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{
  "resourceType": "StructureDefinition",
  "id": "digidot-MedicationRequest-no",
  "url": "https://novari.no/fhir/digidot/StructureDefinition/digidot-MedicationRequest-no",
  "version": "0.1.0-test",
  "name": "DigidotMedicationRequestNo",
  "title": "DigiDot MedicationRequest (NO)",
  "status": "draft",
  "date": "2026-09-15",
  "publisher": "Novari AS - DigiDOT",
  "description": "Draft DigiDOT profile for medication prescription in dental care. Record the requested medicinal product directly with a versioned SNOMED CT clinical drug code, and reference a DigiDOT Condition for the clinical indication. Local R4 extensions adapted from FHIR R5 and IHE MPD preserve information needed to support future migration to FHIR R6 and alignment with European interoperability requirements.",
  "purpose": "Use this profile to record an authoritative medication request in dental care.\nThe profile identifies the prescribed medication directly with a versioned\nSNOMED CT clinical drug code, requires the patient, prescribing time and\nresponsible prescriber, and records the clinical indication by reference.\nDosage instructions contain both human-readable and, when available, structured\ncontent. Local extensions preserve information introduced in FHIR R5 or defined\nby IHE MPD and document how that information maps to the current FHIR R6 ballot\nmodel.",
  "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",
  "snapshot": {
    "element": [
      {
        "id": "MedicationRequest",
        "path": "MedicationRequest",
        "short": "Medication request in dental care",
        "definition": "An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called \"MedicationRequest\" rather than \"MedicationPrescription\" or \"MedicationOrder\" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns.",
        "alias": [
          "Prescription",
          "Order"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "MedicationRequest",
          "min": 0,
          "max": "*"
        },
        "constraint": [
          {
            "key": "dom-2",
            "severity": "error",
            "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression": "contained.contained.empty()",
            "xpath": "not(parent::f:contained and f:contained)",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key": "dom-3",
            "severity": "error",
            "human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression": "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath": "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key": "dom-4",
            "severity": "error",
            "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key": "dom-5",
            "severity": "error",
            "human": "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression": "contained.meta.security.empty()",
            "xpath": "not(exists(f:contained/*/f:meta/f:security))",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
                "valueBoolean": true
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
                "valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
              }
            ],
            "key": "dom-6",
            "severity": "warning",
            "human": "A resource should have narrative for robust management",
            "expression": "text.`div`.exists()",
            "xpath": "exists(f:text/h:div)",
            "source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
          },
          {
            "key": "dd-mr-1",
            "severity": "error",
            "human": "When more than one dosage instruction is present, each instruction SHALL have a unique sequence value.",
            "expression": "dosageInstruction.count() <= 1 or (dosageInstruction.sequence.count() = dosageInstruction.count() and dosageInstruction.sequence.isDistinct())",
            "source": "https://novari.no/fhir/digidot/StructureDefinition/digidot-MedicationRequest-no"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "Entity. Role, or Act"
          },
          {
            "identity": "workflow",
            "map": "Request"
          },
          {
            "identity": "script10.6",
            "map": "Message/Body/NewRx"
          },
          {
            "identity": "rim",
            "map": "CombinedMedicationRequest"
          }
        ]
      },
      {
        "id": "MedicationRequest.id",
        "path": "MedicationRequest.id",
        "short": "Logical id of this artifact",
        "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
        "comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhirpath/System.String",
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ]
          }
        ],
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "MedicationRequest.meta",
        "path": "MedicationRequest.meta",
        "short": "Metadata about the resource",
        "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.meta",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Meta"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true
      },
      {
        "id": "MedicationRequest.implicitRules",
        "path": "MedicationRequest.implicitRules",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "A DigiDot MedicationRequest must be interpretable from the published FHIR R4\nprofile, terminology versions and agreed exchange documentation. Do not use\nimplicitRules to introduce undocumented processing rules.",
        "comment": "implicitRules is prohibited in this profile.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Resource.implicitRules",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": true,
        "isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
        "isSummary": true
      },
      {
        "id": "MedicationRequest.language",
        "path": "MedicationRequest.language",
        "short": "Language of the resource content",
        "definition": "The base language in which the resource is written.",
        "comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Resource.language",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "Language"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean": true
            }
          ],
          "strength": "preferred",
          "description": "A human language.",
          "valueSet": "http://hl7.org/fhir/ValueSet/languages"
        }
      },
      {
        "id": "MedicationRequest.text",
        "path": "MedicationRequest.text",
        "short": "Text summary of the resource, for human interpretation",
        "definition": "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
        "comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
        "alias": [
          "narrative",
          "html",
          "xhtml",
          "display"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Narrative"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "Act.text?"
          }
        ]
      },
      {
        "id": "MedicationRequest.contained",
        "path": "MedicationRequest.contained",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "Resources relevant to the DigiDot information model must be stored as\nindependently identifiable FHIR resources and linked by reference. Contained\nresources are not used in this profile.",
        "comment": "contained resources are prohibited in this profile.",
        "alias": [
          "inline resources",
          "anonymous resources",
          "contained resources"
        ],
        "min": 0,
        "max": "0",
        "base": {
          "path": "DomainResource.contained",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Resource"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "MedicationRequest.extension",
        "path": "MedicationRequest.extension",
        "slicing": {
          "rules": "closed"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "3",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "MedicationRequest.extension:effectiveDosePeriod",
        "path": "MedicationRequest.extension",
        "sliceName": "effectiveDosePeriod",
        "short": "Local R4 adaptation of the R5 medication treatment period",
        "definition": "Record the overall treatment period. This local extension adapts the native\nFHIR R5 MedicationRequest.effectiveDosePeriod element for the DigiDot R4\nprofile. In the current FHIR R6 ballot, the corresponding element is\nMedicationRequest.effectiveTiming[x].",
        "comment": "FHIR version adaptation: represented by this local DigiDot extension in R4, by\nthe native MedicationRequest.effectiveDosePeriod element in R5, and by\nMedicationRequest.effectiveTiming[x] in the current R6 ballot.",
        "alias": [
          "Overall treatment period",
          "user content"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-medicationrequest-effective-dose-period"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "MedicationRequest.extension:renderedDosageInstruction",
        "path": "MedicationRequest.extension",
        "sliceName": "renderedDosageInstruction",
        "short": "Local R4 adaptation of the R5 rendered dosage instructions",
        "definition": "Record the complete rendered dosage instructions, particularly when multiple\nstructured instructions express a complex regimen. This local extension adapts\nthe native FHIR R5 MedicationRequest.renderedDosageInstruction element for the\nDigiDot R4 profile. In the current FHIR R6 ballot, the corresponding content is\nrepresented by MedicationRequest.dosageInstruction.renderedInstruction.",
        "comment": "FHIR version adaptation: represented by this local DigiDot extension in R4, by\nthe native MedicationRequest.renderedDosageInstruction element in R5, and by\nMedicationRequest.dosageInstruction.renderedInstruction in the current R6\nballot.",
        "alias": [
          "Combined dosage text",
          "user content"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-medicationrequest-rendered-dosage-instruction"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "MedicationRequest.extension:offLabelUse",
        "path": "MedicationRequest.extension",
        "sliceName": "offLabelUse",
        "short": "Local R4 adaptation of IHE MPD off-label use",
        "definition": "Record whether the prescriber intentionally prescribed the medication outside\nthe product authorization, and optionally the reason. This local complex\nextension adapts the extension originally defined by the FHIR R5-based IHE MPD\nimplementation guide. It does not correspond to a native MedicationRequest\nelement in either FHIR R5 or the current FHIR R6 ballot.",
        "comment": "FHIR version adaptation: this R4 profile uses a local DigiDot representation of\nIHE MPD off-label use. Unlike effectiveDosePeriod and\nrenderedDosageInstruction, offLabelUse is not adapted from a native R5 element\nand has no corresponding native MedicationRequest element in the current R6\nballot.",
        "alias": [
          "Off-label prescribing",
          "user content"
        ],
        "min": 0,
        "max": "1",
        "base": {
          "path": "DomainResource.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-medicationrequest-off-label-use"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "MedicationRequest.modifierExtension",
        "path": "MedicationRequest.modifierExtension",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "Modifier extensions can change the meaning of a MedicationRequest and require\nevery consumer to understand them. No modifier extension is defined for the\ncurrent DigiDot scope.",
        "comment": "modifierExtension is prohibited in this profile.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "0",
        "base": {
          "path": "DomainResource.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "MedicationRequest.identifier",
        "path": "MedicationRequest.identifier",
        "short": "Stable identifier for the medication request",
        "definition": "Record a stable business identifier assigned to this medication request. Use\nit for traceability and de-duplication across systems. Do not repeat the FHIR\nserver resource id.",
        "comment": "This is a business identifier, not a resource identifier.",
        "min": 1,
        "max": "*",
        "base": {
          "path": "MedicationRequest.identifier",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.identifier"
          },
          {
            "identity": "script10.6",
            "map": "Message/Header/PrescriberOrderNumber"
          },
          {
            "identity": "w5",
            "map": "FiveWs.identifier"
          },
          {
            "identity": "v2",
            "map": "ORC-2-Placer Order Number / ORC-3-Filler Order Number"
          },
          {
            "identity": "rim",
            "map": ".id"
          }
        ]
      },
      {
        "id": "MedicationRequest.status",
        "path": "MedicationRequest.status",
        "short": "Lifecycle status for the medication order",
        "definition": "Use status as the authoritative lifecycle state for this medication order. It\nindicates whether the order is active, on hold, completed, cancelled, entered\nin error, a draft or otherwise in one of the standard FHIR R4 states.",
        "comment": "The status applies to the medication order. It does not represent whether the\nmedication was dispensed or administered.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "MedicationRequest.status",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": true,
        "isModifierReason": "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MedicationRequestStatus"
            }
          ],
          "strength": "required",
          "description": "A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.",
          "valueSet": "http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1"
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.status"
          },
          {
            "identity": "script10.6",
            "map": "no mapping"
          },
          {
            "identity": "w5",
            "map": "FiveWs.status"
          },
          {
            "identity": "rim",
            "map": ".statusCode"
          }
        ]
      },
      {
        "id": "MedicationRequest.statusReason",
        "path": "MedicationRequest.statusReason",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not record a separate reason for the request\nstatus. A future agreed status-reason model requires an explicit profile\nrevision.",
        "comment": "statusReason is prohibited in this profile.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationRequest.statusReason",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MedicationRequestStatusReason"
            }
          ],
          "strength": "example",
          "description": "Identifies the reasons for a given status.",
          "valueSet": "http://hl7.org/fhir/ValueSet/medicationrequest-status-reason"
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.statusReason"
          },
          {
            "identity": "rim",
            "map": ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"
          }
        ]
      },
      {
        "id": "MedicationRequest.intent",
        "path": "MedicationRequest.intent",
        "short": "Authoritative medication order",
        "definition": "This profile represents an authoritative medication order. Other request\nintents are outside the scope of this profile.",
        "comment": "The fixed value order distinguishes this resource from a proposal, plan,\npatient statement or report of an order from another source.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "MedicationRequest.intent",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "fixedCode": "order",
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": true,
        "isModifierReason": "This element changes the interpretation of all descriptive attributes. For example \"the time the request is recommended to occur\" vs. \"the time the request is authorized to occur\" or \"who is recommended to perform the request\" vs. \"who is authorized to perform the request",
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MedicationRequestIntent"
            }
          ],
          "strength": "required",
          "description": "The kind of medication order.",
          "valueSet": "http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1"
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.intent"
          },
          {
            "identity": "w5",
            "map": "FiveWs.class"
          },
          {
            "identity": "rim",
            "map": ".moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)"
          }
        ]
      },
      {
        "id": "MedicationRequest.category",
        "path": "MedicationRequest.category",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not define a separate category classification\nfor medication requests.",
        "comment": "category is prohibited in this profile.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationRequest.category",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MedicationRequestCategory"
            }
          ],
          "strength": "example",
          "description": "A coded concept identifying the category of medication request.  For example, where the medication is to be consumed or administered, or the type of medication treatment.",
          "valueSet": "http://hl7.org/fhir/ValueSet/medicationrequest-category"
        },
        "mapping": [
          {
            "identity": "script10.6",
            "map": "Message/Body/NewRx/MedicationPrescribed/Directions\r\ror \r\rMessage/Body/NewRx/MedicationPrescribed/StructuredSIG"
          },
          {
            "identity": "w5",
            "map": "FiveWs.class"
          },
          {
            "identity": "rim",
            "map": ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication usage\"].value"
          }
        ]
      },
      {
        "id": "MedicationRequest.priority",
        "path": "MedicationRequest.priority",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not communicate request priority through this\nelement.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationRequest.priority",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MedicationRequestPriority"
            }
          ],
          "strength": "required",
          "description": "Identifies the level of importance to be assigned to actioning the request.",
          "valueSet": "http://hl7.org/fhir/ValueSet/request-priority|4.0.1"
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.priority"
          },
          {
            "identity": "w5",
            "map": "FiveWs.grade"
          },
          {
            "identity": "rim",
            "map": ".priorityCode"
          }
        ]
      },
      {
        "id": "MedicationRequest.doNotPerform",
        "path": "MedicationRequest.doNotPerform",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile records requests to use a medication and does not\nrepresent an instruction not to use the medication.",
        "comment": "doNotPerform is prohibited in this profile.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationRequest.doNotPerform",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": true,
        "isModifierReason": "This element is labeled as a modifier because this element negates the request to occur (ie, this is a request for the medication not to be ordered or prescribed, etc)",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "SubstanceAdministration.actionNegationInd"
          }
        ]
      },
      {
        "id": "MedicationRequest.reported[x]",
        "path": "MedicationRequest.reported[x]",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "This profile represents an authoritative medication request and does not use\nreported[x] to record an order reported from another source. In FHIR R6 the\nrelated concept is represented by isRecordOfRequest.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationRequest.reported[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          },
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".participation[typeCode=INF].role"
          }
        ]
      },
      {
        "id": "MedicationRequest.medication[x]",
        "path": "MedicationRequest.medication[x]",
        "short": "SNOMED CT code for the requested medication",
        "definition": "The requested medication, represented directly by one SNOMED CT Clinical Drug\ncode from the source side of Norwegian mapping reference set\n327471000202109.",
        "comment": "The medication SHALL be recorded directly as a CodeableConcept containing\nexactly one precoordinated SNOMED CT clinical drug code. Coding.version SHALL\nidentify the SNOMED CT edition and release using a version URI of the form\nhttp://snomed.info/sct/{edition}/version/{yyyymmdd}. A reference to a separate\nMedication resource SHALL NOT be used in this profile.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "MedicationRequest.medication[x]",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://novari.no/fhir/digidot/ValueSet/digidot-clinical-drug-no"
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.code"
          },
          {
            "identity": "script10.6",
            "map": "Message/Body/NewRx/MedicationPrescribed\r\rMedication.code.coding.code = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCode\r\rMedication.code.coding.system = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCodeQualifier\r\rMedication.code.coding.display = Message/Body/NewRx/MedicationPrescribed/DrugDescription"
          },
          {
            "identity": "w5",
            "map": "FiveWs.what[x]"
          },
          {
            "identity": "v2",
            "map": "RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code"
          },
          {
            "identity": "rim",
            "map": "consumable.administrableMedication"
          }
        ]
      },
      {
        "id": "MedicationRequest.medication[x].id",
        "path": "MedicationRequest.medication[x].id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Not used on the medicinal product concept",
        "definition": "The medicinal product CodeableConcept does not use an element id in the current\nDigiDot profile.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhirpath/System.String",
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ]
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MedicationRequest.medication[x].extension",
        "path": "MedicationRequest.medication[x].extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "No extensions on the medicinal product concept",
        "definition": "All required medicinal product information is represented by the versioned\nSNOMED CT coding. Extensions on the CodeableConcept are not used.",
        "comment": "Extensions on the medicinal product concept are prohibited.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "0",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MedicationRequest.medication[x].coding",
        "path": "MedicationRequest.medication[x].coding",
        "short": "SNOMED CT clinical drug code with edition version",
        "definition": "Record exactly one precoordinated SNOMED CT clinical drug concept from the\nsource side of Norwegian dose-based prescription Clinical Drug to Medicinal\nProduct simple map reference set 327471000202109. The coding conforms to\nDigiDotCodingSctPreNo, which requires the SNOMED CT system, numeric concept\nidentifier and versioned edition URI.",
        "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
        "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "CodeableConcept.coding",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Coding",
            "profile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-Coding-SCTpre-no"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://novari.no/fhir/digidot/ValueSet/digidot-clinical-drug-no"
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "C*E.1-8, C*E.10-22"
          },
          {
            "identity": "rim",
            "map": "union(., ./translation)"
          },
          {
            "identity": "orim",
            "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
          }
        ]
      },
      {
        "id": "MedicationRequest.medication[x].coding.id",
        "path": "MedicationRequest.medication[x].coding.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhirpath/System.String",
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ]
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MedicationRequest.medication[x].coding.extension",
        "path": "MedicationRequest.medication[x].coding.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "No extensions on the medicinal product coding",
        "definition": "The SNOMED CT system, edition version and concept identifier are represented by\nthe standard Coding elements. Extensions on the coding are not used.",
        "comment": "Extensions on the medicinal product coding are prohibited.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "0",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MedicationRequest.medication[x].coding.system",
        "path": "MedicationRequest.medication[x].coding.system",
        "short": "Identity of the terminology system",
        "definition": "The identification of the code system that defines the meaning of the symbol in the code.",
        "comment": "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...).  OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.",
        "requirements": "Need to be unambiguous about the source of the definition of the symbol.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Coding.system",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "C*E.3"
          },
          {
            "identity": "rim",
            "map": "./codeSystem"
          },
          {
            "identity": "orim",
            "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"
          }
        ]
      },
      {
        "id": "MedicationRequest.medication[x].coding.version",
        "path": "MedicationRequest.medication[x].coding.version",
        "short": "Version of the system - if relevant",
        "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
        "comment": "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Coding.version",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "C*E.7"
          },
          {
            "identity": "rim",
            "map": "./codeSystemVersion"
          },
          {
            "identity": "orim",
            "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"
          }
        ]
      },
      {
        "id": "MedicationRequest.medication[x].coding.code",
        "path": "MedicationRequest.medication[x].coding.code",
        "short": "Symbol in syntax defined by the system",
        "definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
        "requirements": "Need to refer to a particular code in the system.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Coding.code",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "code"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "C*E.1"
          },
          {
            "identity": "rim",
            "map": "./code"
          },
          {
            "identity": "orim",
            "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"
          }
        ]
      },
      {
        "id": "MedicationRequest.medication[x].coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "MedicationRequest.medication[x].coding.display",
        "short": "Representation defined by the system",
        "definition": "A representation of the meaning of the code in the system, following the rules of the system.",
        "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Coding.display",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "C*E.2 - but note this is not well followed"
          },
          {
            "identity": "rim",
            "map": "CV.displayName"
          },
          {
            "identity": "orim",
            "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"
          }
        ]
      },
      {
        "id": "MedicationRequest.medication[x].coding.userSelected",
        "path": "MedicationRequest.medication[x].coding.userSelected",
        "short": "If this coding was chosen directly by the user",
        "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).",
        "comment": "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
        "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Coding.userSelected",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "Sometimes implied by being first"
          },
          {
            "identity": "rim",
            "map": "CD.codingRationale"
          },
          {
            "identity": "orim",
            "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [     fhir:source \"true\";     fhir:target dt:CDCoding.codingRationale\\#O   ]"
          }
        ]
      },
      {
        "id": "MedicationRequest.medication[x].text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "MedicationRequest.medication[x].text",
        "short": "Not used on the medicinal product concept",
        "definition": "The medicinal product is represented by the structured SNOMED CT coding. A\nhuman-readable SNOMED CT term may be carried in Coding.display; do not use\nCodeableConcept.text as an alternative medication representation.",
        "comment": "CodeableConcept.text is prohibited for the requested medication.",
        "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "CodeableConcept.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "C*E.9. But note many systems use C*E.2 for this"
          },
          {
            "identity": "rim",
            "map": "./originalText[mediaType/code=\"text/plain\"]/data"
          },
          {
            "identity": "orim",
            "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
          }
        ]
      },
      {
        "id": "MedicationRequest.subject",
        "path": "MedicationRequest.subject",
        "short": "Patient for whom the medication is requested",
        "definition": "Reference the patient through no-basis-Patient.",
        "comment": "Reference the patient for whom this medication request was created. Secondary\nuse and anonymized-subject workflows are outside the scope of this profile.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "MedicationRequest.subject",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.no/fhir/StructureDefinition/no-basis-Patient"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.subject"
          },
          {
            "identity": "script10.6",
            "map": "Message/Body/NewRx/Patient\r\r(need detail to link to specific patient … Patient.Identification in SCRIPT)"
          },
          {
            "identity": "w5",
            "map": "FiveWs.subject[x]"
          },
          {
            "identity": "v2",
            "map": "PID-3-Patient ID List"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=AUT].role"
          },
          {
            "identity": "w5",
            "map": "FiveWs.subject"
          }
        ]
      },
      {
        "id": "MedicationRequest.encounter",
        "path": "MedicationRequest.encounter",
        "short": "DigiDot encounter associated with the medication request",
        "definition": "Reference the DigiDot Encounter that provides the clinical context for the\nmedication request.",
        "comment": "This will typically be the encounter within which the medication request was\ncreated. A request may be initiated before or after the official completion of\nan encounter while still remaining tied to that encounter's clinical context.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MedicationRequest.encounter",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-Encounter-no"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.context"
          },
          {
            "identity": "script10.6",
            "map": "no mapping"
          },
          {
            "identity": "w5",
            "map": "FiveWs.context"
          },
          {
            "identity": "v2",
            "map": "PV1-19-Visit Number"
          },
          {
            "identity": "rim",
            "map": ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]"
          }
        ]
      },
      {
        "id": "MedicationRequest.supportingInformation",
        "path": "MedicationRequest.supportingInformation",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not attach unrestricted supporting resources\nto the medication order. A future supporting-information relationship requires\nan agreed use case and explicit target profiles.",
        "comment": "supportingInformation is prohibited in this profile.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationRequest.supportingInformation",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.supportingInfo"
          },
          {
            "identity": "w5",
            "map": "FiveWs.context"
          },
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]"
          }
        ]
      },
      {
        "id": "MedicationRequest.authoredOn",
        "path": "MedicationRequest.authoredOn",
        "short": "When request was initially authored",
        "definition": "The date (and perhaps time) when the prescription was initially written or authored on.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "MedicationRequest.authoredOn",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.authoredOn"
          },
          {
            "identity": "script10.6",
            "map": "Message/Body/NewRx/MedicationPrescribed/WrittenDate"
          },
          {
            "identity": "w5",
            "map": "FiveWs.recorded"
          },
          {
            "identity": "v2",
            "map": "RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction"
          },
          {
            "identity": "rim",
            "map": "author.time"
          }
        ]
      },
      {
        "id": "MedicationRequest.requester",
        "path": "MedicationRequest.requester",
        "short": "Practitioner who prescribed the medication",
        "definition": "Identify the prescribing healthcare professional through a literal reference\nto no-basis-Practitioner when that resource exists. Otherwise use a logical\nPractitioner reference with the prescriber's HPR number. A Norwegian national\nidentity number is not permitted. Do not use PractitionerRole or Organization.",
        "comment": "Provide exactly one of Reference.reference or Reference.identifier. A logical\nreference must use type Practitioner and HPR system\nurn:oid:2.16.578.1.12.4.1.4.4. A Norwegian national identity number is\nprohibited.",
        "requirements": "The medication request must identify the responsible prescriber through an\nexisting Practitioner resource or an HPR number.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "MedicationRequest.requester",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "profile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-Reference-Practitioner-HPR-no"
            ],
            "targetProfile": [
              "http://hl7.no/fhir/StructureDefinition/no-basis-Practitioner"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.requester"
          },
          {
            "identity": "w5",
            "map": "FiveWs.author"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=AUT].role"
          }
        ]
      },
      {
        "id": "MedicationRequest.performer",
        "path": "MedicationRequest.performer",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not identify an intended performer of future\ntreatment. Record the prescriber in requester and an actual administering\npractitioner in MedicationAdministration.performer.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationRequest.performer",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Organization",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/CareTeam"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.performer"
          },
          {
            "identity": "w5",
            "map": "FiveWs.actor"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
          }
        ]
      },
      {
        "id": "MedicationRequest.performerType",
        "path": "MedicationRequest.performerType",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not define an intended performer role for the\nrequested medication treatment.",
        "comment": "performerType is prohibited in this profile.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationRequest.performerType",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MedicationRequestPerformerType"
            }
          ],
          "strength": "example",
          "description": "Identifies the type of individual that is desired to administer the medication.",
          "valueSet": "http://hl7.org/fhir/ValueSet/performer-role"
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.performerType"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=PRF].role[scoper.determinerCode=KIND].code"
          }
        ]
      },
      {
        "id": "MedicationRequest.recorder",
        "path": "MedicationRequest.recorder",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not record a separate person who entered the\nrequest. requester identifies the prescribing practitioner, while technical\nregistration and transmission can be traced through Provenance.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationRequest.recorder",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "w5",
            "map": "FiveWs.who"
          },
          {
            "identity": "rim",
            "map": ".participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType)"
          }
        ]
      },
      {
        "id": "MedicationRequest.reasonCode",
        "path": "MedicationRequest.reasonCode",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not represent the clinical indication as an\ninline code. Use reasonReference to reference a DigiDot Condition.",
        "comment": "reasonCode is prohibited in this profile.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationRequest.reasonCode",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MedicationRequestReason"
            }
          ],
          "strength": "example",
          "description": "A coded concept indicating why the medication was ordered.",
          "valueSet": "http://hl7.org/fhir/ValueSet/condition-code"
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.reasonCode"
          },
          {
            "identity": "script10.6",
            "map": "Message/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value"
          },
          {
            "identity": "w5",
            "map": "FiveWs.why[x]"
          },
          {
            "identity": "v2",
            "map": "ORC-16-Order Control Code Reason /RXE-27-Give Indication/RXO-20-Indication / RXD-21-Indication / RXG-22-Indication / RXA-19-Indication"
          },
          {
            "identity": "rim",
            "map": "reason.observation.reasonCode"
          }
        ]
      },
      {
        "id": "MedicationRequest.reasonReference",
        "path": "MedicationRequest.reasonReference",
        "short": "DigiDot condition supporting the medication request",
        "definition": "Reference the DigiDot Condition that represents the clinical indication or\nother clinical reason for requesting the medication.",
        "comment": "Use a reference to a DigiDot Condition that supports the medication request.\nreasonCode is not used in this profile.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "MedicationRequest.reasonReference",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-Condition-no"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.reasonReference"
          },
          {
            "identity": "script10.6",
            "map": "no mapping"
          },
          {
            "identity": "w5",
            "map": "FiveWs.why[x]"
          },
          {
            "identity": "rim",
            "map": "reason.observation[code=ASSERTION].value"
          }
        ]
      },
      {
        "id": "MedicationRequest.instantiatesCanonical",
        "path": "MedicationRequest.instantiatesCanonical",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not record conformance to or instantiation of\nan external protocol, guideline, order set or other canonical definition.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationRequest.instantiatesCanonical",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "canonical"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.instantiates"
          },
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target"
          }
        ]
      },
      {
        "id": "MedicationRequest.instantiatesUri",
        "path": "MedicationRequest.instantiatesUri",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not identify an external protocol, guideline\nor order set through a URI. A future agreed protocol model requires an explicit\nprofile revision.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationRequest.instantiatesUri",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=DEFN].target"
          }
        ]
      },
      {
        "id": "MedicationRequest.basedOn",
        "path": "MedicationRequest.basedOn",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not link the medication request to an\nunderlying care plan or other request through basedOn. A future agreed workflow\nmodel requires an explicit profile revision.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationRequest.basedOn",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/CarePlan",
              "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
              "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
              "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.basedOn"
          },
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]"
          }
        ]
      },
      {
        "id": "MedicationRequest.groupIdentifier",
        "path": "MedicationRequest.groupIdentifier",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not group medication requests through a shared\nbusiness identifier. Each medication request is identified independently.",
        "requirements": "Requests are linked either by a \"basedOn\" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationRequest.groupIdentifier",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.groupIdentifier"
          },
          {
            "identity": "rim",
            "map": ".outboundRelationship(typeCode=COMP].target[classCode=SBADM, moodCode=INT].id"
          }
        ]
      },
      {
        "id": "MedicationRequest.courseOfTherapyType",
        "path": "MedicationRequest.courseOfTherapyType",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not classify the overall pattern or course of\nthe requested medication treatment. A future agreed classification requires an\nexplicit profile revision.",
        "comment": "courseOfTherapyType is prohibited in this profile.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationRequest.courseOfTherapyType",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MedicationRequestCourseOfTherapy"
            }
          ],
          "strength": "example",
          "description": "Identifies the overall pattern of medication administratio.",
          "valueSet": "http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "Act.code where classCode = LIST and moodCode = EVN"
          }
        ]
      },
      {
        "id": "MedicationRequest.insurance",
        "path": "MedicationRequest.insurance",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not include insurance coverage,\npre-authorization or pre-determination information in the medication request.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationRequest.insurance",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Coverage",
              "http://hl7.org/fhir/StructureDefinition/ClaimResponse"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.insurance"
          },
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COVBY].target"
          }
        ]
      },
      {
        "id": "MedicationRequest.note",
        "path": "MedicationRequest.note",
        "short": "Information about the prescription",
        "definition": "Extra information about the prescription that could not be conveyed by the other attributes.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "MedicationRequest.note",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Annotation"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.note"
          },
          {
            "identity": "script10.6",
            "map": "Message/Body/NewRx/MedicationPrescribed/Note"
          },
          {
            "identity": "rim",
            "map": ".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=\"annotation\"].value"
          }
        ]
      },
      {
        "id": "MedicationRequest.note.id",
        "path": "MedicationRequest.note.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhirpath/System.String",
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ]
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MedicationRequest.note.extension",
        "path": "MedicationRequest.note.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "No extensions on medication request notes",
        "definition": "Medication request notes use the standard Annotation elements retained by this\nprofile. Extensions on Annotation are not used in the current DigiDot scope.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "0",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MedicationRequest.note.author[x]",
        "path": "MedicationRequest.note.author[x]",
        "short": "Individual responsible for the annotation",
        "definition": "The individual responsible for making the annotation.",
        "comment": "Organization is used when there's no need for specific attribution as to who made the comment.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Annotation.author[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          },
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "N/A"
          },
          {
            "identity": "rim",
            "map": "Act.participant[typeCode=AUT].role"
          }
        ]
      },
      {
        "id": "MedicationRequest.note.time",
        "path": "MedicationRequest.note.time",
        "short": "When the annotation was made",
        "definition": "Indicates when this particular annotation was made.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Annotation.time",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "N/A"
          },
          {
            "identity": "rim",
            "map": "Act.effectiveTime"
          }
        ]
      },
      {
        "id": "MedicationRequest.note.text",
        "path": "MedicationRequest.note.text",
        "short": "The annotation  - text content (as markdown)",
        "definition": "The text of the annotation in markdown format.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Annotation.text",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "markdown"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "N/A"
          },
          {
            "identity": "rim",
            "map": "Act.text"
          }
        ]
      },
      {
        "id": "MedicationRequest.dosageInstruction",
        "path": "MedicationRequest.dosageInstruction",
        "short": "Structured and human-readable dosage instructions",
        "definition": "Record one or more instructions describing how the patient is to use the\nmedication. Every instruction includes human-readable text and may include the\ntiming, an as-needed boolean and one structured dose quantity.",
        "comment": "Use separate MedicationRequest resources when alternative medications or\nindependently managed orders are required. Route, site, method and structured\nadministration rate are outside the scope of this profile.",
        "min": 1,
        "max": "*",
        "base": {
          "path": "MedicationRequest.dosageInstruction",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Dosage"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.occurrence[x]"
          },
          {
            "identity": "rim",
            "map": "see dosageInstruction mapping"
          }
        ]
      },
      {
        "id": "MedicationRequest.dosageInstruction.id",
        "path": "MedicationRequest.dosageInstruction.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhirpath/System.String",
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ]
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MedicationRequest.dosageInstruction.extension",
        "path": "MedicationRequest.dosageInstruction.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "No extensions on the dosage instruction",
        "definition": "The current DigiDot dosage instruction model uses only the standard elements\nretained by this profile. Extensions on Dosage are not used.",
        "comment": "Extensions on the dosage instruction are prohibited.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "0",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MedicationRequest.dosageInstruction.modifierExtension",
        "path": "MedicationRequest.dosageInstruction.modifierExtension",
        "short": "No modifier extensions on the dosage instruction",
        "definition": "Modifier extensions on Dosage can change the meaning of the dosage instruction\nand are not used in the current DigiDot profile.",
        "comment": "Modifier extensions on the dosage instruction are prohibited.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "0",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "MedicationRequest.dosageInstruction.sequence",
        "path": "MedicationRequest.dosageInstruction.sequence",
        "short": "The order of the dosage instructions",
        "definition": "Indicates the order in which the dosage instructions should be applied or interpreted.",
        "requirements": "If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent.  If the sequence number is different, then the Dosages are intended to be sequential.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Dosage.sequence",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "integer"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "TQ1-1"
          },
          {
            "identity": "rim",
            "map": ".text"
          }
        ]
      },
      {
        "id": "MedicationRequest.dosageInstruction.text",
        "path": "MedicationRequest.dosageInstruction.text",
        "short": "Complete human-readable dosage instruction",
        "definition": "Record a complete human-readable instruction for this dosage step. This text is\nrequired even when timing or doseQuantity is also represented structurally.",
        "requirements": "Free text dosage instructions can be used for cases where the instructions are too complex to code.  The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated.  If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing.  Additional information about administration or preparation of the medication should be included as text.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Dosage.text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "RXO-6; RXE-21"
          },
          {
            "identity": "rim",
            "map": ".text"
          }
        ]
      },
      {
        "id": "MedicationRequest.dosageInstruction.additionalInstruction",
        "path": "MedicationRequest.dosageInstruction.additionalInstruction",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not record supplemental dosage directions as\nseparate coded instructions. Include the complete human-readable regimen in\ndosageInstruction.text or renderedDosageInstruction.",
        "comment": "additionalInstruction is prohibited in this profile.",
        "requirements": "Additional instruction is intended to be coded, but where no code exists, the element could include text.  For example, \"Swallow with plenty of water\" which might or might not be coded.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Dosage.additionalInstruction",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "AdditionalInstruction"
            }
          ],
          "strength": "example",
          "description": "A coded concept identifying additional instructions such as \"take with water\" or \"avoid operating heavy machinery\".",
          "valueSet": "http://hl7.org/fhir/ValueSet/additional-instruction-codes"
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "RXO-7"
          },
          {
            "identity": "rim",
            "map": ".text"
          }
        ]
      },
      {
        "id": "MedicationRequest.dosageInstruction.patientInstruction",
        "path": "MedicationRequest.dosageInstruction.patientInstruction",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not maintain separate patient-facing dosage\ninstructions. Include the complete human-readable regimen in\ndosageInstruction.text or renderedDosageInstruction.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Dosage.patientInstruction",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "RXO-7"
          },
          {
            "identity": "rim",
            "map": ".text"
          }
        ]
      },
      {
        "id": "MedicationRequest.dosageInstruction.timing",
        "path": "MedicationRequest.dosageInstruction.timing",
        "short": "When medication should be administered",
        "definition": "When medication should be administered.",
        "comment": "This attribute might not always be populated while the Dosage.text is expected to be populated.  If both are populated, then the Dosage.text should reflect the content of the Dosage.timing.",
        "requirements": "The timing schedule for giving the medication to the patient. This  data type allows many different expressions. For example: \"Every 8 hours\"; \"Three times a day\"; \"1/2 an hour before breakfast for 10 days from 23-Dec 2011:\"; \"15 Oct 2013, 17 Oct 2013 and 1 Nov 2013\".  Sometimes, a rate can imply duration when expressed as total volume / duration (e.g.  500mL/2 hours implies a duration of 2 hours).  However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Dosage.timing",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Timing"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": ".effectiveTime"
          }
        ]
      },
      {
        "id": "MedicationRequest.dosageInstruction.asNeeded[x]",
        "path": "MedicationRequest.dosageInstruction.asNeeded[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Take \"as needed\" (for x)",
        "definition": "Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept).",
        "comment": "Can express \"as needed\" without a reason by setting the Boolean = True.  In this case the CodeableConcept is not populated.  Or you can express \"as needed\" with a reason by including the CodeableConcept.  In this case the Boolean is assumed to be True.  If you set the Boolean to False, then the dose is given according to the schedule and is not \"prn\" or \"as needed\".",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Dosage.asNeeded[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          },
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MedicationAsNeededReason"
            }
          ],
          "strength": "example",
          "description": "A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose.  For example \"pain\", \"30 minutes prior to sexual intercourse\", \"on flare-up\" etc.",
          "valueSet": "http://hl7.org/fhir/ValueSet/medication-as-needed-reason"
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "TQ1-9"
          },
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code=\"as needed\"].value=boolean or codable concept"
          }
        ]
      },
      {
        "id": "MedicationRequest.dosageInstruction.asNeeded[x]:asNeededCodeableConcept",
        "path": "MedicationRequest.dosageInstruction.asNeeded[x]",
        "sliceName": "asNeededCodeableConcept",
        "short": "Coded as-needed indication not used in this profile",
        "definition": "The current DigiDot profile does not use a CodeableConcept to specify the\ncondition under which the medication is taken as needed.",
        "comment": "The coded variant of asNeeded[x] is prohibited. The inherited boolean variant\nremains available to indicate that the medication is taken as needed.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Dosage.asNeeded[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MedicationAsNeededReason"
            }
          ],
          "strength": "example",
          "description": "A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose.  For example \"pain\", \"30 minutes prior to sexual intercourse\", \"on flare-up\" etc.",
          "valueSet": "http://hl7.org/fhir/ValueSet/medication-as-needed-reason"
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "TQ1-9"
          },
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code=\"as needed\"].value=boolean or codable concept"
          }
        ]
      },
      {
        "id": "MedicationRequest.dosageInstruction.site",
        "path": "MedicationRequest.dosageInstruction.site",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not record a separate anatomical site in the\ndosage instruction.",
        "comment": "site is prohibited in this profile.",
        "requirements": "A coded specification of the anatomic site where the medication first enters the body.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Dosage.site",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MedicationAdministrationSite"
            }
          ],
          "strength": "example",
          "description": "A coded concept describing the site location the medicine enters into or onto the body.",
          "valueSet": "http://hl7.org/fhir/ValueSet/approach-site-codes"
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "RXR-2"
          },
          {
            "identity": "rim",
            "map": ".approachSiteCode"
          }
        ]
      },
      {
        "id": "MedicationRequest.dosageInstruction.route",
        "path": "MedicationRequest.dosageInstruction.route",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not record a separate route of administration\nin the dosage instruction.",
        "comment": "route is prohibited in this profile.",
        "requirements": "A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Dosage.route",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "RouteOfAdministration"
            }
          ],
          "strength": "example",
          "description": "A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.",
          "valueSet": "http://hl7.org/fhir/ValueSet/route-codes"
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "RXR-1"
          },
          {
            "identity": "rim",
            "map": ".routeCode"
          }
        ]
      },
      {
        "id": "MedicationRequest.dosageInstruction.method",
        "path": "MedicationRequest.dosageInstruction.method",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not record a separate administration method in\nthe dosage instruction.",
        "comment": "method is prohibited in this profile.",
        "requirements": "A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections.  For examples, Slow Push; Deep IV.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Dosage.method",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MedicationAdministrationMethod"
            }
          ],
          "strength": "example",
          "description": "A coded concept describing the technique by which the medicine is administered.",
          "valueSet": "http://hl7.org/fhir/ValueSet/administration-method-codes"
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "RXR-4"
          },
          {
            "identity": "rim",
            "map": ".doseQuantity"
          }
        ]
      },
      {
        "id": "MedicationRequest.dosageInstruction.doseAndRate",
        "path": "MedicationRequest.dosageInstruction.doseAndRate",
        "short": "Structured amount of medication per administration",
        "definition": "Use a single doseAndRate component to record the structured amount of medication\nto be taken or administered at one time. A rate and dose classification are not\nused in this profile.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Dosage.doseAndRate",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Element"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "TQ1-2"
          }
        ]
      },
      {
        "id": "MedicationRequest.dosageInstruction.doseAndRate.id",
        "path": "MedicationRequest.dosageInstruction.doseAndRate.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhirpath/System.String",
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ]
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MedicationRequest.dosageInstruction.doseAndRate.extension",
        "path": "MedicationRequest.dosageInstruction.doseAndRate.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "No extensions on the dose and rate component",
        "definition": "Extensions on the doseAndRate backbone element are not used in the current\nDigiDot profile.",
        "comment": "Extensions on the doseAndRate component are prohibited.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "0",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MedicationRequest.dosageInstruction.doseAndRate.type",
        "path": "MedicationRequest.dosageInstruction.doseAndRate.type",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not classify ordered dose or rate values.",
        "requirements": "If the type is not populated, assume to be \"ordered\".",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Dosage.doseAndRate.type",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "DoseAndRateType"
            }
          ],
          "strength": "example",
          "description": "The kind of dose or rate specified.",
          "valueSet": "http://hl7.org/fhir/ValueSet/dose-rate-type"
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "RXO-21; RXE-23"
          }
        ]
      },
      {
        "id": "MedicationRequest.dosageInstruction.doseAndRate.dose[x]",
        "path": "MedicationRequest.dosageInstruction.doseAndRate.dose[x]",
        "short": "Amount of medication per administration",
        "definition": "Record the prescribed amount for one administration as a SimpleQuantity, for\nexample two tablets. When doseAndRate is present, doseQuantity is required. A\ndose range is not permitted.",
        "comment": "Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.",
        "requirements": "The amount of therapeutic or other substance given at one administration event.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Dosage.doseAndRate.dose[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "RXO-2, RXE-3"
          },
          {
            "identity": "rim",
            "map": ".doseQuantity"
          }
        ]
      },
      {
        "id": "MedicationRequest.dosageInstruction.doseAndRate.rate[x]",
        "path": "MedicationRequest.dosageInstruction.doseAndRate.rate[x]",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not record a structured ordered administration\nrate in the doseAndRate component.",
        "comment": "All rate variants are prohibited in this profile.",
        "requirements": "Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr.  May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours.   Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.  Sometimes, a rate can imply duration when expressed as total volume / duration (e.g.  500mL/2 hours implies a duration of 2 hours).  However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Dosage.doseAndRate.rate[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Ratio"
          },
          {
            "code": "Range"
          },
          {
            "code": "Quantity",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "RXE22, RXE23, RXE-24"
          },
          {
            "identity": "rim",
            "map": ".rateQuantity"
          }
        ]
      },
      {
        "id": "MedicationRequest.dosageInstruction.maxDosePerPeriod",
        "path": "MedicationRequest.dosageInstruction.maxDosePerPeriod",
        "short": "Upper limit on medication per unit of time",
        "definition": "Upper limit on medication per unit of time.",
        "comment": "This is intended for use as an adjunct to the dosage when there is an upper cap.  For example \"2 tablets every 4 hours to a maximum of 8/day\".",
        "requirements": "The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time.  For example, 1000mg in 24 hours.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Dosage.maxDosePerPeriod",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Ratio"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "RXO-23, RXE-19"
          },
          {
            "identity": "rim",
            "map": ".maxDoseQuantity"
          }
        ]
      },
      {
        "id": "MedicationRequest.dosageInstruction.maxDosePerAdministration",
        "path": "MedicationRequest.dosageInstruction.maxDosePerAdministration",
        "short": "Upper limit on medication per administration",
        "definition": "Upper limit on medication per administration.",
        "comment": "This is intended for use as an adjunct to the dosage when there is an upper cap.  For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg.",
        "requirements": "The maximum total quantity of a therapeutic substance that may be administered to a subject per administration.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Dosage.maxDosePerAdministration",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "not supported"
          }
        ]
      },
      {
        "id": "MedicationRequest.dosageInstruction.maxDosePerLifetime",
        "path": "MedicationRequest.dosageInstruction.maxDosePerLifetime",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not record a maximum cumulative lifetime dose.",
        "requirements": "The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Dosage.maxDosePerLifetime",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "not supported"
          }
        ]
      },
      {
        "id": "MedicationRequest.dispenseRequest",
        "path": "MedicationRequest.dispenseRequest",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not include authorization or instructions for\ndispensing a medication. Dispensing requirements require a separate agreed\nmodel.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationRequest.dispenseRequest",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "script10.6",
            "map": "Message/Body/NewRx/MedicationPrescribed/ExpirationDate"
          },
          {
            "identity": "rim",
            "map": "component.supplyEvent"
          }
        ]
      },
      {
        "id": "MedicationRequest.dispenseRequest.id",
        "path": "MedicationRequest.dispenseRequest.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhirpath/System.String",
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ]
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MedicationRequest.dispenseRequest.extension",
        "path": "MedicationRequest.dispenseRequest.extension",
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MedicationRequest.dispenseRequest.modifierExtension",
        "path": "MedicationRequest.dispenseRequest.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "MedicationRequest.dispenseRequest.initialFill",
        "path": "MedicationRequest.dispenseRequest.initialFill",
        "short": "First fill details",
        "definition": "Indicates the quantity or duration for the first dispense of the medication.",
        "comment": "If populating this element, either the quantity or the duration must be included.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MedicationRequest.dispenseRequest.initialFill",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "SubstanceAdministration -> ActRelationship[sequenceNumber = '1'] -> Supply"
          }
        ]
      },
      {
        "id": "MedicationRequest.dispenseRequest.initialFill.id",
        "path": "MedicationRequest.dispenseRequest.initialFill.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhirpath/System.String",
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ]
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MedicationRequest.dispenseRequest.initialFill.extension",
        "path": "MedicationRequest.dispenseRequest.initialFill.extension",
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MedicationRequest.dispenseRequest.initialFill.modifierExtension",
        "path": "MedicationRequest.dispenseRequest.initialFill.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "MedicationRequest.dispenseRequest.initialFill.quantity",
        "path": "MedicationRequest.dispenseRequest.initialFill.quantity",
        "short": "First fill quantity",
        "definition": "The amount or quantity to provide as part of the first dispense.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MedicationRequest.dispenseRequest.initialFill.quantity",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "Supply.quantity[moodCode=RQO]"
          }
        ]
      },
      {
        "id": "MedicationRequest.dispenseRequest.initialFill.duration",
        "path": "MedicationRequest.dispenseRequest.initialFill.duration",
        "short": "First fill duration",
        "definition": "The length of time that the first dispense is expected to last.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MedicationRequest.dispenseRequest.initialFill.duration",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Duration"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "Supply.effectivetime[moodCode=RQO]"
          }
        ]
      },
      {
        "id": "MedicationRequest.dispenseRequest.dispenseInterval",
        "path": "MedicationRequest.dispenseRequest.dispenseInterval",
        "short": "Minimum period of time between dispenses",
        "definition": "The minimum period of time that must occur between dispenses of the medication.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MedicationRequest.dispenseRequest.dispenseInterval",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Duration"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "Supply.effectivetime[moodCode=RQO]"
          }
        ]
      },
      {
        "id": "MedicationRequest.dispenseRequest.validityPeriod",
        "path": "MedicationRequest.dispenseRequest.validityPeriod",
        "short": "Time period supply is authorized for",
        "definition": "This indicates the validity period of a prescription (stale dating the Prescription).",
        "comment": "It reflects the prescribers' perspective for the validity of the prescription. Dispenses must not be made against the prescription outside of this period. The lower-bound of the Dispensing Window signifies the earliest date that the prescription can be filled for the first time. If an upper-bound is not specified then the Prescription is open-ended or will default to a stale-date based on regulations.",
        "requirements": "Indicates when the Prescription becomes valid, and when it ceases to be a dispensable Prescription.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MedicationRequest.dispenseRequest.validityPeriod",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Period"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "script10.6",
            "map": "Message/Body/NewRx/MedicationPrescribed/Refills"
          },
          {
            "identity": "rim",
            "map": "effectiveTime"
          }
        ]
      },
      {
        "id": "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed",
        "path": "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed",
        "short": "Number of refills authorized",
        "definition": "An integer indicating the number of times, in addition to the original dispense, (aka refills or repeats) that the patient can receive the prescribed medication. Usage Notes: This integer does not include the original order dispense. This means that if an order indicates dispense 30 tablets plus \"3 repeats\", then the order can be dispensed a total of 4 times and the patient can receive a total of 120 tablets.  A prescriber may explicitly say that zero refills are permitted after the initial dispense.",
        "comment": "If displaying \"number of authorized fills\", add 1 to this number.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "unsignedInt"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "script10.6",
            "map": "Message/Body/NewRx/MedicationPrescribed/Quantity"
          },
          {
            "identity": "v2",
            "map": "RXE-12-Number of Refills"
          },
          {
            "identity": "rim",
            "map": "repeatNumber"
          }
        ]
      },
      {
        "id": "MedicationRequest.dispenseRequest.quantity",
        "path": "MedicationRequest.dispenseRequest.quantity",
        "short": "Amount of medication to supply per dispense",
        "definition": "The amount that is to be dispensed for one fill.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MedicationRequest.dispenseRequest.quantity",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Quantity",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "script10.6",
            "map": "Message/Body/NewRx/MedicationPrescribed/DaysSupply"
          },
          {
            "identity": "v2",
            "map": "RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system"
          },
          {
            "identity": "rim",
            "map": "quantity"
          }
        ]
      },
      {
        "id": "MedicationRequest.dispenseRequest.expectedSupplyDuration",
        "path": "MedicationRequest.dispenseRequest.expectedSupplyDuration",
        "short": "Number of days supply per dispense",
        "definition": "Identifies the period time over which the supplied product is expected to be used, or the length of time the dispense is expected to last.",
        "comment": "In some situations, this attribute may be used instead of quantity to identify the amount supplied by how long it is expected to last, rather than the physical quantity issued, e.g. 90 days supply of medication (based on an ordered dosage). When possible, it is always better to specify quantity, as this tends to be more precise. expectedSupplyDuration will always be an estimate that can be influenced by external factors.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MedicationRequest.dispenseRequest.expectedSupplyDuration",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Duration"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "script10.6",
            "map": "Message/Body/NewRx/MedicationPrescribed/Substitutions"
          },
          {
            "identity": "rim",
            "map": "expectedUseTime"
          }
        ]
      },
      {
        "id": "MedicationRequest.dispenseRequest.performer",
        "path": "MedicationRequest.dispenseRequest.performer",
        "short": "Intended dispenser",
        "definition": "Indicates the intended dispensing Organization specified by the prescriber.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MedicationRequest.dispenseRequest.performer",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Organization"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "w5",
            "map": "FiveWs.who"
          },
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=COMP].target[classCode=SPLY, moodCode=RQO] .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
          }
        ]
      },
      {
        "id": "MedicationRequest.substitution",
        "path": "MedicationRequest.substitution",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not record whether medication substitution is\nallowed or prohibited.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationRequest.substitution",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "script10.6",
            "map": "specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions"
          },
          {
            "identity": "rim",
            "map": "subjectOf.substitutionPersmission"
          }
        ]
      },
      {
        "id": "MedicationRequest.substitution.id",
        "path": "MedicationRequest.substitution.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "http://hl7.org/fhirpath/System.String",
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ]
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MedicationRequest.substitution.extension",
        "path": "MedicationRequest.substitution.extension",
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "MedicationRequest.substitution.modifierExtension",
        "path": "MedicationRequest.substitution.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "MedicationRequest.substitution.allowed[x]",
        "path": "MedicationRequest.substitution.allowed[x]",
        "short": "Whether substitution is allowed or not",
        "definition": "True if the prescriber allows a different drug to be dispensed from what was prescribed.",
        "comment": "This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "MedicationRequest.substitution.allowed[x]",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "boolean"
          },
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MedicationRequestSubstitution"
            }
          ],
          "strength": "example",
          "description": "Identifies the type of substitution allowed.",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode"
        },
        "mapping": [
          {
            "identity": "script10.6",
            "map": "specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions"
          },
          {
            "identity": "v2",
            "map": "RXO-9-Allow Substitutions / RXE-9-Substitution Status"
          },
          {
            "identity": "rim",
            "map": "code"
          }
        ]
      },
      {
        "id": "MedicationRequest.substitution.reason",
        "path": "MedicationRequest.substitution.reason",
        "short": "Why should (not) substitution be made",
        "definition": "Indicates the reason for the substitution, or why substitution must or must not be performed.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "MedicationRequest.substitution.reason",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "MedicationIntendedSubstitutionReason"
            }
          ],
          "strength": "example",
          "description": "A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason"
        },
        "mapping": [
          {
            "identity": "script10.6",
            "map": "not mapped"
          },
          {
            "identity": "v2",
            "map": "RXE-9 Substition status"
          },
          {
            "identity": "rim",
            "map": "reasonCode"
          }
        ]
      },
      {
        "id": "MedicationRequest.priorPrescription",
        "path": "MedicationRequest.priorPrescription",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not link a medication request directly to a\nrequest that it replaces.",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationRequest.priorPrescription",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/MedicationRequest"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.replaces"
          },
          {
            "identity": "script10.6",
            "map": "not mapped"
          },
          {
            "identity": "rim",
            "map": ".outboundRelationship[typeCode=?RPLC or ?SUCC]/target[classCode=SBADM,moodCode=RQO]"
          }
        ]
      },
      {
        "id": "MedicationRequest.detectedIssue",
        "path": "MedicationRequest.detectedIssue",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not link detected clinical or business issues\nfrom the medication request. Relevant issues require a separately agreed model.",
        "comment": "detectedIssue is prohibited in this profile.",
        "alias": [
          "Contraindication",
          "Drug Utilization Review (DUR)",
          "Alert"
        ],
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationRequest.detectedIssue",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/DetectedIssue"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": ".inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value"
          }
        ]
      },
      {
        "id": "MedicationRequest.eventHistory",
        "path": "MedicationRequest.eventHistory",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not use eventHistory to reference selected\nProvenance resources. Technical changes to the resource are managed through\nthe server's resource version history.",
        "comment": "This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.).",
        "min": 0,
        "max": "0",
        "base": {
          "path": "MedicationRequest.eventHistory",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Provenance"
            ]
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Request.relevantHistory"
          },
          {
            "identity": "rim",
            "map": ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "MedicationRequest",
        "path": "MedicationRequest",
        "short": "Medication request in dental care",
        "constraint": [
          {
            "key": "dd-mr-1",
            "severity": "error",
            "human": "When more than one dosage instruction is present, each instruction SHALL have a unique sequence value.",
            "expression": "dosageInstruction.count() <= 1 or (dosageInstruction.sequence.count() = dosageInstruction.count() and dosageInstruction.sequence.isDistinct())",
            "source": "https://novari.no/fhir/digidot/StructureDefinition/digidot-MedicationRequest-no"
          }
        ]
      },
      {
        "id": "MedicationRequest.implicitRules",
        "path": "MedicationRequest.implicitRules",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "A DigiDot MedicationRequest must be interpretable from the published FHIR R4\nprofile, terminology versions and agreed exchange documentation. Do not use\nimplicitRules to introduce undocumented processing rules.",
        "comment": "implicitRules is prohibited in this profile.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.contained",
        "path": "MedicationRequest.contained",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "Resources relevant to the DigiDot information model must be stored as\nindependently identifiable FHIR resources and linked by reference. Contained\nresources are not used in this profile.",
        "comment": "contained resources are prohibited in this profile.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.extension",
        "path": "MedicationRequest.extension",
        "slicing": {
          "rules": "closed"
        },
        "max": "3"
      },
      {
        "id": "MedicationRequest.extension:effectiveDosePeriod",
        "path": "MedicationRequest.extension",
        "sliceName": "effectiveDosePeriod",
        "short": "Local R4 adaptation of the R5 medication treatment period",
        "definition": "Record the overall treatment period. This local extension adapts the native\nFHIR R5 MedicationRequest.effectiveDosePeriod element for the DigiDot R4\nprofile. In the current FHIR R6 ballot, the corresponding element is\nMedicationRequest.effectiveTiming[x].",
        "comment": "FHIR version adaptation: represented by this local DigiDot extension in R4, by\nthe native MedicationRequest.effectiveDosePeriod element in R5, and by\nMedicationRequest.effectiveTiming[x] in the current R6 ballot.",
        "alias": [
          "Overall treatment period",
          "user content"
        ],
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-medicationrequest-effective-dose-period"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.extension:renderedDosageInstruction",
        "path": "MedicationRequest.extension",
        "sliceName": "renderedDosageInstruction",
        "short": "Local R4 adaptation of the R5 rendered dosage instructions",
        "definition": "Record the complete rendered dosage instructions, particularly when multiple\nstructured instructions express a complex regimen. This local extension adapts\nthe native FHIR R5 MedicationRequest.renderedDosageInstruction element for the\nDigiDot R4 profile. In the current FHIR R6 ballot, the corresponding content is\nrepresented by MedicationRequest.dosageInstruction.renderedInstruction.",
        "comment": "FHIR version adaptation: represented by this local DigiDot extension in R4, by\nthe native MedicationRequest.renderedDosageInstruction element in R5, and by\nMedicationRequest.dosageInstruction.renderedInstruction in the current R6\nballot.",
        "alias": [
          "Combined dosage text",
          "user content"
        ],
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-medicationrequest-rendered-dosage-instruction"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.extension:offLabelUse",
        "path": "MedicationRequest.extension",
        "sliceName": "offLabelUse",
        "short": "Local R4 adaptation of IHE MPD off-label use",
        "definition": "Record whether the prescriber intentionally prescribed the medication outside\nthe product authorization, and optionally the reason. This local complex\nextension adapts the extension originally defined by the FHIR R5-based IHE MPD\nimplementation guide. It does not correspond to a native MedicationRequest\nelement in either FHIR R5 or the current FHIR R6 ballot.",
        "comment": "FHIR version adaptation: this R4 profile uses a local DigiDot representation of\nIHE MPD off-label use. Unlike effectiveDosePeriod and\nrenderedDosageInstruction, offLabelUse is not adapted from a native R5 element\nand has no corresponding native MedicationRequest element in the current R6\nballot.",
        "alias": [
          "Off-label prescribing",
          "user content"
        ],
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-medicationrequest-off-label-use"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.modifierExtension",
        "path": "MedicationRequest.modifierExtension",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "Modifier extensions can change the meaning of a MedicationRequest and require\nevery consumer to understand them. No modifier extension is defined for the\ncurrent DigiDot scope.",
        "comment": "modifierExtension is prohibited in this profile.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.identifier",
        "path": "MedicationRequest.identifier",
        "short": "Stable identifier for the medication request",
        "definition": "Record a stable business identifier assigned to this medication request. Use\nit for traceability and de-duplication across systems. Do not repeat the FHIR\nserver resource id.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.status",
        "path": "MedicationRequest.status",
        "short": "Lifecycle status for the medication order",
        "definition": "Use status as the authoritative lifecycle state for this medication order. It\nindicates whether the order is active, on hold, completed, cancelled, entered\nin error, a draft or otherwise in one of the standard FHIR R4 states.",
        "comment": "The status applies to the medication order. It does not represent whether the\nmedication was dispensed or administered.",
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.statusReason",
        "path": "MedicationRequest.statusReason",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not record a separate reason for the request\nstatus. A future agreed status-reason model requires an explicit profile\nrevision.",
        "comment": "statusReason is prohibited in this profile.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.intent",
        "path": "MedicationRequest.intent",
        "short": "Authoritative medication order",
        "definition": "This profile represents an authoritative medication order. Other request\nintents are outside the scope of this profile.",
        "comment": "The fixed value order distinguishes this resource from a proposal, plan,\npatient statement or report of an order from another source.",
        "fixedCode": "order"
      },
      {
        "id": "MedicationRequest.category",
        "path": "MedicationRequest.category",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not define a separate category classification\nfor medication requests.",
        "comment": "category is prohibited in this profile.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.priority",
        "path": "MedicationRequest.priority",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not communicate request priority through this\nelement.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.doNotPerform",
        "path": "MedicationRequest.doNotPerform",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile records requests to use a medication and does not\nrepresent an instruction not to use the medication.",
        "comment": "doNotPerform is prohibited in this profile.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.reported[x]",
        "path": "MedicationRequest.reported[x]",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "This profile represents an authoritative medication request and does not use\nreported[x] to record an order reported from another source. In FHIR R6 the\nrelated concept is represented by isRecordOfRequest.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.medication[x]",
        "path": "MedicationRequest.medication[x]",
        "short": "SNOMED CT code for the requested medication",
        "definition": "The requested medication, represented directly by one SNOMED CT Clinical Drug\ncode from the source side of Norwegian mapping reference set\n327471000202109.",
        "comment": "The medication SHALL be recorded directly as a CodeableConcept containing\nexactly one precoordinated SNOMED CT clinical drug code. Coding.version SHALL\nidentify the SNOMED CT edition and release using a version URI of the form\nhttp://snomed.info/sct/{edition}/version/{yyyymmdd}. A reference to a separate\nMedication resource SHALL NOT be used in this profile.",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://novari.no/fhir/digidot/ValueSet/digidot-clinical-drug-no"
        }
      },
      {
        "id": "MedicationRequest.medication[x].id",
        "path": "MedicationRequest.medication[x].id",
        "short": "Not used on the medicinal product concept",
        "definition": "The medicinal product CodeableConcept does not use an element id in the current\nDigiDot profile.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.medication[x].extension",
        "path": "MedicationRequest.medication[x].extension",
        "short": "No extensions on the medicinal product concept",
        "definition": "All required medicinal product information is represented by the versioned\nSNOMED CT coding. Extensions on the CodeableConcept are not used.",
        "comment": "Extensions on the medicinal product concept are prohibited.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.medication[x].coding",
        "path": "MedicationRequest.medication[x].coding",
        "short": "SNOMED CT clinical drug code with edition version",
        "definition": "Record exactly one precoordinated SNOMED CT clinical drug concept from the\nsource side of Norwegian dose-based prescription Clinical Drug to Medicinal\nProduct simple map reference set 327471000202109. The coding conforms to\nDigiDotCodingSctPreNo, which requires the SNOMED CT system, numeric concept\nidentifier and versioned edition URI.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Coding",
            "profile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-Coding-SCTpre-no"
            ]
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://novari.no/fhir/digidot/ValueSet/digidot-clinical-drug-no"
        }
      },
      {
        "id": "MedicationRequest.medication[x].coding.extension",
        "path": "MedicationRequest.medication[x].coding.extension",
        "short": "No extensions on the medicinal product coding",
        "definition": "The SNOMED CT system, edition version and concept identifier are represented by\nthe standard Coding elements. Extensions on the coding are not used.",
        "comment": "Extensions on the medicinal product coding are prohibited.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.medication[x].text",
        "path": "MedicationRequest.medication[x].text",
        "short": "Not used on the medicinal product concept",
        "definition": "The medicinal product is represented by the structured SNOMED CT coding. A\nhuman-readable SNOMED CT term may be carried in Coding.display; do not use\nCodeableConcept.text as an alternative medication representation.",
        "comment": "CodeableConcept.text is prohibited for the requested medication.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.subject",
        "path": "MedicationRequest.subject",
        "short": "Patient for whom the medication is requested",
        "definition": "Reference the patient through no-basis-Patient.",
        "comment": "Reference the patient for whom this medication request was created. Secondary\nuse and anonymized-subject workflows are outside the scope of this profile.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.no/fhir/StructureDefinition/no-basis-Patient"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.encounter",
        "path": "MedicationRequest.encounter",
        "short": "DigiDot encounter associated with the medication request",
        "definition": "Reference the DigiDot Encounter that provides the clinical context for the\nmedication request.",
        "comment": "This will typically be the encounter within which the medication request was\ncreated. A request may be initiated before or after the official completion of\nan encounter while still remaining tied to that encounter's clinical context.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-Encounter-no"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.supportingInformation",
        "path": "MedicationRequest.supportingInformation",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not attach unrestricted supporting resources\nto the medication order. A future supporting-information relationship requires\nan agreed use case and explicit target profiles.",
        "comment": "supportingInformation is prohibited in this profile.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.authoredOn",
        "path": "MedicationRequest.authoredOn",
        "min": 1
      },
      {
        "id": "MedicationRequest.requester",
        "path": "MedicationRequest.requester",
        "short": "Practitioner who prescribed the medication",
        "definition": "Identify the prescribing healthcare professional through a literal reference\nto no-basis-Practitioner when that resource exists. Otherwise use a logical\nPractitioner reference with the prescriber's HPR number. A Norwegian national\nidentity number is not permitted. Do not use PractitionerRole or Organization.",
        "comment": "Provide exactly one of Reference.reference or Reference.identifier. A logical\nreference must use type Practitioner and HPR system\nurn:oid:2.16.578.1.12.4.1.4.4. A Norwegian national identity number is\nprohibited.",
        "requirements": "The medication request must identify the responsible prescriber through an\nexisting Practitioner resource or an HPR number.",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "profile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-Reference-Practitioner-HPR-no"
            ],
            "targetProfile": [
              "http://hl7.no/fhir/StructureDefinition/no-basis-Practitioner"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.performer",
        "path": "MedicationRequest.performer",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not identify an intended performer of future\ntreatment. Record the prescriber in requester and an actual administering\npractitioner in MedicationAdministration.performer.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.performerType",
        "path": "MedicationRequest.performerType",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not define an intended performer role for the\nrequested medication treatment.",
        "comment": "performerType is prohibited in this profile.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.recorder",
        "path": "MedicationRequest.recorder",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not record a separate person who entered the\nrequest. requester identifies the prescribing practitioner, while technical\nregistration and transmission can be traced through Provenance.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.reasonCode",
        "path": "MedicationRequest.reasonCode",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not represent the clinical indication as an\ninline code. Use reasonReference to reference a DigiDot Condition.",
        "comment": "reasonCode is prohibited in this profile.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.reasonReference",
        "path": "MedicationRequest.reasonReference",
        "short": "DigiDot condition supporting the medication request",
        "definition": "Reference the DigiDot Condition that represents the clinical indication or\nother clinical reason for requesting the medication.",
        "comment": "Use a reference to a DigiDot Condition that supports the medication request.\nreasonCode is not used in this profile.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://novari.no/fhir/digidot/StructureDefinition/digidot-Condition-no"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.instantiatesCanonical",
        "path": "MedicationRequest.instantiatesCanonical",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not record conformance to or instantiation of\nan external protocol, guideline, order set or other canonical definition.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.instantiatesUri",
        "path": "MedicationRequest.instantiatesUri",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not identify an external protocol, guideline\nor order set through a URI. A future agreed protocol model requires an explicit\nprofile revision.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.basedOn",
        "path": "MedicationRequest.basedOn",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not link the medication request to an\nunderlying care plan or other request through basedOn. A future agreed workflow\nmodel requires an explicit profile revision.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.groupIdentifier",
        "path": "MedicationRequest.groupIdentifier",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not group medication requests through a shared\nbusiness identifier. Each medication request is identified independently.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.courseOfTherapyType",
        "path": "MedicationRequest.courseOfTherapyType",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not classify the overall pattern or course of\nthe requested medication treatment. A future agreed classification requires an\nexplicit profile revision.",
        "comment": "courseOfTherapyType is prohibited in this profile.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.insurance",
        "path": "MedicationRequest.insurance",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not include insurance coverage,\npre-authorization or pre-determination information in the medication request.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.note.extension",
        "path": "MedicationRequest.note.extension",
        "short": "No extensions on medication request notes",
        "definition": "Medication request notes use the standard Annotation elements retained by this\nprofile. Extensions on Annotation are not used in the current DigiDot scope.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction",
        "path": "MedicationRequest.dosageInstruction",
        "short": "Structured and human-readable dosage instructions",
        "definition": "Record one or more instructions describing how the patient is to use the\nmedication. Every instruction includes human-readable text and may include the\ntiming, an as-needed boolean and one structured dose quantity.",
        "comment": "Use separate MedicationRequest resources when alternative medications or\nindependently managed orders are required. Route, site, method and structured\nadministration rate are outside the scope of this profile.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.dosageInstruction.extension",
        "path": "MedicationRequest.dosageInstruction.extension",
        "short": "No extensions on the dosage instruction",
        "definition": "The current DigiDot dosage instruction model uses only the standard elements\nretained by this profile. Extensions on Dosage are not used.",
        "comment": "Extensions on the dosage instruction are prohibited.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.modifierExtension",
        "path": "MedicationRequest.dosageInstruction.modifierExtension",
        "short": "No modifier extensions on the dosage instruction",
        "definition": "Modifier extensions on Dosage can change the meaning of the dosage instruction\nand are not used in the current DigiDot profile.",
        "comment": "Modifier extensions on the dosage instruction are prohibited.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.text",
        "path": "MedicationRequest.dosageInstruction.text",
        "short": "Complete human-readable dosage instruction",
        "definition": "Record a complete human-readable instruction for this dosage step. This text is\nrequired even when timing or doseQuantity is also represented structurally.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.dosageInstruction.additionalInstruction",
        "path": "MedicationRequest.dosageInstruction.additionalInstruction",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not record supplemental dosage directions as\nseparate coded instructions. Include the complete human-readable regimen in\ndosageInstruction.text or renderedDosageInstruction.",
        "comment": "additionalInstruction is prohibited in this profile.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.patientInstruction",
        "path": "MedicationRequest.dosageInstruction.patientInstruction",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not maintain separate patient-facing dosage\ninstructions. Include the complete human-readable regimen in\ndosageInstruction.text or renderedDosageInstruction.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.asNeeded[x]",
        "path": "MedicationRequest.dosageInstruction.asNeeded[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "MedicationRequest.dosageInstruction.asNeeded[x]:asNeededCodeableConcept",
        "path": "MedicationRequest.dosageInstruction.asNeeded[x]",
        "sliceName": "asNeededCodeableConcept",
        "short": "Coded as-needed indication not used in this profile",
        "definition": "The current DigiDot profile does not use a CodeableConcept to specify the\ncondition under which the medication is taken as needed.",
        "comment": "The coded variant of asNeeded[x] is prohibited. The inherited boolean variant\nremains available to indicate that the medication is taken as needed.",
        "min": 0,
        "max": "0",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ]
      },
      {
        "id": "MedicationRequest.dosageInstruction.site",
        "path": "MedicationRequest.dosageInstruction.site",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not record a separate anatomical site in the\ndosage instruction.",
        "comment": "site is prohibited in this profile.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.route",
        "path": "MedicationRequest.dosageInstruction.route",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not record a separate route of administration\nin the dosage instruction.",
        "comment": "route is prohibited in this profile.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.method",
        "path": "MedicationRequest.dosageInstruction.method",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not record a separate administration method in\nthe dosage instruction.",
        "comment": "method is prohibited in this profile.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.doseAndRate",
        "path": "MedicationRequest.dosageInstruction.doseAndRate",
        "short": "Structured amount of medication per administration",
        "definition": "Use a single doseAndRate component to record the structured amount of medication\nto be taken or administered at one time. A rate and dose classification are not\nused in this profile.",
        "max": "1"
      },
      {
        "id": "MedicationRequest.dosageInstruction.doseAndRate.extension",
        "path": "MedicationRequest.dosageInstruction.doseAndRate.extension",
        "short": "No extensions on the dose and rate component",
        "definition": "Extensions on the doseAndRate backbone element are not used in the current\nDigiDot profile.",
        "comment": "Extensions on the doseAndRate component are prohibited.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.doseAndRate.type",
        "path": "MedicationRequest.dosageInstruction.doseAndRate.type",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not classify ordered dose or rate values.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.doseAndRate.dose[x]",
        "path": "MedicationRequest.dosageInstruction.doseAndRate.dose[x]",
        "short": "Amount of medication per administration",
        "definition": "Record the prescribed amount for one administration as a SimpleQuantity, for\nexample two tablets. When doseAndRate is present, doseQuantity is required. A\ndose range is not permitted.",
        "min": 1,
        "type": [
          {
            "code": "Quantity",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationRequest.dosageInstruction.doseAndRate.rate[x]",
        "path": "MedicationRequest.dosageInstruction.doseAndRate.rate[x]",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not record a structured ordered administration\nrate in the doseAndRate component.",
        "comment": "All rate variants are prohibited in this profile.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dosageInstruction.maxDosePerLifetime",
        "path": "MedicationRequest.dosageInstruction.maxDosePerLifetime",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not record a maximum cumulative lifetime dose.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.dispenseRequest",
        "path": "MedicationRequest.dispenseRequest",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not include authorization or instructions for\ndispensing a medication. Dispensing requirements require a separate agreed\nmodel.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.substitution",
        "path": "MedicationRequest.substitution",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not record whether medication substitution is\nallowed or prohibited.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.priorPrescription",
        "path": "MedicationRequest.priorPrescription",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not link a medication request directly to a\nrequest that it replaces.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.detectedIssue",
        "path": "MedicationRequest.detectedIssue",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not link detected clinical or business issues\nfrom the medication request. Relevant issues require a separately agreed model.",
        "comment": "detectedIssue is prohibited in this profile.",
        "max": "0"
      },
      {
        "id": "MedicationRequest.eventHistory",
        "path": "MedicationRequest.eventHistory",
        "short": "Not used in the current DigiDot MedicationRequest profile",
        "definition": "The current DigiDot profile does not use eventHistory to reference selected\nProvenance resources. Technical changes to the resource are managed through\nthe server's resource version history.",
        "max": "0"
      }
    ]
  }
}

name : DigidotMedicationRequestNo

{

}