequest.reasonReference",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-condition",
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-observation"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.basedOn",
        "path": "MedicationRequest.basedOn",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/CarePlan",
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-medicationrequest",
              "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-immunizationrecommendation"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.dispenseRequest.performer",
        "path": "MedicationRequest.dispenseRequest.performer",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-organization"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.priorPrescription",
        "path": "MedicationRequest.priorPrescription",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-medicationrequest"
            ]
          }
        ]
      }
    ]
  }
}