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{
  "resourceType": "StructureDefinition",
  "url": "https://fhir.nhs.uk/R4/StructureDefinition/MM-MedicationRequest",
  "name": "MM-MedicationRequest",
  "status": "draft",
  "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": "https://fhir.nhs.uk/R4/StructureDefinition/UKCore-MedicationRequest",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "MedicationRequest.id",
        "path": "MedicationRequest.id",
        "comment": "ITK Mapping = pertinentInformation2[0].pertinentLineItem.id"
      },
      {
        "id": "MedicationRequest.extension",
        "path": "MedicationRequest.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "MedicationRequest.extension:eps-prescriptionType",
        "path": "MedicationRequest.extension",
        "sliceName": "eps-prescriptionType",
        "short": "ITK Prescription Type",
        "comment": "Type of prescription, possibly can be moved to category.",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.nhs.uk/R4/StructureDefinition/Extension-eps-prescriptionType"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.extension:procedureCode",
        "path": "MedicationRequest.extension",
        "sliceName": "procedureCode",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.nhs.uk/R4/StructureDefinition/Extension-procedureCode"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.extension:tokenIssued",
        "path": "MedicationRequest.extension",
        "sliceName": "tokenIssued",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.nhs.uk/R4/StructureDefinition/Extension-tokenIssued"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.medication[x]",
        "path": "MedicationRequest.medication[x]",
        "comment": "Any code from the SnomedCT UK subset that describes a manufactured material (e.g. a pharmaceutical product or personal medical device).  These wil form part of the NHS DM&D Dictionary.\r\n\r\nITK HL7v3 Mapping = ParentPrescription.pertinentInformation2.pertinentLineItem.product.manufacturedProduct.manufacturedRequestedMaterial",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "https://fhir.nhs.uk/R4/StructureDefinition/MM-MedicationCodeableConcept"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.medication[x].coding",
        "path": "MedicationRequest.medication[x].coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "MedicationRequest.authoredOn",
        "path": "MedicationRequest.authoredOn",
        "comment": "ITK Mapping = ParentPrescription.effectiveTime"
      },
      {
        "id": "MedicationRequest.requester",
        "path": "MedicationRequest.requester",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.nhs.uk/R4/StructureDefinition/MM-PractitionerRole"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.requester.identifier",
        "path": "MedicationRequest.requester.identifier",
        "comment": "Should consider making identifier (GMP, GMC,etc) Code mandatory."
      },
      {
        "id": "MedicationRequest.requester.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "MedicationRequest.requester.display",
        "comment": "The name of the of the issuer must be included in the MedicationRequest (this is for legal reasons)",
        "min": 1
      },
      {
        "id": "MedicationRequest.performerType",
        "path": "MedicationRequest.performerType",
        "comment": "If specified without indicating a performer, this indicates that the performer must be of the specified type. If specified with a performer then it indicates the requirements of the performer if the designated performer is not available.\r\n\r\nEPS - This has several similarities to the dispensing-site-preference codeSystem. Should this be moved here from an extension and also switched to SNOMED."
      },
      {
        "id": "MedicationRequest.groupIdentifier",
        "path": "MedicationRequest.groupIdentifier",
        "short": "Composite request this is part of.",
        "comment": "ITK HL7v3 Mapping = The groupIdentifier is equivalent to ParentPrescription.id (prescription-short-form). The extension is used to carry the ParentPrescription.id (UUID).",
        "min": 1
      },
      {
        "id": "MedicationRequest.groupIdentifier.extension",
        "path": "MedicationRequest.groupIdentifier.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "MedicationRequest.groupIdentifier.extension:eps-parentPrescriptionId",
        "path": "MedicationRequest.groupIdentifier.extension",
        "sliceName": "eps-parentPrescriptionId",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.nhs.uk/R4/StructureDefinition/Extension-eps-parentPrescriptionId"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.courseOfTherapyType",
        "path": "MedicationRequest.courseOfTherapyType",
        "comment": "The type of prescription e.g. acute, repeat, repeat-dispensing. Note, EPS uses a subset of the PrescriptionType subset and excludes non ETP items (e.g. handwritten).\r\nITK Mapping = pertinentInformation5.pertinentPrescriptionTreatmentType. Was extension in STU3",
        "min": 1
      },
      {
        "id": "MedicationRequest.courseOfTherapyType.coding",
        "path": "MedicationRequest.courseOfTherapyType.coding",
        "binding": {
          "strength": "required",
          "description": "Valid Prescription Treatment Types for EPS",
          "valueSet": "https://fhir.nhs.uk/R4/ValueSet/eps-prescription-therapy-type"
        }
      },
      {
        "id": "MedicationRequest.dosageInstruction.text",
        "path": "MedicationRequest.dosageInstruction.text",
        "comment": "ITK Mapping = pertinentInformation2.pertinentLineItem.pertinentInformation2.pertinentDosageInstructions.value"
      },
      {
        "id": "MedicationRequest.dispenseRequest",
        "path": "MedicationRequest.dispenseRequest",
        "comment": "ITK Mapping = pertinentInformation2.pertinentLineItem.component.lineItemQuantity"
      },
      {
        "id": "MedicationRequest.dispenseRequest.extension",
        "path": "MedicationRequest.dispenseRequest.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "MedicationRequest.dispenseRequest.extension:performerType",
        "path": "MedicationRequest.dispenseRequest.extension",
        "sliceName": "performerType",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.nhs.uk/R4/StructureDefinition/Extension-performerType"
            ]
          }
        ]
      },
      {
        "id": "MedicationRequest.substitution",
        "path": "MedicationRequest.substitution",
        "comment": "Substituition is a mandatory requirement for EPS.",
        "min": 1
      },
      {
        "id": "MedicationRequest.substitution.allowed[x]",
        "path": "MedicationRequest.substitution.allowed[x]",
        "type": [
          {
            "code": "boolean"
          }
        ]
      }
    ]
  }
}

name : MM-MedicationRequest

{

}